Better Services for Less

Who we are and what we doAnton Draper and Caroline Allnutt

@ServiceReform

Why

Sue Charles

Who we are

Where we are • 13 places• 33 authorities • 22 per cent of

population• Wider Network

of another 30 interested places

• 14 Integrated Care pioneers

What we do

Redesigning a person-centred approach in North West London

Multi-agency provider network

Family

Community support

Carer

Assistive technology

Patient

Held together by resilience

Supported to self-manage

Patient’s own GP practice

Community care

Social care

Mental health

Hospital

Housing

Voluntary sector

Community pharmacy

Employment

Underpinned by:

•Information systems

•Governance

•Reimbursement

Personal care network

Other neighbouring practices

Other neighbouring practices

Education

We want to improve the

quality of care for individuals, carers and families,

empowering and supporting people to maintain independence

and to lead full lives as active participants in their community

“

”

People will be empowered to direct their care and support and to receive the care they need in their homes or local community.

GPs will be at the centre of organising and coordinating people’s care.

Our systems will enable and not hinder the provision of integrated care.

… supported by 3 key principles

1

2

3

29 partner organisations share a vision …

A shared NWL vision for independence and wellbeing

Co-design framework

centrally once

Locally agree priorities and

plans

All NWL prepares for implementation

and learns from early adopters

Roll out Whole Systems

approach

1 3 42 Whole Systems

integrated care

business as usual

Achieving Whole Systems Integrated Care by 2015/16

Oct 2013 – Jan 2014

Apr 2014 – Mar 2015

Apr 2015 –

Jan 2014 – Apr 2014

Today

Co-design with delivery partners and people using services

“Co-production means delivering public services in an equal and reciprocal relationship between professionals, people using services, their families and neighbours… both services and neighbourhoods become far more effective agents of change.”

Nesta & new economics foundation

Our commitment to working co-productively in North West London means:

1.Commitment to agreed ways of working – everyone is valued as equal partners, we will capitalise on lived experience as well as professional learning

2.Supporting development and learning

3.Fostering a supportive environment – developing collective resilience and acknowledging that mistakes will be made along the journey

4.Working towards shared goals – promoting local voice and enabling people to be involved in the delivery of their care and support

Collaborative working – lessons learned

• Collaboration requires time to establish and ongoing resource to sustain

• Invest in training and support for both service users and professionals to make engagement as effective as possible

• Co-design not only creates better solutions but also advocates for change

• Effective transformation should combine experiential insight from both people and professionals together with robust quantitative data analysis

Where do we go from here• Tie in with City deals and local growth – as well as better care and troubled

families

• Centre of Excellence on information sharing

• Widen network of people and places

• Website presence and campaigning

• Rolling programme of seminars and workshops

• Mobilise wider leadership

Follow us

@servicereform