Introduction

Approach and principlesIntegration of the health, well-being and social care system on the Isle of Wight requires collaboration across boundaries. The approach used in developing this programme structure is to focus on person-centred outcomes rather than individual organisations’ activities. In doing so, it recognises that a key strength of My Life A Full Life is its collaborative and inclusive working across the Island. In developing the programme structure and workstreams that will deliver the programme, we have categorised them into two types working with each other in a matrix: a) Person centred work streams: focused on directly delivering care and well-being outcomes b) Enabler work streams: supporting and cutting across all person centred work streams

In order to structure work streams set out on the following page, we have used the following principles and met with key stakeholders to agree this. • Workstreams should be cross cutting i.e. across organisational boundaries.• Workstreams are centred on delivering key outputs and outcomes and not based on specific organisations.• Workstreams should be based on the future care model rather than current projects within organisations.• Focus is on strong and broad based representation from organisations across the system: primary care,

secondary care, voluntary sector, mental health, local council, CCG, and people representatives (see slide 5). • Workstreams should be aligned to development of value propositions focusing on delivering specific care

model outcomes and outputs.

Strategic Commissioning, Contracting and Finance

Joint Commissioning Board (JCB)

Joint Provider Board (JPB)

My Life a Full Life Board (MLB)

NHS England New Care Models Team

ISLE OF WIGHT HEALTH AND WELLBEING BOARD

DRAFT: Proposed Governance Framework

Organisational Integration & Form

Communications, Engagement and Project Management Office

Evaluation and Measurement

Infrastructure, Estates, and IT

Leadership, Workforce, and Organisational Development

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IoW People Reference Group

Prevention and Early Intervention

Integrated Single Point of Access

Integrated Locality Teams

Clinical Services Review

‘Enabler’ Workstreams‘System’ Workstreams

DRAFT: Person Centred System WorkstreamsDelivery Areas / Subgroups

Service Workstreams Delivery Areas / Subgroups1. Prevention & Early Intervention Primary prevention & self care

Secondary prevention & self management

Social capital & community development (including LACs and Good Neighbourhood Scheme)

2.Integrated Single Point of Access Integrated triage point & universal referral process (single point of access)

Increase efficiency of NHS Hub and IoW Contact Centre

Improve falls response & outcomes – focus on preventative approaches

3. Integrated Locality Teams Adult Social Care, Community Health, Mental Health, & Voluntary Sector wrapped around Primary Care

Care home assessment & improvement plan

Care Navigators & Care Coordinators

4. Clinical Services Review System wide review of demand, supply and pathways

Develop recommendations for improved, sustainable services for people

DRAFT: Enabler Workstreams Delivery Areas / Subgroups

Enabler Work streams Delivery Areas / Subgroups5. Leadership, Workforce and OD Workforce capacity and capability

Leadership and Culture Change

6. Infrastructure, Estates, and IT One Estates Strategy

IT infrastructure, information governance, applications and single records

7. Strategic Commissioning, Contracting & Finance Commissioning & contracting strategy and framework

Whole system outcome measures

One Island £ / Finance

8. Organisational Integration & Form Integrated commissioning

Integrated provision

Integrated corporate functions

9. Evaluation & Measurement Evaluation framework

Metrics development & agreement

Monitoring & reporting

10. Communications, Engagement & PMO Community engagement

Provider and commissioner engagement

PMO

Business Case