Monitor chair sees integrated care in action
28 July 2014
Baroness Hanham, interim Chair of health regulator Monitor, was given first-hand experience of the North West London WSIC programme on a visit to meet staff, clinicians and senior leaders.
The Baroness, who is passionate about the value of integrated care to patients, requested the fact-finding event to learn more about NWL’s plans, the challenges local implementation teams might face and how Monitor could assist.
Held just as Monitor published a key document to assist with developing integrated care, the visit in Hammersmith & Fulham was a great opportunity to share progress and future plans from across the programme area and locally.
It provided an opportunity for one of NWL’s key national partners to see an example of integrated care approaches in action.
After the event, Baroness Hanham commented: "I was greatly impressed by how the North West London integrated care pioneer is working across multiple organisations to better co-ordinate care around individuals and their needs to help to support them in their own homes.
"I congratulate all the staff for their commitment and determination to finding positive means of giving patients a better way of being cared for and supported, to prevent them from staying in hospital too long or going there unnecessarily in the first place.
"I hope they will be able to influence and help other parts of the country that also need to move in this direction.”
During the visit, the value of integrated team working in cutting duplication and improving communication between multi-disciplinary team members was highlighted as a key benefit of the Hammersmith and Fulham service.
And Baroness Hanham heard how keeping a focus on outcomes such as reductions in nursing home placements to define the value of integrated models of care was also key to achieving greater integration in future.
WSIC leaders gave Baroness Hanham and colleagues an introduction to the programme and the benefits it will bring to patients and carers before Hammersmith and Fulham managers explained how their Virtual Ward and Community Independence Service (CIS) works.
The Baroness then experienced at first-hand how frontline staff in one of the CIS multi-disciplinary teams plan care for patients.
She participated in a discussion about integrated care and how Monitor can work with whole systems Pioneers to achieve their visions.
Robert Sainsbury, deputy Managing Director & Out of Hospitals Manager at Hammersmith & Fulham CCG, said: "The discussion was very useful and covered a lot of ground.
"The multi-disciplinary team explained how they work on a daily basis to help reduce hospital admissions and to support early discharges.
"The team focussed on their ability to respond to health and social care needs and that GPs are increasingly using the service which provides an assessment for crisis need within two hours of referrals.
"And we were able to explain how receiving referrals direct from the London Ambulance Service was a major step forward in supporting delivery of the vision for out of hospital services.”
Baroness Hanham’s visit coincided with Monitor publishing a key document to assist local places make progress towards integrated care.
The document Integrated care: how to comply with Monitor’s requirements is available at https://www.gov.uk/government/publications/integrated-care-how-to-comply-with-monitors-requirements
Focus on co-production
21 July 2014
Members of the Lay Partners Advisory Group have shared their experience of co-production with the Social Care Institute for Excellence (SCIE).
A meeting was held to discuss SCIE’s work on co-production and exploring ideas about how to potentially work with the charity in future on matters of common interest.
It was apparent there was a lot of common ground between the work of WSIC and of SCIE on co-production and the meeting proved to be a great opportunity to open a dialogue between the organisations.
Another meeting with SCIE is planned later this year, involving members of SCIE’s co-production network.
Next steps in evaluation
17 July 2014
The Nuffield Trust is preparing to launch the next stage of its work to evaluate the impact of the Whole Systems Integrated Care programme.
Partners from across the programme came together in July to discuss how best to select and evaluate a small group of Early Adopters to evaluate in greater depth, so that lessons can be learned and used more widely.
The team will continue to evaluate the wider group of Early Adopters across North West London, as well as the Whole Systems programme overall.
A follow-up workshop will take place in late August to finalise plans for the next stage of the evaluation.
First Lay Partners forum
8 July 2014
More than 40 lay partners came together with representatives from the WSIC programme’s Early Adopter projects for the first meeting of the Lay Partners Forum on the 8th July.
The meeting focused on developing effective ways of working between the Lay Partners Forum and the Lay Partners Advisory Group, as well as co-producing solutions around self-management and empowerment.
Lay partners are patients, people who use services and carers from across North West London who are working hand-in-hand with the programme partners to co-produce Whole Systems Integrated Care.
The Lay Partners Forum will support the Lay Partners Advisory Group in continuing to ensure the views and needs of patients, people who use services and carers are at the heart of the development of Whole Systems Integrated Care.
Pioneering better care in North West London
27 May 2014
Marking six months since becoming Integrated Care Pioneers, North West London last week demonstrated the progress made in putting people at the centre of the care system.
Commenting on the launch of the whole systems integrated care toolkit and website to improve the care of the 1.9m people in NW London, Lord Ara Darzi said that the NW London partners should be congratulated on what they've achieved in bringing disparate groups together:
"Wow! This is a fantastic piece of work. Simply astonishing."
