Delivering Better Health

1
Delivering Better Health Social Care

• Susanna White
• Chief Executive, Southwark Primary Care Trust
• Strategic Director, Health Community Services,
  Southwark Council
• October 2009

2
Southwark Health Social Care

• From 2002
• Whole System
• Cradle to Grave Health Care approach
• Unified management
• Children Adults
• Virtual organisation
• Separate Governance
• All together but, Finance, H.R. I.T.
• DH the lead

3
Seven Years On.

• Different Partnerships
• Director of Childrens Services
• D C S F
• London PCTs agenda
• Commissioning / Providers Services
• Pan PCT / Borough Providers
• Commissioning Alliances
• Pan PCT Alliances

4
And so?

• Commissioning
• The outcome
• The style of service
• Integrated Services for Children
• Children with disabilities (Sunshine House)
• Child Protection
• Local Early Years Sure Start
• Rehabilitation, intermediate care, neuro-rehab /
  stroke, commissioned style/pathway
• Joint dementia services

5
Two Continents ?

• Separated by a common language?
• Local Government NHS
• Commission 150m 500m
• Contract Hundreds of Tens of
• Pool contracts contracts
• Partnership
• Procure Individual Block
• Design Real Tariff
• Held by individual
• clients Few (and fewer?)
  Many commissioners commissioners

6
Context next ten years

• Rapid change
• Technology
• Service style
• Shorter LOS
• Choice
• Personal Budgets
• Individual Contracts
• Long-term conditions we must create one
  understandable system of care and health
• End of life care

7
Partnership Competency

• WCC requires collaboration
• Joint Strategic Needs Assessment
• Pooled Budgets
• Joint Posts
• One Health and Social Care System
• Cost Shunting X
• Service economy and efficiency ?

8
How to

• Shared Vision
• Objectives
• Agenda
• Local Area Agreement
• Local Strategic Partnership Joint Strategies
• - Southwark 2016
• Joint Commissioning Strategies
• Share Risks
• Successes
• Difficulties
• Whole System / Big Picture

9
Personalisation/Individual Budgets/Choice

• Style same agenda
• Different language self-directed care
  expert patients
• Joint consultation / stakeholder engagement
• Collaborate, economise, share leadership
• Respect, dont blame
• Face tensions one system

10
Top Tips

• Board / Cabinet
• Target pools
• Own Tensions, especially in tight climate
• Keep sovereignty
• Broad shoulders / long game / big picture
• NHS Social Care in Southwark