Kingston Coordinated CareThe Kingston Coordinated Care programme is

an ambitious and exciting initiative with two key aims.

{{ To help local people stay independent, healthy and well for longer, with good community support to enjoy their lives to the full;

{{ To make sure people have easy access to top quality, person-centred care and support when they need it.

Read on to find out how the three projects that make up the programme are doing to play their part in really changing local health and social care services for the better.

We’ve been making good progress working with our Voluntary and Community sector colleagues, Public Health, the Equalities and Community Engagement Team and the Kingston Clinical Commissioning Group to make our Active and Supportive Communities Strategy happen. The Strategy aims to keep Kingston residents independent, healthy, socially active and able to cope if things get difficult. To achieve this, the Strategy has 6 key commissioning outcomes which are about making sure people in Kingston can:

Î improve their health and well-being;

Î be socially connected and resilient;

Î access support that helps them to use their ‘Personal Budget’ effectively;

Î be valued and recognised when caring for others;

Î access information and advice that supports them, and;

Î access specialist advocacy support when they need it.

As you know, there is already a lot of high quality work happening in the local voluntary sector to provide some of this support.

To take full advantage of this support, Kingston Council’s Adult Social Care, together with the Kingston Clinical Commissioning Group, are in the process of pooling their funding to re-commission this support to the benefit of the local community. We have also started work on a range of community based services available in the borough to support adults with dementia. We will update you on all of this work and how you can refer into these services just as soon as we can.�

Active and Supportive Communities

KCC - a partnership production with the Kingston Clinical Commissioning Group, Your Healthcare

Community Interest Company, Kingston Hospital NHS Foundation Trust, South West London and St.

Georges Mental Health NHS Trust, the Voluntary sector, Home Care agencies and GP Chambers (the

federation of Kingston GPs).

Commissioning outcomes starting 1April 2015

Î Specialist Advocacy services (IMCA, Care Act, Appropriate Adult and Learning Disability and Mental Health advocacy)

Î Carer Support services.

November 2015

Update

�In the meantime you can keep up to date with where we are with this work and share your thoughts and ideas too by visiting our Active and Supportive Google + community.

This pioneering piece of work is looking at the way we currently provide health and social care

support to see how it can be made more person-centred, joined-up, easier and altogether a better experience for people. At the moment many people’s journeys are unnecessarily difficult and frustrating with lots of twists, turns and steps that could be smoothed out or even cut out to the benefit of people using services and those providing them!

The Design Team have discovered more stories like Pat’s and have developed some new ideas to improve people’s experience of health and social care services which work well on paper.

One of these ideas is to have a Care Exchange made up of people with various skills and abilities who would work as one team to co-ordinate care and support for individuals in as seamless a way as possible.

Now that Design Team have finished paper testing some of their ideas, they will be live testing them with real people in real situations (with their consent of course) to see if they work in practice. This work will be happening over the next few months so we can get a real sense of what works well and what

needs to change. You can keep up to date with where we are with this work and share your thoughts and ideas too by visiting our Customer Journey Google + community.

Work continues apace to set up a joint commissioning unit to include Adult Social

Care, the Kingston Clinical Commissioning Group and Public Health Kingston colleagues. Commissioning as one makes sense if we are to deliver the joined-up, person-centred approach to health and social care services we are striving to achieve.

Progress to date has included a review of what we have learnt from Kingston’s joint commissioning up to now and from other areas that commission jointly. We are also looking at different ways we could commission jointly and are working on some critical areas.

To move things on, the Collaborative Leadership Team, made up of health, social care and public health commissioners, will turn itself into a more formal Commissioning Board. This Board will meet in shadow form until April 2016 to provide management and operational oversight for joint planning and collaborative commissioning.

Pat’s story { Pat had a fall in the road and ended up

in A&E { She had 4 separate assessments, and

saw many different professionals { Pat retold her story many times { There were 42 steps in her care before

she could go home { Only 3 of those steps were really

needed and added any value to her experience!

{ It could have been different and better

The Customer journey

Joint Commissioning

To do Î Map out any legal issues that need to be sorted out to make sure joint commissioning works well

Î Look into different ways HR could support staffing arrangements

Î Review our existing Information Governance and Data Sharing Protocol to see if its fit for purpose

Î Map out our ICT requirements for joint commissioning

Î Look into the best way we can achieve proper governance and accountability for joint commissioning

Î Develop a financial strategy which identifies budgets , finance systems and financial management arrangements that we will need.