1137 ct model event knutsford slideshare
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Integrating Care in Eastern Cheshire
Caring Together Model
Knutsford 28th May 2013
Integrating Care in Eastern Cheshire
Welcome
Integrating Care in Eastern Cheshire
Introductions
• Take five minutes now to introduce yourself
• Get to know your group
“Hi, I’m Louise and....”
Integrating Care in Eastern Cheshire
IntroductionLouise Booth, Participate
Integrating Care in Eastern Cheshire
Introduction
Integrating Care in Eastern Cheshire
What’s Today About?
Principles
What does this mean to
you?
Identify Focus
Review the
Model
Discuss and
enhance
Next Steps
Integrating Care in Eastern Cheshire
What Happens Today?
• We will give you information in bite sized chunks as presentations
• Followed by discussion groups
• Insight captured and reported
Integrating Care in Eastern Cheshire
We’re Here to Deliberate
• What’s deliberation?
– Open discussion
– Look at the issues
– Discuss the facts
– Understand different people’s points of view
– Listen to other people without bias
– Give time for people to have their say
Integrating Care in Eastern Cheshire
Your Comfort
• Natural break whenever you like
• Water on tables
• Ask if you need anything else
• Finish around 9pm
Integrating Care in Eastern Cheshire
Caring Together PrinciplesDr Paddy Kearns
Integrating Care in Eastern Cheshire
What is........?
Integrating Care in Eastern Cheshire
Quite simply it is about organisations and people such as patients, carers, volunteers and
staff all working together to make care as straightforward and
integrated (joined up) as possible
Integrating Care in Eastern Cheshire
So what does that mean...?
We need to have a single front door to urgent care services
We need investment in community
services
We need to have a single budget for social and medical
care bedsWe need dieticians to work
with Care Home chefs
We need geriatricians
working closer with GPs
We need to help carers prepare for dementia
We need to be able access patients records on the Ward
We need to plan social care before
admission
We need to stop telling our story to
every professional
We need listen more to our
patients
We need to know who to talk to and when
Integrating Care in Eastern Cheshire
In Eastern Cheshire
This means joint
working
23 GP Practices
Integrating Care in Eastern Cheshire
This is reflected in…
• The NHS Constitution
• Better Care, Higher Standards Charter
• Cheshire East Council Three Year Plan
Integrating Care in Eastern Cheshire
The National Principles
http://www.youtube.com/watch?feature=player_embedded&v=YrG8x3XimSM
Integrating Care in Eastern Cheshire
First Group Discussion
• Do you agree with the Principles?
• Where are the gaps?
• What works and what doesn’t?
• What makes you frustrated?
Integrating Care in Eastern Cheshire
What is the Focus?Louise Booth
Integrating Care in Eastern Cheshire
Identify the Focus
Place key points raised on Post-It
Notes
Place dots on points you agree with
Integrating Care in Eastern Cheshire
The Caring Together Model Dr Paddy Kearns
Integrating Care in Eastern Cheshire
Supported by Community and Local Services
Integrating Care in Eastern Cheshire
Co-ordinates and manages care
Principles
Supported to co-ordinate and manage own care
Encouraged to live independently
Include community and voluntary sector
Include all local communities
Integrating Care in Eastern Cheshire
Co-ordinates and manages care
How
Community information
Prevention services
Supported housing
Exercise services
Day care
Assistive technologies
Multiagency team -Assessment and signposting
Volunteer signposting
Information, support, signposting and technology
Integrating Care in Eastern Cheshire
Co-ordinates and manages care
Services/Interventions
Community exercise
Prevention campaigns
Regular health checks
Telehealth & telecare
Man in a Van
Dentists, pharmacists and opticians
Patient programmes
Screening
Signposting
Information, support, signposting and technology
Checks, screening and other services
Integrating Care in Eastern Cheshire
Community Provided Care
Community Care
This is targeted
Town based (within 5 miles)
Provides 75% of care
Integrating Care in Eastern Cheshire
Community Provided Care
Targeted within 5 miles
Principles
Care in person’s home
Services targeted to need
Focus on prevention
Less admissions to hospital
Collaborative working
Relationship building
Accessing different kinds of solutions
Integrating Care in Eastern Cheshire
Community Provided Care
Targeted within 5 miles
How
Population profiling
Care co-ordination
Neighbourhood Teams
Link with other localities
Integrated pathways
Federations of providers
Intermediate care service
Assessment & signposting
Out of hours
Integrating Care in Eastern Cheshire
Community Provided Care
Targeted within 5 miles
Services/Interventions
Single assessment
Case management
Range of preventions
Care planning
Rapid response
Screening
Respite and support
Shared decision making
Outpatients
Transition care
Integrating Care in Eastern Cheshire
It’s about empowering
people to provide and
receive integrated
support locally
Integrating Care in Eastern Cheshire
Second Group Discussion
• Firstly as individuals read through the model
• Note down using the form given how that model relates to your experiences
• As a group then discuss these experiences
• Agree a way to move from the model ‘Today’ through to the model of ‘Tomorrow’
Integrating Care in Eastern Cheshire
Next StepsSam Nicol, Caring Together Director
Integrating Care in Eastern Cheshire
We need your help
Integrating Care in Eastern Cheshire
This is an evolving process
• Designed with you
• Creating momentum to deliver change
• Challenging assumptions and behaviours
• Caring Together as Champions
Integrating Care in Eastern Cheshire
From Today
• Analyse for common themes
• Draw conclusions to inform next stage
• Send you a summary of insight
• Invite to shape the next stage
Integrating Care in Eastern Cheshire
Thanks and any Questions?
Integrating Care in Eastern Cheshire
www.caringtogether.infojoin@caringtogether.info
0845 123 7591
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