Agenda item

The health and care landscape is undergoing significant change in order to drive a more integrated approach and to maximise use of resources for local health and care benefit. Needs analysis shows that different approaches are needed to improve outcomes and to ensure that people are supported to live as independently as possible in the community and to achieve their potential. This report introduces two areas where transformational approaches are being used to address need, manage demand and achieve outcomes, within reducing resources.

Charlotte Pomery, Assistant Director for Commissioning, provided an update on two areas where transformational approaches were being used to address need, manage demand and achieve outcomes, within reducing resources. 

Ms Pomery commenced her presentation by providing an update on work that was taking place to transform care for children, young people and adults with a learning disability and/or autism, with behaviour that challenges, including those with a mental health condition through the North Central London Transforming Care Programme.

In response to questions, Ms Pomery explained the programme’s objectives were to:

-       Reduce the number of people with learning disabilities and/or autism in hospitals by half by March 2019.

-       Reduce the average length of stay.

-       Eliminate the use of out of area placements.

-       Eliminate existing health inequalities.

-       Transform care and support to be designed around the individual.

-       Improve the quality of life for people with learning disabilities and/or autism and reduce behaviour that challenges.   

During the discussion, consideration was given to a variety of issues, including:

-       Governance arrangements for the North Central London Transforming Care Partnership.

-       Actions to support and managing the discharge of long term patients.

-       The importance of designing and investing in new community services.

-       The use of Personal Integrated Care Budgets.

-       Plans to establish “At Risk of Admission Registers” with  enhanced care for people at risk of hospital admission.

-       Performance monitoring arrangements and the importance of understanding admissions

-       Feedback from a Crisis Intervention Workshop, held on 27 September 2016, highlighting key areas for improvement and resourcing moving forwards.

Ms Pomery went on to highlight work that was taking place to transform Haringey’s day opportunities offer for people with learning disabilities and older people with dementia. It was noted that Haringey’s approach to day opportunities represented a move away from services delivered through building based provision to those that were more personalised to individual needs and preferences. The Panel was informed that, within the new model, service users would be able to access a range of community based opportunities and would be able to access provision in the appropriate Community Hub – whether at the Haynes (for people with dementia) or at Ermine Road (for people with learning disabilities and/or autism).   

During the discussion, consideration was given to a variety of issues, including:

-       The work of FutureGov, including research that had been carried out with users, carers, staff and stakeholders. It was noted that a co-production workshop, held during August 2016, had  helped to identify what worked and what needed to happen next to make the “to be” user journey work for learning disabilities and dementia.  

-       The importance of stimulating and managing the market to ensure a range of providers supported people's needs.

-       Care navigation and the importance of ensuring stakeholders knew where day opportunities were located, how much they cost and how to access them.

-       The importance of accessible and reliable transport.  

-       Making the most of Ermine Road and the Haynes as community hubs.

At the conclusion of the item, the Chair informed the Panel that site visits would be arranged to The Haynes and Ermine Road before 6 March 2017, when Day Opportunities would be considered further by the Panel.

AGREED:

(a)  That the presentations from the Assistant Director for Commissioning, concerning (i) the North Central London Transforming Care Partnership and (ii) Day activities for people with learning disabilities and older people with dementia, be noted.

(b)  That the Principal Scrutiny Officer be asked to organise site visits to The Haynes and Ermine Road before 6 March 2017, when Day Opportunities would be considered further by the Panel.