Sector Led Improvement in
Health and Social Care 2015
Sarah Mitchell – Director of Towards
Excellence in Adult Social Care
9th January 2015
www.local.gov.uk
Purpose
• Commence initial discussions on the 2015/16 Care and
Health Programme, and:
• Explore how the programme can deliver better from a
council perspective
• Develop a care and health SLI based offer for the
sector
• Engage with stakeholders and seek their views on the
broad scope and range of the programme
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Programme objectives for 2015/16
Helping the sector to:
• Improve outcomes for local people
• Deliver better quality health and care
• Embed health and wellbeing boards as place-based
health and care leaders
• Make health and care sustainable locally
• Increase public, regulator and government confidence
in local health and care services
Make the best contribution to service improvement and
policy development
3
We will achieve our objectives by
supporting:
• A sustained and embedded sector-led improvement to
deliver excellence in social care and health locally
• Health and Wellbeing Boards to be effective system leaders
• Councils to implement and embed the Care Act reforms
• Local areas to implement the Better Care Fund
• Public Service Transformation Network to take a whole
system approach to public services and funding
• The Integration Pioneers to remove barriers, promote
confidence and spread good practice
• Efforts to best use and share data and intelligence
• Local areas to ensure those with complex learning disabilities
are supported in their communities (Winterbourne View)
• An effective regional infrastructure
4
To achieve these, our activities will
include:
• At a local level:
– Providing an offer based on a local area’s needs
– Local Account
• At a regional level:
– Regional Account
– Streamlining governance, regional delivery and improvement
support arrangements
• At a national level:
– National Account
– Ensuring the offer is coherent
– Ensuring that SLI is the approach that drives our offer and
improvement in the sector
– Completing the transition to one programme
– Delivering efficiencies across the programme
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How councils tell us they see us now…
Winterbourne View tools
HWB mentoring
and development
HWB tools and
guidance
HWB
bespoke
support
Outcomes Based
Commissioning
Framework
ASC peer
challenge
BCF tools and
clinics
TEASC peer
review
HWB peer
challenge
Principal
Advisers
Deploy:
Adult/Childrens
Improvement
Advisers
Leadership
WV principal
advisers
TEASC
tools
WV supported
improvement
advisers
Local health
and care
system
Care Act
tools /
stocktake
MSP tools
Centre
enablers
ASC efficiency
programme
Regional
peer review
Commissioning
Academy
National Information Board
/ informatics tools
Better Care
Advisers
Regional deputy
directors (DH)
MSP
leads
Pioneer
delivery team
NHS England
programme
teams
ICASE
resources
System resilience
tools
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How a council could see us….
Knowledge and
insight
Leadership and
governance
Regional
Lead
Member
Regional
Chief Executive
Member
Regional grouping of
sector leaders and
advisers, flexibly
organised, develop
collective insight of
local and regional
needs…
CEO
Local health &
care system
Regional
DASS
Operational delivery
development
DASS
Adult improvement
advisers
DCS
…The regional teams
draw down national,
regional and local
resources to address
identified local issues
Regional DCS
Children’s
improvement
advisers
Finance and
resources
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Drawing on system-wide tools and resources
HWB mentoring
and
development
HWB bespoke
support
ASC / TEASC peer
support
Leadership
Centre enablers
Local accounts
and reporting
ASC use of
resources
Best practice
guides
Commissioning
Academy
BCF analytics
guides
HWB associates
LGA efficiency
modelling
Health and Care
Future model
Care Act Surrey
costs modelling
System resilience
tools
Self-evaluation
tools
HWB networks
Care Act
implementation
tools / advisers
Personalisation /
person-centred
care tools
TEASC advisers
Informatics group
Regrouped around key themes and
approaches appropriate to local need…
Leadership
development
and mentoring
Best practice
guides
Peer support
Self-evaluation
tools
Networks / fora
Leadership and governance
Risk
management
tools
Efficiency
modelling
Use of resources
tools
Financial
modelling and
analytics
Finance and resources
TEASC tools
Commissioning for
Better Outcomes
BCF clinics /
advisers
MSP leads / tools
Winterbourne
advisers / tools
Informatics
Commissioning
Person-centred
care
Workforce
Evaluation
Operational delivery development
Knowledge and information…
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Gaining an understanding of local area needs…
Adviser engagement with
councils and areas
Public
perception
Bespoke support – HWB,
ASC, safeguarding etc
Pioneers / leading
edge programmes
Peer challenges
and reviews
Local and regional
reporting
Winterbourne
View
BCF
checkpoints
Annual
reporting
External
regulation
Care Act
stocktakes
Sector
“Insight”
Insight
Progress
Confidence
Informs
bespoke
support
Local area potentially requiring
support to overcome challenges of
lack of confidence
Local area broadly as expected –
good progress in some areas,
challenges in others
Local area progressing as expected –
good progress and confidence
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Data & analysis
Softer Intelligence
Knowledge and information…
…To tailor a bespoke support offer
Councils/areas that are
improving/implementing …
Blended mix of support
offered …
Cross programme
Co-ordination …
•
Generally making good progress,
but…
Challenges in a number of areas
Potentially requiring support
•
•
Facing a number of significant
challenges
Lacking overall confidence
Regular communications and co-ordination
•
Access to, and support from, Principal Advisers, Adult
Advisers, regional networks and knowledge networks
Broadly as expected
Bespoke support
Making good progress
Confident about own
deliverability/approach
Aligned support across the
programmes
•
•
Access to nationally and regionally available cross
programme products and tools
As expected
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Added value from other LGA products
Stronger integration with other LGA offers, including:
• Leadership Academy
• Peer challenges
adult care, corporate, finance, safeguarding
• Adult Social Care Efficiency Programme – Wave 2
• Workforce
(social work health check, recruitment & retention etc.)
• Communications
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Any quick questions!