Integration of health and wellbeing

Commissioning an Integrated System for Population Health and Wellbeing

Plymouth City Council and NHS Northern Eastern and Western Devon Clinical Commissioning Group (NEW Devon CCG) formed an integrated commissioning function on 1 April 2015, bringing together over £630 million of Plymouth City Council and NEW Devon CCG funding. This is fulfilling the vision of the Health and Wellbeing Board of integrated health and wellbeing.

The aims of the integrated commissioning system are:

  • To improve health and wellbeing outcomes for the local population
  • To reduce inequalities in health and wellbeing of the local population
  • To improve people's experience of care
  • To improve the sustainability of our health and wellbeing system

We will realise the aims through commissioning in line with four integrated
commissioning strategies. The strategies apply to health and wellbeing services commissioned for Plymouth and the health services commissioned for South Hams and West Devon.

The overarching strategy, along with a glossary document can be downloaded below along with the 2016/2017 action plan for each of the strategies.
Commissioning an Integrated System for Population Health and Wellbeing Strategy Glossary Action Plan 2016/2017

Wellbeing

The strategy and supporting documentation relating to the commissioning of health and social care for wellbeing can be downloaded below.
Wellbeing Strategy Wellbeing Needs Assessment

Children and Young Peoples' Strategy and Supporting Documentation

The strategy and supporting documentation relating to the commissioning of health and social care for children and young people can be downloaded below.
Children and Young People Action Plan Children and Young Peoples' Needs Assessment

Community

The strategy and supporting documentation relating to the commissioning of health and social care community services can be downloaded below.
Community Strategy Community Needs Assessment

Enhanced and Specialised Care

The strategy and supporting documentation relating to the commissioning of health and social care for enhanced and specialised care can be downloaded below.
Enhanced and Specialised Care Strategy Enhanced and Specialised Needs Assessment

Background to the Integration of Health and Social Care Services in Plymouth

Right care, right time, right place

Why integration?

In Plymouth, feedback from the public has frequently told us that they want services to work in a more joined up way to "concentrate on the whole 'me'" and "work together better to serve me."

Historically, health and social care services have been seen as disjointed, with a perception of people being "passed back and forth" between the different services. In recognition of this at a national level, the Government has introduced measures; for example the Health and Social Care Act 2013 and the Care Act 2014,  to make sure health and social care services pool their resources and 'integrate' so that people get the right care they need, at the right time, in the right place – regardless of who may be providing the care. This is also being further cemented with the Better Care Fund, more of which later.

So for all these reasons, we are working to make health and social care more joined up in Plymouth.

Integrated Health and Wellbeing Board
The body that is driving integration forward for Plymouth is the Integrated Health and Wellbeing Board. The Board is made up of representatives from across health and social care commissioners in Plymouth. Find out more about the Health and Wellbeing Board.
 
Integration covers

  1. Commissioning – how will teams from both NHS NEW Devon CCG and PCC do 'joint' commissioning of services in the future
  2. Provision of services – adult social care services provided by PCC and much of community based healthcare provided by PCH. The plan is to bring the two services together
  3. Children and young people's services – although the first wave of integration focuses on adult services, we are also looking at how we can bring both commissioning and provision of children's services more closely together.

Better Care Fund
Plans to improve out of hospital care for the elderly and vulnerable aimed at reducing emergency admissions have been outlined by the Government under the Better Care Fund scheme.

The Better Care Fund aims to bring health and care service providers closer together to make joint decisions, ensuring more people receive joined-up, personalised care closer to home. For more information please view the Better Care Fund website.

Councillor Tuffin on integration

Hear what a leading Plymouth Councillor has to say about integration of health and social care.

Dr Steve Harris on integration

Hear what a GP and the vice chair of the western locality board (NEW Devon CCG) has to say about integration.

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