Suzanne Wixey - Isle of Wight Council

Our vision and ambition
Suzanne Wixey
Programme Director
Shaping the Future
Delivering a shared vision for health
and social care on the Isle of Wight
Individualised, co-ordinated
support and care to achieve
best outcomes for people
VISION
“My health, support and
care are directed by me,
are co-ordinated and
work well together.”
What is a vision and purpose?
Our Vision sets out our ambition for the
future to guide us and inspire us in all
that we do
Our purpose sets out why we exist and
the contribution our organisation makes
to achieving our vision
Why do we need a vision and purpose?
We are four organisations with staff in many
venues across the Isle of Wight.
We have a population of approximately
140,000 living in their communities on the
Island.
We must be consistent in how we describe
our role and the difference we will make for
people so that the public understand the
difference it will make to their lives.
Purpose
Everyone has greater control
of their health and
wellbeing, and are
supported to
live longer and
healthier lives
Aims
Create the culture and conditions
for people to promote their own
health and wellbeing and to receive
a good quality
standard of
care and
support
Objectives
Ensure that valuable resources
are used effectively to get the
best outcomes for people,
community and
society for now
and for future
generations
Values & Behaviours
Bringing our Vision & Purpose to Life
¾ Prioritising people in everything
we do
¾ Listen and learn
¾ Inclusivity
¾ Striving for improvement
MLAFL update
Suzanne Wixey
Programme Director
My Life a Full Life
We will develop the infrastructure to
deliver truly integrated care
“We firmly believe we can make
integration work on the Island. If
we can’t make it work here, then it
won’t work anywhere.”
Dr John Rivers, IW CCG Executive
Chair and Clinical Lead
What you said…
¾ Develop a strong identity
¾ One place for information and advice
¾ One point of contact 24/7 for all health and social care
referrals
¾ Happy to help communities
¾ People to have a voice
¾ People to hold their own records
¾ Raise the Island’s profile – look what we can achieve
¾ Locality working, crisis response, self care
We have done …
¾ Information Hub – Voluntary Sector, Directory of Services,
Word Map, Infrastructure
¾ Integrated IT and information governance
¾ People have a voice – Healthwatch & People Matter
(ULO) have seat on MLAFL Boards and H&WB,
Mental Health Engagement events
¾ Building community capacity and happy to help
communities – prospectus with third sector £500k –
Fulfilling Lives £6m, Dementia Café and more Café
Clinics, LTC events at Freshwater
We have done …
Pioneer for Integration bid – national support
Review of the Emergency (111) Hub
Evaluation Framework
TEASC best use of resources and joint
commissioning
¾ Pioneer events 19th July 2013
¾ Piloting people in control of their own records –
Patient Passport (Eclipse in GP surgeries)
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Self Management
Alison Geddes
Commissioning Manager, CCG
Self care and self management
Fed up, feeling unable to cope?
Getting nowhere fast?
Worried about the future?
Self care and self management
We will enable people to promote their
own health and wellbeing supported by
self care and self management
Self care and self management
Having confidence
Taking control
Feeling able to take responsibility
Having choice
Gaining knowledge
People using effective communication
Gaining skills
Receiving the right information
Accessing support when needed
What is happening?
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Hypertension project
LTC support groups
Support Group Development Officer
Island-wide Personal Care Plans
Type 2 diabetes education
Falls prevention service
Library information
Pulmonary rehabilitation
Acquired brain injury
Sensory Impairment Service
What is happening?
¾ Information hub
¾ Services for people to be active and involved
within their communities
¾ Planning for the Future document
¾ LTC Week
¾ Support for carers
¾ Café & Café Light Clinics
¾ Diabetes review “one-stop” shops
Locality Working
Gill Kennett
Associate Director for
Community Services
Locality Working Group …
We will support people, carers and
families, on a locality approach, based
around GP practices
Locality Working Group …
¾ 3 localities:
– West & Central Wight
– South Wight
– North East Wight
¾ Virtual across the Island – virtual ward concept
¾ Establish hub in each locality
¾ Care close to home
Locality Working Group …
¾ Strengthening care pathways
¾ Strengthening working relationships between
sectors
¾ Trusted assessment
Communication, communication, communication
Crisis Response
Chris Smith
Head of Ambulance Service
Crisis Response
We will support people at times of crisis
to have the right support as soon as
possible, to enable people to return
home to their communities
Goal
Develop integrated and sustainable crisis
and rapid response services, which prevent
further emergencies where possible.
This will need to be re-worked following the
workshop.
Progress
¾ Temporary GP Direct Access Nursing Homes Bed
pilot completed: further roll-out to all localities being
planned
¾ Anticipatory Care Plan pilot (for frail older people
and people near the end of their life) expanding to
all localities
¾ Winter planning projects
¾ First stakeholder meeting held
What next …
¾ Stakeholder workshop to identify gaps and
solutions. Set-up Project Group
¾ Develop Action Plan for implementation
Timeline
To be included in the Action Plan
(to be developed following workshop)
My Life a Full Life
Questions?
Individual’s Route Map
Vicky Gainey
Think Local Act Personal Manager
Route Map
No Health without Mental Health
Helen Figgins
Commissioning Manager Mental
Health & Learning Disabilities
No Health without Mental Health
A National Strategy that states:
‘Good mental health and resilience are
fundamental to our physical health, our
relationships, our education, our training,
our work and to achieving our potential.’
