Integration

Working together for a caring, healthier, safer Edinburgh

12th February 2012

Ricky Henderson

Chair of the Shadow Health and Social Care Partnership

Welcome

Peter Gabbitas

Director of Health and Social Care

Introduction

Vision

• Building solid foundations

• Shared process – group exercise

• ‘The Stewart Family’

• Improving patient / client experience

Introducing new aspect of a service

• Mental Health - REAS

• Learning Disabilities and Addictions

• Integration and added value

Leadership

• Political

• Chief Executives

• Organisational

• Reflect on organisational arrangements– Localities– Primary Care engagement

Outline of mental health services NHS Lothian and the City of

Edinburgh Council

Tim Montgomery,

Director of Operations,

Royal Edinburgh Hospital and Associated Services

and

Colin Beck,

Senior Manager,

Mental Health, Substance Misuse and Criminal Justice Services

Working towards

• Mental Health Joint Planning Forum

• Sense of belonging – Joint Strategy

• Joint Accommodation Panel

• Joint work on implementation of care programme approach

• Joint quality assurance overview

Challenges

• Joint and integrated pathways

• Joint premises

• Joint budgets

• Joint management

A Sense of Belonging “A sense of belonging sets out a clear vision,

principles and approach for how the public, people with lived and living experience of mental illness and mental health problems, people whouse services, carers, the 3rd sector, theCity of Edinburgh Council and NHS Lothian, willwork together to improve our mental health and wellbeing for people of all ages and ensure that the services delivered have an ethos of recoveryembedded within them.”

Delivering on the Strategy

• Promoting Transformational Change• Collaborating in the Current Economic Climate is Key• Increasing Collaboration with the 3rd Sector• Promoting Greater Participation and Engagement• Achieving Scottish Government’s Strategic Objectives• Assessing Mental Health Impact• Resources and Resource Allocation• Ensuring a Fit for Purpose Workforce• Promoting Awareness, Training and Education

Shifting the Balance of Care

• A new purpose built hospital

• Community supports and placements

• Repatriation of people to Edinburgh

• Focussed work with people, families and communities

• Putting resources around people

World Café Group Session

Introduction to world café sessions

• At the last session we looked broadly at what integration needs to achieve across a range of areas. To respond to your feedback, in this session we want to focus much more on the person at the centre

• We want to look at what we need to deliver and how we achieve that for a range of people with varying types and levels of care and support needs.

• At each of your tables is a case study and a diagram with 10 key aspects of delivering services.

• For your case study we want you to consider – what jointly we are doing well now– how we might improve on these areas through integration

What are we doing well for the person at the centre?How will integration helps us to do better in the key areas in the circle?

Making the most ofIntegrated

Teams and specialistservices

Making engagement meaningful

More effective sharing ofpatient / client information

Measuring quality &performance

Improving positive outcomes

Ensuring clearer, safer pathways

of care

Working betterwith other agency/

third sector services

Giving people more choice and control

Increasing self management prevention

Developing betteranticipatory care

Panel