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Public Service Transformation
Local Government & Social Care Digital
Cecil SinclairLocal Government Association
March 2016
• 1.3 million adults receive council services
• £13.7 billion expenditure in 2014/15
• 60% on older people; 30% on people with learning difficulties
• 647,000 people receive self-directed support – not including carers.
Social Care Information Flows
Supporting the funding, commissioning and delivery of health and care by:
1. Devolving decision making and funding to local areas – a local approach to agreement which can also support the integration of health and care.
2. Supporting transformation in the integration of health and care through the Better Care Fund – includes National Conditions regarding NHS Number and use of Open APIs supporting the focus on interoperability.
3. Changing the way services are commissioned and paid for to incentivise integration, prevention and early intervention across organisations.
Key Priorities
Across all of these areas, digital and technology are important enablers.
What for the Future?
Five Key Areas: 1. National roles – increase the focus on “enabling and facilitating”, supporting
the development and adoption of standards e.g. supporting local interoperability and development of integrated digital care records.
2. Focus on co-design and collaboration – both co-design with local areas including social care but also co-design with patients, service users and citizens e.g. delivery activity associated with National Information Board.
3. Use of open APIs is critical – enabling local information sharing to support the delivery of care e.g. TechUK Charter on Interoperability.
4. Create an environment conducive to learning and sharing practice – what can others learn fro / build upon from work in other localities/ regions?
5. Ensure we are placed-based, not just health/ care based – focus on holistic person-centred care to support the patient, citizen and carer.
How Digital is Transforming Care
www.local.gov.uk
Online InformationEnhanced provision of information and advice e.g. online information hubs.
Digital PersonalisationOnline services (e.g. online self-assessments, e-marketplaces for personal budgets).
Paper-lite and Mobile Technologies To support the workforce e.g. undertaking assessments online in the community.
Enhanced use of Telecare & Assistive Technologies E.g. care apps to support and enable independent living.
Improved Information Sharing Between Health and Care E.g. Integrated Digital Care Records (which incorporate social care) as well as improving effectiveness of information flows e.g. transfers of care.
Social Care in a Digital World
www.local.gov.uk
Current Position
• Systems designed with the provider/ commissioner in mind – not the end user.
• Too many paper based processes.
• No shared standards.
• Linked to corporate systems for billing purposes.
• Traditional market model with small number of suppliers focusing on Council back office systems.
• Use of apps under-developed at a time of innovation.
Future Position• User at the heart of the system with the
same level of customer service/ interaction as other areas of life.
• ASC professionals and providers embrace technology as a key part of getting the job done.
• A fully joined up ecosystem within health and care, including other critical agencies.
• Use of big data – effective prediction (analytics) and prevention (pre-emptive interventions).
• Dynamic market, open to innovation
www.local.gov.uk
Our Top Five Tips: 1. Please engage with your Local Authority/ Health colleagues early on –
both in establishing the footprint and in developing the local digital roadmap.
2. Engage with your Health and Wellbeing Boards – encouraging a place-based/ locality approach.
3. Social Care isn’t just about Local Authorities – critical role of providers e.g. independent/ third sector. How can they be involved in digital roadmaps?
4. Start from the perspective of the patient/ service user – particularly in understanding the customer journey. Consider how carers, service users and patients can shape the local digital roadmap.
5. Start with understanding existing information flows/ processes. How does information currently flow across settings – what is the vision?
Suggestions and Next Steps
www.local.gov.uk
For further information please contact:
Cecil SinclairAdvisor – Health and Care Programmes, [email protected]
Richard PantlinADASS Programme Manager, Engaging Citizens [email protected]
Mark GolledgeProgramme Manager – Health and Care Informatics, [email protected]
Contacts