An Island-wide Strategy
The national strategy sets out a clear and compelling
vision around 6 objectives:
¾ More people will have good mental health
¾ More people with mental health problems will recover
¾ More people with mental health problems will have good
physical health
¾ More people will have a good experience of care and support
¾ Fewer people will suffer from avoidable harm
¾ Fewer people will experience stigma and discrimination
Engagement
¾ 2 engagement events
¾ 142 attendees from: service users, carers,
NHS staff, Local Authority, Public Health,
voluntary organisations, Police, Education,
Island employers and employees
¾ Survey Monkey
Feedback
Timeline for strategy delivery
Assistive Technology
Brian Martin
ICES Manager
Assistive Technology
An umbrella term that includes
assistive, adaptive and rehabilitative
devices for people with long and
short term medical conditions,
disabilities and social needs.
Community Equipment Services
The provision of physical aids,
assistive tools and structural
adaptations to support people with
disabilities in the home environment
Telecare
The monitoring and delivery of health
and wellbeing related services and
information via telecommunications
and technologies
Telehealth
The remote monitoring of a patient’s
medical presentation to provide timely
care in the home and avoid admission
to hospital or other care facilities
Current Practice
At present departments interact
with elements of unintentional
silo working & job role protection
There needs to be one point of contact
Changes Required
Central co-ordination, co-location
catalogue based procurement,
e-bookings and requests,
change, development
& income generation
What will we achieve by making changes?
¾ Improved quality of care and support
¾ Enable and empowers patients with long term
health and social needs to understand their
situation and self manage with less anxiety
¾ Provide consistent integrated monitoring of
clients physical health and social needs
¾ Monitor trends to develop initiative
What will we achieve by making changes?
¾ Ensure early identification of an exacerbation or
crisis with co-ordinated 24/7 support and
intervention
¾ Support the client in the home environment
¾ Reduce the need for unscheduled admissions to
hospitals, care/nursing and residential homes
¾ Ease excess bed days in care facilities with safe
supported discharge
¾ Realise real cost efficiencies
In summary … we aim to:
• Promote independence, confidence and selfesteem for customers
• Provide integrated care and support for people
With an overall objective:
To improve quality of life and to support
the My Life a Full Life programme
How we can achieve this
¾ Involve the customer in all decision making
¾ Free up valuable clinical time of specialist practitioners by
co-locating assistive tele technology, monitoring jointly
within the Emergency Hub to include clinical decision
making
¾ Central procurement, storage, installation, maintenance and
asset management within ICES
¾ Off the shelf rapid deployment to manage acute care in the
community and support discharge
¾ Provide expertise in adaptations, equipment and devices for
the clients needs, ie tele technology monitors, physical aids
How we can achieve this
¾ On line catalogue to support intervention or
assistive technology
¾ Develop shared personal anticipatory care
plans with integrated remote access for clinical
and social leads
¾ Meet changing initiatives ie “A man in a van”
“Clinician at home”
The way forwards
¾ Collaboration in all organisations to become
a centre of excellence
¾ Single point of co-ordination and responsibility
¾ Dedicated management
¾ Controlled procurement, storage, distribution, education,
testing, repair and hygiene
¾ IT based shared information
¾ Assessor supported prescribers
¾ Co-located 24/7 monitoring & reaction
¾ Evidence based evaluation and development
My Life a Full Life
Questions?
MLAFL Communications
Claire Robertson
Strategic Manager
Resident Information & Consultation
Communications
Helping people to understand
the difference this will make to
their lives and the
part they need to play
to help make it happen
Our aims
¾ Secure understanding and involvement of
professionals and volunteers
¾ Raising awareness of the programme and its
benefits to all
¾ Promoting innovative practice
¾ Encouraging change in behaviour to help
drive success of programme
“The two words 'information' and
'communication' are often used
interchangeably, but they signify quite
different things. Information is giving out;
communication is getting through.”
Sydney J. Harris
Sydney J Harris
Renowned journalist Chicago Daily News
We need YOU!
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Pioneers for change
Helping raise awareness
Championing the vision
Maintaining a dialogue with the community
Sharing stories
Promoting best practice
Helping change culture
You told us
¾ Communications must be a key priority (both
formal and informal)
¾ Need to be able to share information
¾ A range of accessible materials in variety of
places
¾ Tailored approach – what does it mean for me?
¾ Focus on good news stories – impact of MLAFL
¾ Comprehensive interactive website
¾ Standard presentation for staff teams
We listened…
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Developed a strong ‘identity’
Workshops and launch event
DVD – professionals
Presentation materials
Promotional items
Literature
We listened…
We listened…
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One Island article
Media announcements
Regular newsletter
DVD – public
Leaflet
Poster
Display materials
Case studies
What next?
¾ More services using the MLAFL identity
¾ ‘What does it mean for me?’ – more case
studies, stories, highlights
¾ Reviewing IT and information governance
¾ Expanding website
¾ Building an accessible, online directory of
services
¾ Getting out into the community with information
“Communication works for those
who work at it.”
John Powell
Composer
Your thoughts?
How can
we help
you to b
e a pione
er
for chan
g e?
My Life a Full Life
Questions?
Closing Remarks
Suzanne Wixey
Programme Director
What next?
¾ Keep the pace going
¾ Leave here today inspired to take the messages back to
your colleagues and teams
¾ Embrace being a pioneer for integration we, your
colleagues and managers, will support you
¾ Establish focus groups of pioneers
¾ Drive the cultural and organisational change and
constructively challenge if people are negative
¾ Remember we have the support of our senior leaders –
let’s make a difference to the people, family and carers on
the Island
Empowered and responsible people
People take their health seriously
Good local information
By
2016
People able to
manage their own condition
People are confident in expressing their views
Greater
choice and control with personal budgets
The role of carers is valued
People hold their own integrated records
Communities are supportive places
Thank you
“Coming together is a beginning;
keeping together is progress;
working together is success.”
Henry Ford