health and wellbeing integration in plymouth
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“Designing and Delivering Services - For People, With
People”
Health and Wellbeing Integration in Plymouth
The vision for our City
Local challenges
• Poverty and deprivation
• Low wage economy
• Impact of recession
• Housing stock• Transport
infrastructure• Gaps in life
expectancy• Impact of
Welfare Reform
People told us…“I want services that support me to manage my situation in life not just my condition”
“I want the information I need to make healthy choices and stay healthy, and to have systems in place that can help me at an early stage to avoid a crisis”
“I want the ability to talk to a health or social care professional when I need to and to tell my story once - share my information with colleagues”
“I want to be able to have services provided in lots of different places, at a time that suits, me having choice and control over the care I need”
“I want access to a range of services that support me and the people who care for me to lead a full and healthy life”
An integrated population-based health and wellbeing system
To improve health and wellbeing outcomes for the local population
To reduce inequalities in health and wellbeing of the local population
To improve people’s experience of care
To improve the sustainability of our health and wellbeing system
Aim 1
Aim 2
Aim 3
Aim 4
Individuals at the centre
Four strategies People and communities will be well, stay well and recover well. This strategy supports healthy and happy communities by putting health and wellbeing at the heart of everything we do
A system that consists of quality specialist health and care services that promotes choice, independence, dignity and respect
Provide the best start to life for all children from pregnancy to school age, and the right support at the right time for vulnerable children and young people
This strategy targets services that support people to maintain their independence in their own home within their community
Overview of Plymouth integrated fund
Net Integrated FundThe net total of the Pooled and Aligned Fund
£462m
Net Pooled Fund“Any pooled fund established and
maintained by the Parties as a pooled fund in accordance with the regulations”
£241m
Net Aligned Fund“Budgets for commissioning prescribed services that the
Regulations specify shall not be pooled, but which will be managed
alongside the Pooled Fund”
£221m
Integrated delivery of community health and adult social care
Integrated governance
Plymouth Integrated Commissioning
Board
Integrated Leadership
Commissioning Function
Wellbeing
Commissioning System Design
Group
Community
Commissioning System Design
Group
Children & Young People System Design Group
Enhanced & Specialist Care
Integrated System
Performance & Intelligence Group
Finance & Assurance Review Group
CCG Governing Body
Plymouth City Full Council
Western Locality Board
PCC Cabinet
PCC Health & Wellbeing Board
Scrutiny Panels
Delivering integration- System Design Groups
• Made up of Commissioners, Clinicians, Providers, Users and Stakeholders
• Each System Design Group will take responsibility for one of the four Integrated Commissioning strategies.
• Each SDG will work collaboratively to deliver the system changes required to realise success.
FunctionsSDGs will:• Act as a Strategic Planning Forum, owning and working to deliver the
strategies and informing future strategic developments • Inform Commissioning decisions• Feed through service user experience/voice into the commissioning cycle• Communicate with a wider group of stakeholders through a virtual network
and make links to existing partnership groups • Provide an opportunity for local market engagement• Problem solve system performance issues• Share system information• Inform workforce planning and development needs across a system• Contribute to the development of an annual plan for the system• Work closely with other System Design Groups to enable joined up working
across the whole system
Next steps…
• Delivering the action plans through the SDGs• Co-production to inform delivery and plan
next years work• Work towards a single integrated delivery
function• Started to deliver health & social care services
via a ‘Single Front Door’ through PCH • Improved the standard of care by creating
more personalised & seamless health and social care plans