North West London is at the beginning of a five-year journey to re-shape the way care is provided across the area and make Integrated Care ‘business as usual'. The first step of the journey started with over 200 health and social care professionals alongside people who use those services, in the eight boroughs working together to define what Integrated Care is and then co-developing a solution to deliver better joined up care.
The result of this first stage has been to produce an innovative integrated care ‘toolkit' for use by partners across North West London to help them plan improved ways of delivering care and support in their local areas. Providing information on populations, models of care, commissioning, GP networks and informatics, the toolkit will continue to evolve as progress is made and lessons are learnt. The full toolkit can be viewed on the new NW London integrated care website, where people can also join in online conversations about future work.
Ten ‘early adopters' – local partnerships of health and social care providers – are now leading the way in using the co-designed toolkit to implement integrated care across North West London.
Trish Longdon, Lay partner said:
"People are fed up with fragmented, inefficient care. We don't want to have to repeat our story to every health or social care professional we meet. We don't want a system that makes it hard for professionals to work together.
"This is the first strategic programme where individuals are at the centre in every aspect. The input of lay partners as equal partners has ensured the co-design of integrated care has maintained a focus on outcomes for individuals not services.
"We have focused our actions around enabling the individuals' goals, and have collaboratively developed a simple, accessible language facilitating individuals to manage, plan, and do things with support from health and social care professionals. We are starting to put an end to the language where the NHS does things to or for people.”
Ethie Kong, Brent CCG Chair, said:
"The best care systems are already integrating care more effectively, around the UK and globally. Our work is about ensuring care is delivered in a more integrated way, consistently, as a matter of course across North West London.
"The co-design process has been essential in bringing together service providers, commissioners and most importantly services users to ensure integrated care makes it easier for people to find their way through the system when they need it most. This is not about the care system trying to do everything, but about taking the best parts of what the system already provides, joining them together, and focusing them on providing better care for patients and their carers.”
North West London selected as national pioneer for joined-up care
November 05, 2013
North West London has been selected as one of only 14 areas nationally to pioneer ambitious new plans to improve the health and social care services provided to local people.
The announcement means that North West London will now receive specially tailored support from the Department of Health to enable more joined-up, user-centred care, after a bidding process which attracted around 100 entrants across the country.
The major boost for care services in North West London means local people:
- Will benefit from much closer working between all parts of the health and social care system
- Will have more say over their care and when, where and how they receive it
- Will have a greater variety of more convenient ways of accessing advice and care from different care providers
- Will have a clear plan, developed with them, to get the best treatment delivered how and when they want it
- Will find it easier to navigate their way through the care system
The ‘Pioneer’ initiative is part of a much larger, wide-scale plan across NW London which involves councils, GPs, local hospitals, community care services and mental health services, working together to turn best practice, innovative care into normal practice, day-to-day care.
The organisations have come together as partners to tackle organisational barriers, avoid duplication, and provide a more seamless care service for local people, many of whom have long term conditions, and are part of a population which is also getting increasingly older.
Each of the eight localities will retain their own approach to delivering services specific to the needs of their local population, but the initiative will ensure that where there are opportunities for closer, joint working this will happen, across borough and other boundaries, where this is in the best interests of the service user.
As a Pioneer Site, North West London will now have access to specialists in innovation and change from ‘NHS IQ’ (NHS Improving Quality) which will accelerate the work already under way with partners across the area.
The integrated care provided will bring together multi professional teams who then work across barriers to prevent organisational differences from fragmenting the services they deliver, as has happened in some places in the past.
North West London will also now become a national champion of the new ways of delivering joined up care, sharing its work with others beyond their geography to share the benefits of integration experience.
Integrated care ensures services are delivered more effectively and more efficiently, and thanks to a number of pilot schemes, has improved care as well as saving money.
The best care systems are already integrating care more effectively, around the UK and globally. The concept is based on customer-facing organisations, and applies similar principles to healthcare systems, creating better choice, better delivery, and better care.
Professor Lis Paice, Chair, NW London Integrated Care Programme, said:
"We are delighted that North West London has been selected as one of the 14 areas nationally to become a pioneer in integration. We already have some excellent examples from across North West London showing how our two million residents are getting better care thanks to our plans. This is a fantastic opportunity for us to be able to do even more.
"Integrated care is about working towards a better system that supports the values we and all our partner organisations share. It is about taking the best parts of what the system already provides, joining them together, and focusing them more closely on the people who need these services.
"As a pioneer site, we will be able to accelerate this process further and working together, we will ensure that every resident in North West London is living longer and living well.”