Tower Hamlets Integrated Provider Partnership (THIPP)

& Tower Hamlets MCP Vanguard

The journey so far…

Dr Phillip Bennett-Richards, Chair THIPP

What is THIPP? Why was it convened?

THIPP journey so far…..

December 2013 Partners

come together

to improve integrati

on

March 2014CCG

assurance process for Integrator

Function as part of WELC

August 2014THIPP

Programme Board and

work streams

established

October 2014

THIPP agree to collectively bid for

CHS Tender.

1 year competitive dialogue process

starts

January 2015

THIPP submits

Vanguard bid based on adult

integration

programme

March 2015THIPP

awarded MCP

Vanguard status

April 15 – NCM site visit and scope of Vanguard extended including children and wider determinants of health

June 15NCM announce process for investment -Value Proposition (VP)

July 15PMO recruitment underway

August 15 Vision & planning workshops with wider partners

September15Value Proposition (VP) Deadline

Five Year Forward View (5YFV)

October 14 - 5YFV published setting out the challenges facing the health and care system over the next 5 years

• Health and well being gap - need for a radical upgrade and public health and prevention

• Care and quality gap – need for delivery of new care models

• Funding gap - efficiency and investment

• Integral was the launch of the Vanguard New Care Models programme

5 New care modelsMulti-specialty

Community Providers (MCP)

Moving specialist care out of hospital into the

community

Integrated primary and acute

systems (PACS)Joining up GP, hospital, community and mental

health services

Urgent and emergency care

New approaches to improve the co-ordination

of services and reduce pressure on the system

Enhances health in care homesOffering older people

better joined up health and rehabilitation services

Acute Care collaboration

Local hospitals working together to enhance clinical

and financial viability

Multispecialty Community Providers (MCPs)• Calderdale Health and Social Care Economy

• Derbyshire Community Health Services NHS Foundation Trust

• Fylde Coast Local Health Economy

• Vitality

• West Wakefield Health and Wellbeing Ltd

• NHS Sunderland CCG and Sunderland City Council

• NHS Dudley CCG

• Whitstable Medical Practice

• Stockport Together

• Tower Hamlets Integrated Provider Partnership

• Southern Hampshire

• Primary Care Cheshire

• Lakeside Surgeries

• Principia Partners in Health

What has changed since THIPP partners first came together?

THIPP journey so far…..

December 2013 Partners

come together

to improve integrati

on

March 2014CCG

assurance process for Integrator

Function as part of WELC

August 2014THIPP

Programme Board and

work streams

established

October 2014

THIPP agree to collectively bid for

CHS Tender.

1 year competitive dialogue process

starts

January 2015

THIPP submits

Vanguard bid based on adult

integration

programme

March 2015THIPP

awarded MCP

Vanguard status

April 15 – NCM site visit and scope of Vanguard extended including children and wider determinants of health

June 15NCM announce process for investment -Value Proposition (VP)

July 15PMO recruitment underway

August 15 Vision & planning workshops with wider partners

September15Value Proposition (VP) Deadline

What will success look like?

THIPP model of care – what will success look like?

• Delivery of the triple aim

• Series of replicable models

• Staff engagement from the bottom up and increased satisfaction

Population health & wellbeing

Quality & user experience

System sustainability in primary and secondary care together with social care partners

• Care closer to home

THIPP

HEALTH & SOCIAL CARE

SYSTEM PARTNERSHIPS

ENABLERS

NEW MODEL OF

CARE

REPLICABLE MODEL QUALITY OF CARE

SYSTEM POPULATION

LOCALLY DELIVERED

SUSTAINABILITY

POPULATION HEALTH

PERSONALISED CARE

IMPROVED OUTCOMES

HEALTH & WELL BEING

‘More than the sum of the individual parts’

CARE CLOSER TO HOMEINTEGRATION

Four partners One vision

Partners came together in 2013 initiated by the CCG to develop the integrator function

Tower Hamlets GP Care Group - Primary care

Barts Health – Community Services and Acute Care

East London Foundation Trust – Acute Mental Health

London Borough of Tower Hamlets - Social Care & Public Health

Work underway to develop further links with housing, education and third sector through the development of a Stakeholder Council and wider partnerships.

Already established:

Network model of delivering primary care

Already established• Community based specialist support• Integrated health and social care teams• Existing examples of good partnership

working• Strong desire for quality improvement• Commitment to the WEL Integrated Care

programme

• To work together in a partnership that delivers innovative, integrated and seamless care to patients, carers and their families

• Care will be patient focused, co-ordinated and will make a real positive difference to users that receive it

• Appropriate services will be provided in the right way, in the right place and at the right time

• Provide services in the homes of patients and service users (when possible) and in community, hospital or other locations (when necessary)

Developed programmes of work• THIPP awarded Vanguard status to

progress the established programme of work to deliver integration / deliver new models of care for the residents of Tower Hamlets

• THIPP collectively bidding to run Tower Hamlets Community Health Services

• THGPCG successful in Prime Ministers Challenge Fund to improve primary care access

Partnership delivery

Tower Hamlets Integrated Provider Partnership (THIPP)

What next?

• Defining the detail & outcomes of the Vanguard New Model of Care within the Value Proposition

• Establishing organisational form for the future between partners

• Further building partnerships across the system

• Co-creating the new model of care with partners, users, staff and wider stakeholders

• Refining programme governance to enable delivery