Health and Social Care together

Local Services New Delivery Models Staying Independent

Bold Steps to Integrated Working

May 19 2011 – LINk AGM

v3

James Lampert, Efficiency Team Manager

Families and Social Care, KCC

Put citizens in

control

Grow economy

Tackledisadvantage

Bold Steps

Bold Steps for Kent – 3 ambitions

Our changing population

•There are more of us living longer•Over 85’s has doubled in past 10 years•Girl born today - 50% chance of reaching 100

•We’re not always healthier in later life•12% people over 65 have 3+ long term conditions. Numbers double in next 20 years•750,000 people have dementia. Will increase to over a million by 2021•20% of people over 80 and 33% over 95 have dementia

Services need to respond to this!

Health and Social Care

Some context……Past 12 months

•Political changes – Coalition Government

•Response to economic position

•Policy - Equity and Excellence: Liberating the NHS; Vision for Social Care; Healthy Lives, Healthy People; Law Commission report

•Locally – Bold Steps for Kent; Creation of the Kent Community Health NHS Trust; emerging GP Commissioning Consortia

Health and Social Care

Looking forward

•Commission on Funding of Care and Support (July 2011); Localism Bill (summer 2011); Care and Support White Paper (end 2011); Social Care Reform Bill (Spring 2012)

The Challenge

Health and social care needs to be delivered differently to maximise value for money and preserve front line services to support our changing population

So, what do we need to do?

• Make some difficult decisions - there is less money

• Identify efficiencies and think innovatively• Develop new partnerships• Develop new business models• Influence local priorities• Demonstrate effectiveness

Vision

An integrated health and social care service for Kent that is:– Easy to access and navigate– Delivered locally around GP Practices

– Based on the principle of “one assessment”

– Focussed on preventing admission to hospital and dependency on long term care

– Available from social enterprises and other alternatives

– Based around the needs and choices of the individual– Responsive and accountable to local people

– Efficient, effective and good value for money

Current thinking

Local Access + Assessment •Single Point of Access; Gateway •Enablement & Intermediate care

•One Assessment

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Primary health and social care

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A model for local services?

Primary health and social care

team

What do you think?

Two questions:

3.What are the disadvantages in our current separate health and social care services in Kent?

5.What would a good integrated health and social care service look like in Kent?