Transforming London's Health and Care Together - New Care Models Programme
The New Care Models Programme aims to bridge health and wellbeing gaps through clinical engagement, patient involvement, and local ownership. By supporting the NHS Five Year Forward View, it strives for a radical upgrade in prevention, efficiency, and investment. With 50 vanguards leading the way, collaborative system leadership is key in developing, delivering, and spreading new care models nationwide.
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02 New care models: New care models: Setting the scene Setting the scene Jane McVea Senior Strategic Account Manager (London and South) New Care Models Programme Transforming London s health and care together 1
The NCM Programme Our values: clinical engagement, patient involvement, local ownership, national support www.england.nhs.uk/vanguards #futureNHS 2
We are supporting the NHS Five Year Forward View through the new care models programme Health and wellbeing gap Radical upgrade in prevention 1 Clinical engagement Patient involvement Care and quality gap New care models 2 Local ownership National support Funding gap Efficiency and investment 3 Our values: clinical engagement, patient involvement, local ownership, national support www.england.nhs.uk/vanguards #futureNHS 3
50 vanguards are developing new care models, and acting as blueprints and inspiration for the rest of the health and care system. Integrated primary and acute care systems 9 14 Multispecialty community providers 6 Enhanced health in care homes 8 Urgent and emergency care 13 Acute care collaboration Our values: clinical engagement, patient involvement, local ownership, national support www.england.nhs.uk/vanguards #futureNHS 4
Together, we are learning about the key requirements for developing, delivering, and spreading new care models Build collaborative system leadership and relationships around a shared vision for the population. Develop a system-wide governance and programme structure to drive the change. Undertake the detailed work to design the care model, the financial model and the business model. This includes clinical and business processes and protocols, team design and job roles. Develop and implement the care model in a way that allows it to adapt and scale. Implement the appropriate commissioning and contracting changes that will support the delivery of the new care model. Our values: clinical engagement, patient involvement, local ownership, national support www.england.nhs.uk/vanguards #futureNHS 5
Integrated Whole Population Model (PACS/MCP) Core components of a successful whole population vanguard A person- centred approach to delivery of care and support Engaging the population in their own health and wellbeing A new model of enhanced primary care &integrated community teams Systematic approach to population health management Shared care records and digital technology A whole- system approach to workforce and leadership Integrated access to acute and emergency care A whole pathway approach to long term care Specialist advice and treatment in the community A new model of inpatient care Our values: clinical engagement, patient involvement, local ownership, national support www.england.nhs.uk/vanguards #futureNHS 6
Whole population health Our values: clinical engagement, patient involvement, local ownership, national support www.england.nhs.uk/vanguards #futureNHS 7
Tower Hamlets Together childrens offer http://towerhamletstogether.com/ Interventions implemented: Virtual ward for 0-16 year olds that have been identified as having complex needs looked after in the community by an MDT. The care plan for the individual includes how care will transition into adulthood MECC emotional well being, oral health, healthy weight, self care Pooled health and social care wheelchair budgets Highest proportion of children living in poverty in UK. Focussing on preventing illness and access to better co- ordinated services. Aiming to improve outcomes across 4 domains: Emotional wellbeing Early identification of needs Nutrition (Oral health and healthy weight) Self-care (minor ailment) Plans for 17/18 Developing Child and Families Hubs - involves much closer working between children centres, health visiting, education and the voluntary sector. Our values: clinical engagement, patient involvement, local ownership, national support www.england.nhs.uk/vanguards #futureNHS 8
Childrens and Young Peoples mental health Our values: clinical engagement, patient involvement, local ownership, national support www.england.nhs.uk/vanguards #futureNHS 9
Happy Healthy at Home North East Hants and Farnham http://www.happyhealthyathome.org/ Centre is open 5 days a week 18:30 20:00 and also has a freephone number. Seen over 120 young people. Schools asked for help in attaining attendance levels. Safe haven project co-designed with 50 students from 3 local schools and feedback from 1400 students. Provides early intervention, prevention and education. Volunteers are young people who have experienced mental health issues. Support requests :- a safe place to go away from school, where they could talk. Young people say relaxed environment that encourages people to talk. Our values: clinical engagement, patient involvement, local ownership, national support www.england.nhs.uk/vanguards #futureNHS 10
Building on wellbeing Our values: clinical engagement, patient involvement, local ownership, national support www.england.nhs.uk/vanguards #futureNHS 11
Erewash MCP Population: 97,000 across rural Derbyshire http://www.erewashccg.nhs.uk/wellbeing-erewash/ Brilliant Erewash the Art of Being Brilliant. Transform the way young people think about themselves. Share simple principles to promote self esteem, confidence and good mental health Energise young people and increase numbers able to manage mental health Wellbeing:- a state characterised by health, happiness, prosperity and welfare. The challenge:- to motivate young people to have greater control and understanding of health and wellbeing Our values: clinical engagement, patient involvement, local ownership, national support www.england.nhs.uk/vanguards #futureNHS 12
For further information More details can be found on the NHS England website: www.england.nhs.uk/vanguards You can email the programme at: england.newcaremodels@nhs.net Or join the conversation on Twitter using the hashtag: #futureNHS Our values: clinical engagement, patient involvement, local ownership, national support www.england.nhs.uk/vanguards #futureNHS 13
