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Great PartnershipsDementia Congress11th November 2014
@Davesween1969@CathMHCIC
Some examples…
…Maybe not…
This is a story about different groups coming together to change lives.
Let me tell you about how NHS Halton CCG, Halton Council and Community Integrated Care transformed a traditional dementia care home into a center of excellence…
But first let us take you back to the late 90’s – early ‘noughties’
…here’s how the relationship often worked
THE COMMISSIONER“All Powerful”, scary
THE COMMISSIONER“All Powerful”, scary
PROVIDER“Acquiescent”, no power
It went a little like this…
People who work in care talk about ‘integration’. We want to show what this word really means.
Who are we? And what do we do?
Dave Sweeney
Director of TransformationNHS Halton CCG and Halton Borough Council
• One of a few hybrid Strategic
Commissioners that span both the CCG
and LA.
• Drives fully integrated approach seeing
the pooling of over 42m of
local statutory provision.
• Award winning commissioner
• Passionate about Wellbeing and
harnessing the power of communities.
• Dad of 2 perfect girls-A Director- A
musician and a life long punk rocker!
Catherine Murray-Howard
Deputy Chief ExecutiveCommunity Integrated Care
• Brings creativity, commercialism and
professionalism to the 3rd sector
organisation
• Formative career in commercial radio
(off air!)
• Passion about getting care right and also customer service –commissioners, people we support and their families
• Mum to two grown up boys and a
teenage girl!
• “New Romantic” at heart! (frilly shirts
– the lot!)
And what do we have in common?
That people deserve better lives and the best care
Background to St Luke’s
Successful home for many years
Recent years began to experience occupancy
issues.
Hands-off relationship between the home and
the Local Authority
Losses for many years, becoming untenable…
…and then in 2012
NHS reforms – introduction of the CCG and integration
Worked together to create a true Centre of Excellence
David Lyon, CCG Clinical Lead and specialists became
involved
NHS Halton CCG Clinical Specialists work in the service, a
transformation of its living environment and a focus on
providing true relationship-centred care - delivered by
highly trained staff.
Aims of the partnership…
To maintain the only specialist residential/nursing dementia service in Runcorn by…
Aims continued…
Improve reputation of St Luke’s
Sharing our learning nationally
Create a better living environment of an old
home, to make it more dementia friendly
and person-centred….more of that later
By…
Aligning targets to off-set the prospect of
closure
Creating a Dementia Centre of Excellence
Bringing in Clinical Specialists to the service,
transforming staff skills and forging an
ambitious vision.
Result?Able to support people with acute needs and reduce hospital interventions in the borough.
But for people it can sometimes feel a little like this?…
What did we do?...
The Recipe for Success
The Recipe for Success
Decision Makers
The Recipe for Success
Decision Makers
Real conversations
The Recipe for Success
Decision Makers
Real conversations
Be honest
The Recipe for Success
Decision Makers
Real conversations
Be honestCut through
the ….
The Recipe for Success
Decision Makers
Real conversations
Be honest
Cut through the ….
The Recipe for Success
Decision Makers
Real conversations
Be honest
Cut through the ….
The Recipe for Success
Decision Makers
Real conversations
Be honest
Cut through the ….
The Recipe for Success
Decision Makers
Real conversations
Be honest
Cut through the ….
And the Recipe for Disaster?…
Brace yourself…some of this may shock…
NO…. KPI’s….
NO….
NO….
KPI’s….
Action Plans….
NO….
NO….
KPI’s….
Action Plans….
NO…. Tenders….
Oh and it wasn’t all…
There were some hard-nosed financial discussions…Capital investment was provided by NHS Halton CCG
And now?…
And now?…
On-going support from CCG team
Specially training (Level 2 Dementia course, End of Life
Care)
Environment - cinema, pub and indoor garden, as well
as reminiscence
Home is now full
Just received £100k for refurbishment – community
facility
The results…
Fewer people going into Hospital More people choosing to die at St Luke’s
£££ - now financially sustainable…no threat of closure
The home is the a true centre of excellence…
GP feedback is superb…
National Care Awards – Care Manager
Award – Sue Ashcroft – shortlisted
National Care Awards – Care HousekeeperAward – Monika Golenska – shortlisted
Great North West Care Awards – Dignity In
Care Award – Adrienne Ratcliffe – won!
Great British Care Awards – Dignity In Care
Award – Adrienne Ratcliffe – won!
More importantly…
When you work together and share a vision, amazing things can happen….
So how can our experience help?
Top Tips!• Lift up your nighties!• Don’t wrestle pigs!• Don’t wallow – be proactive• Attract the ‘fizzy’ people – can do…not won’t
do!
• Oh and zero tolerance to…
“ah, the problem with that is…”
“I hear what you’re saying…BUT…”
When you work together and share a vision, amazing things can happen….
