Suzanne WixeyProgramme Director

Our vision and ambition

Shaping the FutureDelivering 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.”

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

What is 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.

Why do we need a vision and purpose?

PurposeEveryone has greater control of their health andwellbeing, and aresupported tolive longer andhealthier lives

AimsCreate the culture and conditions for people to promote their own health and wellbeing and to receive a good qualitystandard ofcare andsupport

ObjectivesEnsure that valuable resourcesare used effectively to get thebest outcomes for people, community andsociety for nowand for futuregenerations

Values & Behaviours

Bringing our Vision & Purpose to Life

Prioritising people in everything we doListen and learnInclusivityStriving for improvement

Suzanne WixeyProgramme Director

MLAFL update

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…Develop a strong identityOne place for information and adviceOne point of contact 24/7 for all health and social care referralsHappy to help communitiesPeople to have a voicePeople to hold their own recordsRaise the Island’s profile – look what we can achieveLocality working, crisis response, self care

We have done …Information Hub – Voluntary Sector, Directory of Services, Word Map, InfrastructureIntegrated IT and information governancePeople have a voice – Healthwatch & People Matter (ULO) have seat on MLAFL Boards and H&WB, Mental Health Engagement eventsBuilding community capacity and happy to help communities – prospectus with third sector £500k –Fulfilling Lives £6m, Dementia Café and more CaféClinics, LTC events at Freshwater

We have done …Pioneer for Integration bid – national supportReview of the Emergency (111) HubEvaluation Framework TEASC best use of resources and joint commissioningPioneer events 19th July 2013Piloting people in control of their own records –Patient Passport (Eclipse in GP surgeries)

Alison GeddesCommissioning Manager, CCG

Self Management

Fed up, feeling unable to cope?

Getting nowhere fast?

Worried about the future?

Self care and self management

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 managementHaving confidence

Taking controlFeeling able to take responsibility

Having choiceGaining knowledge

People using effective communicationGaining skills

Receiving the right informationAccessing support when needed

What is happening?Hypertension projectLTC support groups Support Group Development OfficerIsland-wide Personal Care PlansType 2 diabetes educationFalls prevention serviceLibrary informationPulmonary rehabilitationAcquired brain injurySensory Impairment Service

What is happening?Information hub Services for people to be active and involved within their communitiesPlanning for the Future documentLTC WeekSupport for carers Café & Café Light ClinicsDiabetes review “one-stop” shops

Gill KennettAssociate Director forCommunity Services

Locality Working

Locality Working Group …

We will support people, carers and families, on a locality approach, based

around GP practices

Locality Working Group …3 localities:– West & Central Wight– South Wight– North East Wight

Virtual across the Island – virtual ward conceptEstablish hub in each localityCare close to home

Locality Working Group …Strengthening care pathwaysStrengthening working relationships between sectorsTrusted assessment

Communication, communication, communication

Chris SmithHead of Ambulance Service

Crisis Response

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.

ProgressTemporary GP Direct Access Nursing Homes Bed pilot completed: further roll-out to all localities being plannedAnticipatory Care Plan pilot (for frail older people and people near the end of their life) expanding to all localitiesWinter planning projects First stakeholder meeting held

What next …Stakeholder workshop to identify gaps and solutions. Set-up Project Group

Develop Action Plan for implementation

Timeline

To be included in the Action Plan(to be developed following workshop)

Questions?

My Life a Full Life

Vicky GaineyThink Local Act Personal Manager

Individual’s Route Map

Route Map

Helen FigginsCommissioning Manager MentalHealth & Learning Disabilities

No Health without Mental Health

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 StrategyThe national strategy sets out a clear and compelling vision around 6 objectives:

More people will have good mental healthMore people with mental health problems will recoverMore people with mental health problems will have good physical healthMore people will have a good experience of care and supportFewer people will suffer from avoidable harmFewer people will experience stigma and discrimination

Engagement2 engagement events142 attendees from: service users, carers, NHS staff, Local Authority, Public Health, voluntary organisations, Police, Education, Island employers and employeesSurvey Monkey

Feedback

Timeline for strategy delivery

Brian MartinICES Manager

Assistive Technology

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 PracticeAt present departments interactwith elements of unintentional

silo working & job role protection

There needs to be one point of contact

Changes RequiredCentral co-ordination, co-locationcatalogue based procurement,

e-bookings and requests,change, development& income generation

What will we achieve by making changes?

