MANAGED CARE NETWORK – OLDER PEOPLE

1. MANAGED CARE NETWORK – OLDER PEOPLE Lanarkshire Workshop 28 April 2006 Mike Martin – Director, Joint Improvement Team

2. The JIT ………. • A Partnership • Practical support and assistance • Voluntary engagement • Development and innovation • Shared learning

3. Intermediate care Housing with Support Strategic Joint Commissioning Performance Improvement Admission and Discharge processes Transport with Care User/carer/patient engagement Governance and Management Framework Managed Care Networks contribute to andlearn from

4. Personalised Services Patient Centred Whole Systems Outcome focussed Multi-disciplinary/agency approaches Partnership working Economies through integration Economies through scale Consistent standards Effective and Efficient delivery Information and resource sharing Explicit accountability National Policies – some Common Principles Not easy to reconcile all of these!

5. MCN’s – A Vehicle for Reconciliation? • Build around patient/user needs/experiences • Vesting authority with individuals • Organisations signing-up to delegate authority (within/across partnership?) • Focus on the service outcomes • Enables personalised, flexible services within a framework of standards • Requires information and resource sharing • The collective impact of individuals in the network makes the difference!

6. Some Commissioning tensions …… • Person centred services = multiple service inputs • Funding comprehensive services = multiple funding streams • Accountability = multiple organisations • Regulations and standards = multiple inspection agencies • Partnership decisions = multiple meetings and low cost denominator MCN’s well placed to navigate this maze!

7. A Managed Care Network for Older People • Will it work? • Will it add value? • Will it be practicable? Today will test this out – identify the critical questions – set down the ‘bottom-lines’ – spot the ‘critical success factor’s – establish some key milestones – agree the process for innovation and development