South West Integrated Personal Commissioning Programme – Giving People Choice and Control
Over Their Care
Frances Tippett, SWIPC Programme Director
IPC What is it? 1 – Care model: Person-led integrated care planning, with an optional personal health or integrated budget
2 – Financial model: An integrated, “year of care” capitated payment model
IPC is a delivery vehicle for personalisation
Frances Tippett, SWIPC Programme
Director
Ingredients of IPC
• 1 – People who might benefit are targeted directly
• 2 – It starts with the different kind of conversation
• 3 – It’s about what matters to me, not what’s the matter with me
• 4 – Everyone works together, its integrated
• 5 – Its co-ordinated
• 6 – Personal health or integrated budgets are offered
• 7 – People are helped to link to their community
Frances Tippett, SWIPC Programme Director
What is the South West IPC programme?
• We are one of nine demonstrator sites nationally • Bringing together local government, VCSE sector
and the NHS to work differently to support people with complex care needs
• It is about a power shift from services to the people they are there to serve
• IPC aims to use person led approaches, with the option of a personal budget to integrate support for people
• People will have one care plan focused on what matters to the person.
Frances Tippett, SWIPC Programme Director
How are we making it happen? • Starting with small scale
implementation sites across the region, testing and learning in different settings, working with people with different needs
• Developing a systems change programme, taking the learning from sites and making the changes needed to scale up
Frances Tippett, SWIPC Programme Director
Progress in local implementation sites • 51 potential sites
identified
• Over 30 started up
• Number of personal health budgets up from <400 in 2014/15 to >1000 in 2015/16
Frances Tippett, SWIPC Programme Director
South West IPC GOVERNANCE FRAMEWORK
NATIONAL
IPC PROGRAMME BOARD
SOUTH WEST
IPC PROGRAMME BOARD*
NATIONAL
IPC SUPPORT PROGRAMME
Making It Happen –
South West IPC Core
Delivery Team†
LOCAL HEALTH & WELLBEING
BOARD
And/or other decision making
bodies, for example:
Somerset – Transformation
Board,
Bristol – Better Care Fund
Board
The Right Skills
Steering Group
Person Centred
Care and
Support work
stream
Finance and
Commissioning
work stream
Getting People
Involved - Creating
a social movement for
change
Local Leads Action
Learning Set
Are We Making a
Difference? -Outcomes &
Evaluation Steering
Group
Local Implementation
Site Steering
Groups
Local Implementation
Site Steering
Groups
Local Implementation
Site Steering
Groups
Local Implementation
Site Steering
Groups
Local Implementation
Site Steering
Groups
* South West IPC Programme Board
has at least one representative from
each local decision making Board
†Each local implementation site
steering group has a member of the
Core Delivery Team linked as mentor
Appendix 2
Frances Tippett, SWIPC Programme Director
Right Skills Group • Up and running, meeting
quarterly
• 3 sub groups looking at:
– Career paths
– Culture and behaviour change
– Expertise Time Bank
• Key next priority – whole system workshops to inform a Regional Workforce Development Strategy to Support Integration
Frances Tippett, SWIPC Programme Director
Person Led Care and Support workstream Multi sector involvement including user led orgs involved, meeting regularly
Key areas of work:
• Tools and approaches
• Implementation site training and mentoring support
• Using new technology
Frances Tippett, SWIPC Programme Director
Action Learning sets: • Learning Disabilities • Continuing Health Care • Multiple long term conditions • Children with complex needs • Admissions avoidance/effective
discharge • Community development and end of life
care
Finance and Commissioning workstream
Working groups on:
• Sharing information
• Growing the market
• Understanding costs
• Capitated budgets
• Contracting differently
• Making the money work
• Driving down admin costs
Frances Tippett, SWIPC Programme Director
Getting People Involved Sub-groups driving different elements of work:
• Communications group
• Voluntary, Community and Social Enterprise networks
• People helping others
• Helping people take control
Frances Tippett, SWIPC Programme Director
Management and Evaluation
Making it Happen
1. Regional team leading workstream groups and supporting work in locally
2. Local implementation and strategic leads in each area
3. Governance via South West IPC Programme Board and links to Health and Well-being Boards
Are We Getting it Right?
Outcomes and evaluation group established, led by SWAHSN with academic partners inputting
• Evaluation toolkit developed and available
Frances Tippett, SWIPC Programme Director
• Contact:
Frances Tippett
SWIPC Programme Director
P: 07825 420546
• Website:
http://www.swscn.org.uk/impr
oving-quality/integration
• Tweet us @SouthWestIPC
Thank you
Frances Tippett, SWIPC Programme Director