Improved quality of care and supportEnable and empowers patients with long term health and social needs to understand their situation and self manage with less anxietyProvide consistent integrated monitoring of clients physical health and social needsMonitor trends to develop initiative

Ensure early identification of an exacerbation or crisis with co-ordinated 24/7 support and interventionSupport the client in the home environmentReduce the need for unscheduled admissions to hospitals, care/nursing and residential homesEase excess bed days in care facilities with safe supported dischargeRealise real cost efficiencies

What will we achieve by making changes?

In summary … we aim to:• Promote independence, confidence and self-

esteem 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 thisInvolve the customer in all decision makingFree up valuable clinical time of specialist practitioners by co-locating assistive tele technology, monitoring jointly within the Emergency Hub to include clinical decision makingCentral procurement, storage, installation, maintenance and asset management within ICESOff the shelf rapid deployment to manage acute care in the community and support dischargeProvide expertise in adaptations, equipment and devices for the clients needs, ie tele technology monitors, physical aids

How we can achieve thisOn line catalogue to support intervention or assistive technologyDevelop shared personal anticipatory care plans with integrated remote access for clinical and social leadsMeet changing initiatives ie “A man in a van”“Clinician at home”

The way forwardsCollaboration in all organisations to becomea centre of excellenceSingle point of co-ordination and responsibilityDedicated managementControlled procurement, storage, distribution, education, testing, repair and hygieneIT based shared informationAssessor supported prescribersCo-located 24/7 monitoring & reactionEvidence based evaluation and development

Questions?

My Life a Full Life

Claire RobertsonStrategic ManagerResident Information & Consultation

MLAFL 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

Communications

Our aimsSecure understanding and involvement of professionals and volunteersRaising awareness of the programme and its benefits to allPromoting innovative practice 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 HarrisRenowned journalist Chicago Daily News

We need YOU!Pioneers for changeHelping raise awarenessChampioning the visionMaintaining a dialogue with the communitySharing storiesPromoting best practiceHelping change culture

You told usCommunications must be a key priority (both formal and informal)Need to be able to share informationA range of accessible materials in variety of placesTailored approach – what does it mean for me?Focus on good news stories – impact of MLAFLComprehensive interactive website Standard presentation for staff teams

We listened…Developed a strong ‘identity’Workshops and launch eventDVD – professionalsPresentation materialsPromotional itemsLiterature

We listened…

We listened…One Island articleMedia announcementsRegular newsletterDVD – publicLeafletPosterDisplay materialsCase studies

What next?More services using the MLAFL identity‘What does it mean for me?’ – more case studies, stories, highlightsReviewing IT and information governanceExpanding websiteBuilding an accessible, online directory of servicesGetting out into the community with information

“Communication works for those who work at it.”

John PowellComposer

How can we help you to be a pioneer for change?

Your thoughts?

Questions?

My Life a Full Life

Suzanne WixeyProgramme Director

Closing Remarks

What next?Keep the pace goingLeave here today inspired to take the messages back to your colleagues and teamsEmbrace being a pioneer for integration we, your colleagues and managers, will support you Establish focus groups of pioneersDrive the cultural and organisational change and constructively challenge if people are negativeRemember we have the support of our senior leaders –let’s make a difference to the people, family and carers on the Island

By

2016

Empowered and responsible people

People take their health seriously

Good local informationPeople 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

“Coming together is a beginning; keeping together is progress;working together is success.”

Henry Ford

Thank you