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What does good look like?

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  1. What does good look like? Dr Caroline Dollery GP Clinical Director, East of England Strategic Clinical Network cdollery@nhs.net

  2. Evidence, what evidence? • Urban myths abound • But we have some very strong evidence • And with a strong basis in personalised care

  3. Where we are? • Dame Carol Black’s report, leading to IAPT and beyond • Personal health and social care budgets: Cumbria, Northampton, London, Bedfordshire • Pioneer programmes: integrated commissioning • Long term conditions, frailty and new ways of working

  4. Areas of development

  5. National • Urgent care review and concordat • Mental health outcomes framework • Leadership development • Recognition of parity of esteem • Political support • Long term conditions and frailty models

  6. Information

  7. System enablers

  8. System enablers

  9. Sharing good practice • Leadership development: London, East of England, South Coast, leading to national programme • Personalised care: Cumbria, Northamptonshire, Bedfordshire • Taking frailty approach: Essex, Cumbria, Kent • Changing the vision: early intervention and prevention: Sandwell, Essex, Salford • True patient participation: Cambridge SUN model

  10. Sharing good practice • Depression and suicide prevention: Detroit workshop and pathfinder sites • CAMHS: defining what children and young people really need; removing barriers; removing waiting times; including them in designing services and developing resilience • Physical and mental health: South Essex, North Essex, Bedfordshire, South Central, London

  11. Commissioning • New approaches: • Year of Care tariff • Pioneer programmes • Developing relationships: voice of patients, families and carers. Co production • Importance of self care, self management • Role of Health and Wellbeing Boards

  12. Questions? • cdollery@hotmail.com