Integration Challenges
– personalised
medicine or personal
care
Frances Tippett and Ruth Hall
South West Strategic Clinical
Network
Integrated Personal Commissioning (IPC)
NHS FIVE YEAR FORWARD VIEW –
“We will also introduce integrated personal
commissioning (IPC), a new voluntary approach to
blending health and social care funding for
individuals with complex needs. As well as care
plans and voluntary sector advocacy and support,
IPC will provide an integrated, “year of care” budget
that will be managed by people themselves or on
their behalf by councils, the NHS or a voluntary
organisation. (NHS England Oct 2014)”
2 NHS | Presentation to [XXXX Company] | [Type Date]
Who will it help improve care for?
• Children and young people with complex needs,
including those eligible for education, health and
care plans
• People with multiple long-term conditions,
particularly older people with frailty
• People with learning disabilities with high support
needs, including those who are in institutional
settings or at risk of placement
• People with significant mental health needs, like
those eligible for the Care Programme Approach
or who use a lot of unplanned care
3 NHS | Presentation to [XXXX Company] | [Type Date]
What are we doing in the South West?
South West IPC network to support design and implementation of the
programme to:
Improve outcomes for people
Reduce cost pressures
IPC Programme to run Jan 2015 – Dec 2017
3 elements to the programme:
1. Thought leadership change programme
2. 1st phase roll out of PHBs/integrated budgets for people who may
benefit
3. Social movement for change
4 NHS | Presentation to [XXXX Company] | [Type Date]
IPC as a delivery method for other work
• Currently we are mapping work from across the
South West to the IPC programme to identify
opportunities for alignment
• Rehab pathway redesign is one example of how
this might work …
5 NHS | Presentation to [XXXX Company] | [Type Date]
Ruth’s 3 slides on rehab pathway
6 NHS | Presentation to [XXXX Company] | [Type Date]
SCN Quality Improvement Programmes
• Cross cutting themes:
• Rehabilitation Pathway Redesign – Ruth Hall
ruthhall@nhs.net
• Parity of Esteem – Gayle Bridgeman
gaylebridgman@nhs.net
• End of Life Care – Frances Tippett
frances.tippett@nhs.net
7 NHS | Presentation to [XXXX Company] | [Type Date]
Integrated personal commissioning
• What priorities within your organisation could the
IPC help you to deliver?
• Is there a potential first phase implementation site
ready to join the programme?
8 NHS | Presentation to [XXXX Company] | [Type Date]