Right Care Right Here partnership
Background
• Established, growing partnership between
health, social and voluntary care organisations
across Sandwell & West Birmingham,
including:
– Black Country Mental Health Partnership
NHS Trust
– Sandwell Council for Voluntary
Organisations
– Sandwell Council
– Sandwell & West Birmingham NHS Trust
– Sandwell & West Birmingham Clinical
Commissioning Group (CCG)
– Your Health Partnerships
– Sandwell Healthwatch
• 10 Health & Wellbeing objectives &
10 Regeneration pledges
Work so far…….
• 2006/7 public consultation - large amount of
care in community, single specialist hospital,
community hospitals, early intervention &
more care in people’s own homes,
appropriately supported
• Continuing redesign to increase care away
from hospital settings – more to do
• Investment in primary & community buildings
• Sustained commitment to Midland
Metropolitan Hospital (MMH)
• Examples of joint working e.g. strategic
models of care but more joining up needed
• Higher number of people requiring outpatient
appointments than planned
Changes to Services
Examples:
• Fatigue, anxiety and breathlessness clinic
(FAB)
• iCARES service
• Diabetes Community Care Extension (DICE)
team
• Modality (formerly Vitality) Health Hub
Changes affecting health & social care
National:
• 2012 NHS reorganisation – PCTs replaced by
CCGs, Public Health move to Council
• Less money in Public sector: significant Local
Authority budget cuts, NHS QIPP/CIP to
balance books
• Joining up health & social care, services
available Monday to Sunday
• NHS funding for GP buildings & equipment
• Mental Health patients having right crisis
services, and both their mental and physical
health needs met (Crisis Care Concordat,
Parity of Esteem)
• Drive for new models of care and GP
organisations (NHS Five Year Forward View)
• Primary Care co-commissioning – CCG
responsibility for performance of services
provided by GPs
• 2014 Care Act – Better Care Fund
Changes affecting health & social care
Local:
• Organisations working together i.e. Unit of
Planning, Provider alliances, West Midlands
Combined Authority
• New hospital go ahead by January 2016,
known time to grow ‘out of hospital’ services
• Vitality and Mental Health Alliance for
Excellence, Resilience, Innovation and
Training (MERIT) “vanguard” areas
• Funding for some of the primary/community
care buildings no longer available after 2012
• Managing mental health patients differently 0-25 year old and over 25 years mental health
provision (April 2016)
• Increase in secondary mental health demand
with increase in challenging behaviour
• New partner organisations and Executive
leads
• SWBH 2020 vision – adopting the National
Voices definition of integrated care
• Person-centred, co-ordinated care
• “I can plan my care
• with people who work together
• to understand me and my carer(s),
• allow me control,
• and bring together services
• to achieve the outcomes important to me”
(National Voices)
What partners are working together on
Joining up health and social services with
professionals working differently around
individuals – to do what’s right for
patients/citizens
Improving the impact of care on individuals (&
their families/carers)
Providing high quality care in people’s own homes
or closer to home……..where care has to be
provided in buildings elsewhere, ensuring the
environment is modern, safe and accessible
Delivering the Midland Metropolitan Hospital
(October 2018)
Creating a healthier place to live – better
neighbourhood, jobs, local business opportunities,
better education, happier more prosperous
people Engaging and educating individuals about
their own care to improve efficiency, health and
wellness
Get the most out of money available
Action Areas
• Continued work by partners to support the
new hospital
• Need to increase focus on what’s available
‘out of hospital’, including:
– Ensuring GP referrals are made at the
right time
– Turn as much care to planned care e.g.
GPs, community services and patients
working together to manage their long
term conditions better
– Establish easy to understand, joined up
urgent care services
– Ensuring patients can leave acute hospital
care at the earliest opportunity, and are
supported to minimise their return
• Partners need to understand & deliver its
contribution – how changes will be delivered
& resourced
• Need to work out how the new models of
care fit
• Partners need to stick to agreed RCRH
principles – openness, transparency, shared
understanding, holding to account
• Joint working to make sure no partner ‘falls
over’
And key to all this…….
…….Re-engaging you, our local people, involving
them, providing assurance & sharing information
regarding changes to services
Any thoughts or questions?
Thank you
angela.poulton@nhs.net
Telephone: 07872 055064