Connecting Care in Cheshire -An Integrated Health and Care Pioneer

The Cheshire Pioneer

Transformation Programmes in the three localities:

• Eastern Cheshire CCG – ‘Caring Together’(CCG, East Cheshire NHS Trust, GPs, CheshireEast Council, Cheshire & Wirral Partnership)• West Cheshire CCG – ‘The West Cheshire Way’(CCG, Cheshire West and Chester Council, Countess of Chester Hospital NHS Trust Foundation Trust, GPs, Cheshire & Wirral Partnership)

• South Cheshire and Vale Royal CCGs – ‘Connecting Care’

(CCGs, Cheshire West and Chester and Cheshire East Councils, Mid Cheshire Hospitals NHS Foundation Trust, GPs, Cheshire & Wirral NHS Partnership)

Work-streams and enablers

Who is involved

• The Pioneer bid was submitted with the support of the Acute and Mental Health Trusts.

• The integration programmes within each CCG involve commissioners and providers working together to co-design the new models of care (staff at different levels of the organisations).

• The public are also being involved, although level of involvement varies.

The Benefits - national

• National Profile raised;• National support offer from organisations such

as Monitor, NHS IQ, Skills for Health, Skills for Care;

• Access to other sources of expertise – Information Commissioners Office;

• Access to other Pioneers to learn from their experience

The Benefits – local

• Facilitated joined up working across the two local authority geographies and between the three transformation programmes;

• Successful bid for Tech Fund II monies towards cost of Integrated Digital Shared Care Record;

• Initiated workforce ‘cultural transformation’ conversations between the commissioners and providers across the pioneer geography;

• Sharing good practice across all partners (Commissioners and Providers).

Empowerment

• One of the key work-streams, supporting the empowerment of the population;

• Focus upon self care, self management, changing the relationship of individuals with the health and care system;

• Requires behaviour change in the residents and workforce;

• Building upon work done in ‘Caring Together’

The Challenges• Securing effective system leadership as opposed to

organisational leadership;• Sharing of good practice and information;• Communication and engagement with workforce

colleagues and the public – Pioneer seen as something different and additional to the transformation programmes;

• Managing the plethora of initiatives (Pioneer, Vanguard, Personal Commissioning, Prime Minister’s Challenge) with limited capacity.

The Opportunities

• Rethinking the contractual and financial arrangements with Providers;

• Driving behaviour change and cultural transformation across the population and workforce;

• Delivering new models of care that are sustainable in the long term;

• DevoCheshire?

• For more information:- Guy Kilminster, Interim Programme Directorguy.kilminster@cheshireeast.gov.uk