HEALTH AND SOCIAL CARE JOINT WORKING How was the Joint Working Achieved

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HEALTH AND SOCIAL CARE JOINT WORKINGHow was
the Joint Working Achieved?
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How was the Joint Working Achieved?

• Background
• General approach to change
• Modernisation of Home Care
• Older Peoples Capacity Plan

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Background - General

• Caleb Ness
• Delayed Discharge
• Mixed Relationships
• Radical Redesign

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Background - Departmental

• Poor morale
• Anxiety take over
• Different cultures
• Different decision making processes

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General Approach

• Developing the team
• Organisational Development
• Leadership
• Communication
• Minimal structural change

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General Approach

• Stepping inside others
• Visibility of the team and leader
• Signs and symbols
• Comparative performance data
• Challenge pervading culture

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General Outcome

• Cultural change
• Outward facing
• Confident
• Evidence based practice
• Balanced scorecard
• Improved performance

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How was the change achieved?

• 2 largest change programmes
• Modernisation of Home Care
• Older Peoples Capacity Plan

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Modernisation of Home Care - Process

• Challenge the value of in-house provision
• Modernisation Board
• Key stakeholders inc Unions
• Checkpoint group
• Researched best practice
• Site visits
• Developed vision

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Modernisation of Home Care - Process

• Political support
• Outcomes achieved
• Participated in visits
• Demonstrated significant efficiency gain 6m
• Did not achieve cross party support
• Privatisation Home Care

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Modernisation of Home Care - Implementation

• 2 project managers
• Part time
• Background
• Visits from early implementers
• Pilot approach
• Training programme
• Selection of staff

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Older Peoples Capacity Plan

• Context
• Delayed discharge 350
• Private nursing home market collapsing
• 15 rise in 85 age group 3 years
• Acute sector consequences
• AE admissions
• Trolley waiting times
• Cancelling electives
• 100 occupancy medical beds

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Older Peoples Capacity Plan - Process

• Joint programme manager
• Capacity Planning Group
• Analysis
• Research best practice

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Older Peoples Capacity Plan - Process

• Visits
• Secondments
• City for All Ages
• Consultation and engagement

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Older Peoples Capacity Plan - Outcomes

• Strategic shift - Balance of Care 16 to 27, aim
  40
• Housing with Care model
• Accommodation Strategy Care Homes
• Reduction in market share Care Homes 8
• Expansion in intensive packages 500
• Closure of 2 Care Homes
• 1m investment in day care services

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Challenges of Joint Working

• Governance arrangements
• Cultural differences
• Turnover of key stakeholders
• Different terms and conditions
• Time consuming

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Outcomes

• Better services for clients/ patients
• More cost effective
• More valued services
• Seamless provision of health social care