Northamptonshire Integrated Care PartnershipNorthamptonshire Integrated Care Partnership

How Can Hwbs Promote Integration Across Health And Social Care?

Northamptonshire’s Experience

Raf PoggiGP Chair of Kettering Locality, Nene Commissioning Board

Charlie MacNallyDirector of Adult & Childrens

Social Services, Northamptonshire County

Council

Northamptonshire Integrated Care PartnershipNorthamptonshire Integrated Care Partnership

How Can Hwbs Promote Integration Across Health And Social Care?

Northamptonshire’s Experience

Raf PoggiGP Chair of Kettering

Locality, Nene Commissioning Board

Charlie MacNallyDirector of Adult & Childrens

Social Services, Northamptonshire County

Council

Peter WatsonCECS Project ManagerNene Commissioning

Northamptonshire Integrated Care PartnershipNorthamptonshire Integrated Care Partnership

• The Northamptonshire Integrated Care Partnership (NICP)

• A way of working and delivery• Evidence of successful clinical

commissioning• Health & Wellbeing Board• Practical demonstration of local

engagement and delivery

Seminar Outline

Northamptonshire Integrated Care PartnershipNorthamptonshire Integrated Care Partnership

• National Pilot now “Business as Usual”• Clinically and Professionally Led • Managerially Supported• Commissioner / Provider Partnership• Senior Decision Makers• Whole System Transformation• Commitment to Integration

Northamptonshire Integrated Care Partnership

Northamptonshire Integrated Care PartnershipNorthamptonshire Integrated Care Partnership

Northamptonshire Integrated Care Partnership Whole System Membership

• Nene Commissioning CCG

• Corby CCG• Northampton County

Council• Kettering General

Hospital• Northampton General

Hospital

• East Midlands Ambulance Service

• Northamptonshire Healthcare Trust

• LINK• Carer Representative• Out of Hours Service• NHS Northamptonshire• Voluntary Sector

Northamptonshire Integrated Care PartnershipNorthamptonshire Integrated Care Partnership

NICP Outcomes

• The five top outcomes for the NICP are:– A reduction in emergency admissions– A reduction in emergency readmissions– A reduction in length of stays– A reduction in admissions to care homes– An increase in the number of patients dying in

their preferred place of death– Improve experience for both patients and carers

Northamptonshire Integrated Care PartnershipNorthamptonshire Integrated Care Partnership

• Total Number of emergency admissions >75 stable compared to national 5% rise

• 10% decrease in the total number of excess bed days

• Direct admissions from the Acute Trusts to permanent residential and nursing home care has reduced by 20%

• 622 less deaths in hospital than in the same period in 10/11

Successful Outcomes To Date(Dec 10 to Aug 11)

Northamptonshire Integrated Care PartnershipNorthamptonshire Integrated Care Partnership

• Support for elderly, frail patients to reduce reliance on health and social care services

• True integration of teams across health and social care– Consultant Geriatricians– Consultant Psycho-geriatrician– Intermediate Care– Hospital Discharge “Think Home First” Teams– Community Nursing– GPs– Step-up / Step-down beds in the community– Social Care Rehabilitation and Re-enablement

• National award winner

Evidence of Successful Clinical Commissioning: Community Elderly Care Service

CECS Cumulative Prevented Admissions Actual v Plan

CECS Cumulative Prevented Excess Bed Days Actual v Plan

Northamptonshire Integrated Care PartnershipNorthamptonshire Integrated Care Partnership

Northamptonshire Integrated Care PartnershipNorthamptonshire Integrated Care Partnership

Northamptonshire Integrated Care PartnershipNorthamptonshire Integrated Care Partnership

Health & Wellbeing BoardBoard representation:

1. Clinical Commissioning Groups 2. Elected Members from County Council and Borough

Councils3. Officers

• Ambitious in the approach• Alignment of Health & Social Care Outcomes• Locality focus (CCGs map to Borough boundaries) to

ensure local population needs are delivered• Personalised delivery of H&WB strategy through Health

& Wellbeing Fora

Northamptonshire Integrated Care PartnershipNorthamptonshire Integrated Care Partnership

• Alignment of organisational priorities - are stakeholders committed to integration of services?

• Unprecedented financial environment• Increasing demand for services• The Public Health agenda• How will we know if we have improved “wellbeing” • Significant chance it will becomes a “talking shop”

without tangible delivery of the strategy

What are the challenges for HWBs going forward and are there any suggestions for how to overcome these?

Northamptonshire Integrated Care PartnershipNorthamptonshire Integrated Care Partnership

• Make it local• Health & Wellbeing Fora• Mind Map Exercise with Kettering Borough Council• Outcomes: – Young People and alcohol – Falls

• Work now underway to establish how to transform the Local Strategic Partnership Board into the Health & Wellbeing Forum in Kettering

What are the opportunities for HWBs to tackle the issues going forward?

Northamptonshire Integrated Care PartnershipNorthamptonshire Integrated Care Partnership

Questions