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Integrated Commissioning for Better Health Outcomes Toby Sanders Managing Director

Integrated Commissioning for Better Health Outcomes Toby Sanders Managing Director 28 November 2012. 50 member practices 360,000 population c.£360m budget Wave 1 authorisation. The local health challenge. Drivers: Increasingly elderly population Multiple long term conditions

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Integrated Commissioning for Better Health Outcomes Toby Sanders Managing Director

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  1. Integrated Commissioning for Better Health Outcomes Toby Sanders Managing Director 28 November 2012

  2. 50 member practices • 360,000 population • c.£360m budget • Wave 1 authorisation

  3. The local health challenge Drivers: • Increasingly elderly population • Multiple long term conditions • Health inequalities Pressures: • Unplanned presentations • Acute admissions • Delayed transfers of care • Readmissions • Continuing health care

  4. The strategic direction • Early identification and prevention • Improved self management • Supporting independence • Increase planned care • Targeting inequalities • Reduced hospitalisation • Supporting early discharge and reablement • Supporting death in usual place of residence

  5. The housing contribution? Physical stock/condition: • Damp, mould, excess cold - associated with increased risk of cardiovascular, respiratory and rheumatoid diseases • Poor suitability and overcrowding – wellbeing and mental health (depression, anxiety) • Structural defects, maintenance and repairs - increase risk of accident (e.g. poor lighting, lack of stair handrails) with elderly more likely to suffer injury • New house building to meet changing demography?

  6. The housing contribution? Housing related support: • Promotes independence, prevents need for more acute interventions and facilitates hospital discharge • Telecare/assistive technology - helping people to gain capacity to monitor own health • Personal care planning and individual budgets – integrated, patient focused response • End of life care – dignity and choice at end of life

  7. Integrated Commissioning Board Already investing in: • Intermediate care and reablement • Carers • Dementia • Telecare and assistive technology • Care homes • Housing related support • Supported living • Community equipment and adaptations Where next to maximise public value?

  8. Opportunities to influence • HWBB – strategy and priorities • Locality working – area action plans • ICB and transformation fund – non-recurrent support • Third sector networks and capacity BE PROACTIVE

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