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Rural Generic Support Worker Opportunities and Synergies. Dr Anne Hendry National Clinical Lead for Integrated Care Joint Improvement Team. Reshaping Care for Older People 10 Year Programme to 2021 £ 300 million Change Fund 32 Partnerships between
Dr Anne Hendry
National Clinical Lead for Integrated Care
Joint Improvement Team
10 Year Programme to 2021
£ 300 million Change Fund
32 Partnerships between
NHS: primary, acute, mental health
LA: social care & housing
Third and Independent sectors
Older people and carers
Change Plans signed off by all partners
Joint Commissioning Plan
Everyone is able to live longer healthier lives at home, or in a homely setting.
Integrated health and social care, a focus on prevention, anticipation and supported self management.
When hospital treatment is required, and cannot be provided in a community setting, day case treatment will be the norm.
Care will be provided to the highest standards of quality and safety, with the person at the centre of all decisions.
There will be a focus on ensuring that people get back to their home or community as soon as appropriate, with minimal risk of re-admission.
Resource shift, over time, from crisis management and critical intervensions to prevention & “low level” support
Care / Acute
Focus on quality, build on people’s assets, professionals and citizens work collaboratively
Person-centred health care / self-management
State-funded social care
Self-directed support – choice/control for citizens
Carers & support to carers
Support, information and training to carers
Building the capacity of communities
Universal services, family, friends, community
Rehab and enablement
at home / care settings
Long term conditions
NHS Self-Management Support:
To deliver nationally agreed outcomes for health and wellbeing
To improve the quality and consistency of care for patients, carers, service users and their families
To provide seamless, joined up care that enables people to stay in their homes, or another homely setting, where it is safe for them to do so
To ensure that resources are used effectively and efficiently to deliver services that meet the needs of the growing population of people with longer term and often complex needs
Royal Assent for legislation anticipated April 2014
Transition / shadow arrangements ongoing
Integration Plan (Scheme)
OD and workforce plans – transition funding £7 M for 2014/15
Integration Authorities from April 2015
Jointly appointed chief officer
Integrated budgets for community health and social care and some acute hospital services
Strategic commissioning plan
Public and professional engagement
and support to regain independence