Integrating Health and Social Care in Sheffield

An update on Sheffield Health and Wellbeing Board’s Plans for the Better Care Fund

Luke Morton/Louisa WilloughbyService Improvement Forum

3 June 2014

Sheffield’s Health and Wellbeing Board Statutory Council committee that meets formally in public every

three months but carries out a range of engagement work throughout the year.

Organisations represented on the Board: Sheffield City Council, NHS Sheffield Clinical Commissioning Group, NHS England, Healthwatch Sheffield.

Co-chaired by Councillor Julie Dore and Dr Tim Moorhead, Chair of Sheffield CCG.

The role of a Health and Wellbeing Board Provide leadership, direction and oversight of the health and

wellbeing of Sheffield’s population and the services that are delivered. This includes working on integrating health and social care and reducing health inequalities.

Commission and approve the Joint Strategic Needs Assessment, and agree a Joint Health and Wellbeing Strategy. This involves planning together and discussing each organisation’s commissioning proposals so that they are in line with the Strategy.

Work with Healthwatch Sheffield to understand the needs and experiences of Sheffield people.

Why do we want to integrate health and social care?

People get the right care, at the right time and in the

right place.

Organisations in Sheffield work together to help people, families and communities to build and strengthen the support they provide to each other.

Expert help is available to help people take control of their own care so that it is genuinely person-centred, and complements and builds on the assets they have.

People, families and communities in Sheffield support each other to improve and maintain their wellbeing and independence.

Health and care services are focussed on a person’s needs - organisational boundaries do not get in the way.

Launched a range of projects that work in and with local communities and professionals, such as in the Lowedges, Batemoor and Jordanthorpe area of the city, and the Right First Time and Future Shape Children’s Health programmes.

Engaged with Sheffield people. This tells us how important integration is to Sheffield people, who don’t want to be passed from ‘pillar to post’.

Established a Joint Commissioning Executive to oversee the integration work for the Health and Wellbeing Board and to feed into our work with Think Local Act Personal and the Public Services Transformation Network.

Integration and Whole-Person Care in Sheffield: what we’ve done up to now

Reallocated (not new) mostly NHS money that local authorities and Clinical Commissioning Groups through the Health and Wellbeing Board need to spend together on collective priorities that support integration.

Amounts to £3.8bn in 2015/16 nationally – £42m for Sheffield. Sheffield’s final plan was submitted April 2014, agreed by the

Health and Wellbeing Board – full amount £280m – we are therefore being more ambitious than the initial scope of the Better Care Fund.

The Joint Commissioning Executive will oversee the development of and governance surrounding these plans on behalf of the Health and Wellbeing Board.

Links closely with other areas of work, e.g. Care Bill and Children and Families Bill implementation.

What is the Better Care Fund?

1. Community and primary prevention– Working with professionals (including GPs) and communities in local areas.– Stopping people at low risk of declining health and wellbeing becoming

high risk by investing in tackling the causes not the symptoms.

2. Intermediate care and reablement– Helping people to be independent following a stay in hospital.

3. Community equipment4. Long-term high support

– Devising innovative options for people needing high support.

• Infrastructure (e.g. ICT)• Governance of the new system

What areas are we currently looking at commissioning together?

The Better Care Fund in the news

Continuing because it’s the right thing – despite the news stories. Working on the main areas of commissioning, governance,

infrastructure. This will involve some recommissioning activity over the next year, although the timescales for all the four commissioning programmes are still to be agreed.

Engagement with members of the public, service users, providers. E.g.: Survey to sign up interest – over 230 people registered their interest. We

will involve those interested at appropriate points going forward – and come to groups like SIF if invited.

1st May event for the voluntary sector. Communication through Health and Wellbeing Board meetings (27th June)

and through e-newsletter (due to go out this week), as well as through other portals, such as Healthwatch Sheffield.

So what’s next?

Public document outlining plans available at: https://www.sheffield.gov.uk/caresupport/health/health-wellbeing-board/integration.html.

Our monthly e-bulletin contains all the latest updates on the Health and Wellbeing Board, including developments with integration in the city. Sign up on our website: www.sheffield.gov.uk/healthwellbeingboard.

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