Sara Radcliffe shares how community staff from across health and social care in Central Manchester have been working together to improve outcomes for patients by transforming intermediate care.
Central Manchester’s Clinical Integrated Care Board (CICB) is a partnership of Central Manchester Clinical Commissioning Group, Central Manchester Foundation Trust, Manchester City Council, Manchester Mental Health and Social Care Trust and the North West Ambulance Service.
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Sara Radcliffe: integration in central Manchester at scale and pace
1. 1
Central Manchester
Health and social care system
Integration in Central Manchester
at scale and pace
Sara Radcliffe, Central Manchester University Hospitals NHS
Foundation Trust
Emma Gilbey, Manchester City Council
Dr. Ivan Benett, Central Manchester Clinical Commissioning Group
Ed Dyson, Central Manchester Clinical Commissioning Group
2. 2
In Central
we believe in
joined up care
In Central
we will design
services to a
shared care model
In Central
we will
communicate,
inform and
educate
In Central
we will redesign
our health and
social care
system
Central Manchester
Health and social care system
Leaders with
a joined up
vision
3. Clinical
integrated
care board
Urgent care
board
Planned care
board
Transforming
community
services board
Transactional
redesign
board
Integrated
care teams
taskforce
Members
Executive level clinical and managerial leadership from:
• Central Manchester CCG
• Central Manchester Foundation Trust
• Manchester City Council
• Manchester Mental Health and Social Care Trust
• North West Ambulance Service
Central Manchester
Health and social care system
Leaders
prepared to
put the time
and talent in
4. EOL
District nurses
Care home staff
Patients and families
Active case managers
Social care
GPs
OOH Falls
Ambulance
Intermediate care
Community alarm team
Patients and families
District nurses
Falls services
Social care
GPs
OOH
COPD
COPD team
Active case managers
Patients and families
Intermediate care
Social care
McMillan
GPs
OOH Practice
integrated care
teams
21 practices
Social care
Community nurses
Medicine management
Specialist teams
Central Manchester
Health and social care system
Just start it
and see
where it
takes us
Can we reduce
admissions,
lengths of stay
and
readmissions ?
5. An integrated care programme
for Manchester
“My care is planned with
people who work together to
understand me and my carers
put me in control, co-ordinate
and deliver services to achieve
my best outcomes”
People, pride, place
Living longer, living better
The goal Prepare to
change the
path to get
to the right
place
6. Our people
/population pyramid
Our service model
for out of hospital
care
Our system
Our workforce
Our money
Our buildings
Our Information
Social movement
People, pride, place
Living longer, living better
1 council
4 trusts
3 CCGs
500,00+
people
Its massive,
its complex ,
lets make
sure its
worth it
8. CO-ORDINATION OF SHARED CARE
Our care model
Moderate
22,704
22%
OUTCOMESOFFER
What's the
offer, what will
be the
outcome, how
will we do it ?
9. Our money
Investment
ImplementationImpact
Return on
investment
Virtuous circle – continuous
process of resource shift
Commissioning for an
integrated system
Best laid plans… New rules, new games
or new system, better outcomes?
Shifting assets - aligning supply and
demand in and out of hospital
Alliance
+ ?
Need to make
the money
work – can we
have shared
and owned
risk and gain ?
10. Executive Health and
Wellbeing Group
System Governance
North Manchester
System Governance
Central Manchester
Integrated Care Board
System Governance
South Manchester
Citywide leadership group
Programme Office
Reference group
Health and Wellbeing Board
People, pride, place
Living longer, living better
Leaders with
vision....
Back to the
beginning
but bigger -
if it’s to be
sustainable
Notes de l'éditeur
Describe purpose of the CICB and brief historyInsert examples of work