NHS Harrogate and Rural District CCG

Better Care Fund – overviewSystems Leadership Approach

Amanda BloorChief Officer

Harrogate and Rural District CCG

• The Government has created a £3.8b pooled budget for 2015/16, intended to help move care out of hospital and into the community and improve working and integration between Health and Social Care.

• For North Yorkshire, this equates to £39.8m: this is not new money

• The 2015/16 fund includes the Disabled Facilities Grant funding with the stipulation that it passes directly to Districts.

• Approximately £10m of the local funding will be performance related based on delivery of local reduction in emergency admissions.

Better Care Fund – a reminder of the key elements

Vision for North Yorkshire

Care centred on the needs of the individual and their carers, empowering people to take control of their health and independence.

We are committed to: • Become an exemplar for how CCGs and Local Government can

work together to lead a complex health and social care system.• Improve self –help and independence• Invest in Primary and Community Services• Create a sustainable local system which protects Adult Social

Care and partners with hopsitals to reduce reliance on acute services and residential care.

We aim to improve outcomes for, patients and carers and customers, improving their experience of services as well as improving our use of resources.

Our aims are encompassed in three key areas of focus:• Improve health, self-help and independence for North

Yorkshire people• Invest in Primary Care and Community Services• Create a sustainable system

Better Care Fund – Key Principles

Making it work - Harrogate and Rural District

• Co-terminous CCG/District Council• Strong relationships• Established a Public Sector Leadership Board• Desire to recognise and act on ‘place’• Concept of ‘public sector pound’• Sign up to joint commissioning framework • Pooled budget – some progress

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Plan on a Page

• Insert PSLB Harrogate slides

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Our collective vision is for: Together we will lead and support the delivery of high quality services that are efficient, innovative and reflect the specific needs and priorities of our

local communities, ensuring better outcomes and improving the lives of local people

HaRD CCG, HBC and NYCC are committed to the following principles for how local people should experience services:

• Promoting health and wellbeing• Care is integrated around people rather than organisations• Treating the patient’s home as the main focus of care and services• No health without mental health• No decision about me without me

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A Unique Point in Time – why now?People and Place• 20.7% older people (>65) living in

Harrogate and its surrounding area (16.7% Eng.)

• Growth in long term conditions• Strong leadership teams• Harrogate Public Services Leadership

Board; Health and Well Being board

Policy and Resource• A new era for Health and Social Care

in North Yorkshire (Better Care Fund)• Five year Forward View• Care Act• Local organisational plans• Converging universes• Diminishing resources

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SHARED PURPOSECOMMON VISION

System Leadership – Local vision

• Opportunity to behalf differently• Place based initiatives• Leadership behaviours– Trust, sharing power, real partnership

• Outcomes over process• Culture change• Addressing the ‘wicked’ issues– No easy solution

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Our “wicked issue”

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Why “Wicked”…

How do we ensure our elderly people with LTC including dementia, are supported to live

independently and well at home for longer?

• 2 tier complex health and social care economy• Challenging provider economy• Personalisation agenda – health and social care• Diminishing resources• Public and political scrutiny and expectation• Ensuring a dementia friendly community with responsive

services

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‘Living Well’ in Harrogate

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Underpinning delivery of our ambitions

• Integrated approach to voluntary sector commissioning and development

• Better developed, stable, provider market; including voluntary sector

• Pooled budgets and resources:– Better alignment of public health, NHS and Social Care plans

and funding for the commissioning of health, wellbeing care services – to achieve better outcomes and value for money

• Choice and personalisation:– Our population to have choice and be empowered through

support with decision making around their health and care needs

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Finally….. what will we do differently?

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NHS Harrogate and Rural District CCG

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