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Facing the Facts Shaping the Future Actions

Facing the Facts Shaping the Future Actions. Torb ay Care Managers’ Network 02 October 2018 John Bryant Head of Integration and Development – Torbay Council Chair of Workforce – ADASS South West John.Bryant@torbay.gov.uk 07825 027 800. Facing the Facts, Shaping the Future.

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Facing the Facts Shaping the Future Actions

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  1. Facing the Facts Shaping the Future Actions Torbay Care Managers’ Network 02 October 2018 John Bryant Head of Integration and Development – Torbay Council Chair of Workforce – ADASS South West John.Bryant@torbay.gov.uk 07825 027 800

  2. Facing the Facts, Shaping the Future ‘The future of England’s health and social care system relies on its staff, those providing face to face care all day, every day and those working behind the scenes to keep our NHS and care services functioning. Good health and social care relies upon easy, dependable access to staff who know what they are doing have the time to do it and treat us with respect and compassion.’ NHS, 2018. Facing the Facts, Shaping the Future , London: Public Health England

  3. Facing the Facts, Shaping the Future “Social care cannot continue as a Cinderella service – without a valued and rewarded workforce, adult social care cannot fulfil its crucial role of supporting elderly and vulnerable people in society.  Pressures and demands on the health and social care systems are increasing.” Amyas Morse, Head of the National Audit Office, 8 February 2018

  4. WhoCares?

  5. 65 years+ population projections

  6. 15–19 year old population projections

  7. 65 years+ population projectionsProvocation - Problem or Solution?

  8. Response to PESTLE Global Leaders’ Twitter Brexit Care Act 2014 National Minimum Living Wage Fall in the Pound:Euro – 15% image courtesy of www.performance-works.co.uk

  9. CRISIS or FOCUS - A Change Driver • New models of care (STP strategies) • Department of Health and Social Care • Individual Service Funds (ISF) • Integrated Personal Commissioning (IPC) • £200m - SoS Matt Hancock – Global Digital Exemplars • Focus on workforce

  10. CRISIS or FOCUS - A Change Driver • New models of care (STP strategies) • Department of Health and Social Care • Individual Service Funds (ISF) • Integrated Personal Commissioning (IPC) • £200m - SoS Matt Hancock – Global Digital Exemplars • Focus on workforce Provocation Our response is not to create a New Model of Care but adapt to the increase in pace of an Evolution in Care

  11. CRISIS or FOCUS - A Change Driver • New models of care (STP strategies) • Department of Health and Social Care • Individual Service Funds (ISF) • Integrated Personal Commissioning (IPC) • £200m - SoS Matt Hancock – Global Digital Exemplars • Focus on workforce Provocation Our response is not to create a New Model of Care but adapt to the increase in pace of an Evolution in Care (Revolution then Evolution)

  12. Torbay Care Trust – Whole System ModellingOur approach to key capacities and flows Community Community Community services services services Sub-models linking to each other via demand, i.e. its scale, its characteristics, its rates of flow and its associated costs Housing Care and Support Demand characteristics Access BY community services Who? Why? Where? How long? How does it all fit together at the moment? Supply characs Demand characteristics Care Homes Home/ General population Supply characs Demand characteristics Community Hospitals Demand characteristics and pressures Supply characs Demand characteristics Acute Hospital(s) How do we want it all to work in the future? Supply characs Access TO community services

  13. Workforce Data Flow ESR Data Warehouse Other Organisations (NHSI, NHSE, NHS Employers etc.) ESR Organisations Live System HEE TIS NHS Orgs Primary Care PCWT / IND Tools Other Education Institutes (Supply) GP Practices Health Education England Dentists GDC Other Sources incl. ONS Community Pharmacists Individual Reports NHS Digital Publications NHS Digital Private, Independent and Voluntary Social Care & PIV iView Benchmarking Tool Local Authorities Skills for Care NMDS Adult Social Care HEE Intelligence HEE Data Warehouse Children's Social Care Department for Education

  14. Torbay Care Trust – Whole System ModellingFocus on Care Homes: The model behind the tool • Breakdown by: • Year of forecast • Sector • Age and gender • Reasons for admission • Care requirements • Locality • Other TBC • Breakdown by: • Age and gender • Sector • Reasons for admission • Care requirements • Locality • Other TBC • Breakdown by: • Year of forecast • Sector • Client group • Locality/ Site • Other TBC To include full set of assumptions To include full set of assumptions For example including assistive technology +/- Social change? +/- Choice/ Personalisation

  15. Collaboration – what’s the ask? • Recognition that the evidence base is what we’ve got won’t be enough for the future • Enthusiasm and willingness to try • A belief that this time things will change • NMDS-SC – input and completion • Build on the Proud to Care work • Partnership to offer and challenge the system as solution providers

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