Agenda item

To receive a report on the background and the latest position with regard to the creation of an integrated Intermediate Care service to operate across the whole of Hampshire.

The Committee considered the report of the Director of Adults Health and Care.  This collaboration is a large-scale program for key findings and improvements in with health and social care partners.  It is fully signed off by all CCGs in Hampshire and offers several key recommendations and an operational model.  It has had an April 1^st, 2018 launch and testing, considering outcomes against very specific metrics.  

In response to questions, Members heard that:

• This is a complex and comprehensive venture that will allow for a cohesive program with transparent goals with collaboration from different organizations with a single shared goal.
• It allows for a streamlined service, shared learning, and better care managed in patients’ own homes whenever possible with optimized resources and benefits.
• With local access points and a hub and spoke framework, there will be a great deal of flexibility and skill in the first responder’s response.
• At this time this service will help Hampshire residents, but the model may be developed further out in the future as needed.
• Existing relationships with other hospitals are well defined and the pathways will be further enhanced.
• Understanding the demand against the current bed stock to ensure optimal levels and positive bed use.
• Communication between organizations and partners will be key to efficiency and better outcomes for patients in managing interdependencies of care
• Setting expectations, transparency, and consistency in developing communication tools to align key messages focused around the user’s pathway.
• Staff will need to be able to manage cultural and organizational challenges and complexities.
• Availability and optimized use of equipment will be a key service investment.
• Case studies and information to clarify the benefits for patients and providers from forerunner projects will be included in the October presentation.
• Funding available will follow the individual and allow the service to evolve with increased capacity and less duplication (Cllr. Craig left at this point)
• Bringing services together under Section 75 will lead to better outcomes and reduce downstream expenditures because users can be supported at the right time and collaboratively be provided better care and prevention

• Staff are currently working together in Totton to deliver exactly this kind of service and the next step is fully functional hub referrals.
• Having a single point of contact will make it easier for the patient to be assessed and have the service user history and information available and data protected for care navigators and collaboration with primary care network GPs
• Collaboration between community assets, voluntary sector, and interdisciplinary meetings will create shared use of resources and support
• Users and carers can be involved in their care and support through transitions
• Integrated intermediate care is already established in many parts of the country and this provides many successful models that are platforms for delivering better care, outcomes, and opportunities (Cllr Warwick left at this point with apologies)

RESOLVED

That the Committee:

a)         Notes and supports the project approach and the direction of travel in seeking to create an integrated health and social care service.

b)         Notes the managerial, service and legal options available in creating an integrated health and social care and endorse the preferred route to organizational alignment and integration.

c)         Requests a further update in October 2019.