Integrated care

What is integrated care?

People benefit from care that is person-centred and co-ordinated within healthcare settings, across mental and physical health and across health and social care.

For care to be integrated, organisations and care professionals need to transform care to bring together all of the different elements of support that a person needs.

A person’s care may be provided by several different health and social care professionals, across different providers. As a result people can experience health and social care services that are fragmented, difficult to access and not based around their (or their carers’) needs.

Delivering integrated care is essential to improving outcomes for people who use health and social care services. Reducing gaps and inefficiencies in care should also be able to offer some opportunities for financial savings.

Find out more about integrated care at GOV.uk.

What are the local integrated care programmes?

  • Healthy Wirral

    We all know that people across the country place a very high value on the NHS and are protective of the services it provides.  However, the way in which healthcare is delivered today in the 21st century is very different to when the NHS was established in 1947 and the NHS is now facing increasing challenges for a number of reasons.

    In response to these rising pressures, the NHS has published its Long Term Plan. This follows a commitment for increased funding to the NHS by the Government. The plan places a great emphasis on closer working between health and social care, helping people to stay healthy and preventing people becoming unwell. There will also be more use of digital technology and health and care staff working together as teams to deliver better care to people.

    So what does this mean for Wirral?

    Wirral will receive extra money but this is not the only answer to the things we must do to make our local health and care system work better and to be sustainable.  Wirral has some significant challenges including:

    • An already difficult financial position – we are consistently spending more than we receive so we need to do things differently
    • Pressures on our local NHS services means more people are waiting for longer to get the care and treatment they need
    • Wirral has an older population compared with the rest of England and this requires extra resources
    • The gap in life expectancy in Wirral is 10 years – people in West Wirral will live 10 years longer compared to those in Bidston

    We also know that many people do not get the ‘joined up’ health and care they need because different services are provided by different organisations and this can sometimes result in delays and creates extra pressure for our local services.

    In order to make thing better, the local NHS organisations along with Wirral Council have formed the Healthy Wirral partnership and we will be working with our staff and the public to make our local health and care services better and sustainable.

    How will we do this?

    We have already integrated our commissioning functions across health, social care and public health.  This means that our planning will be more joined up and will work better. 

    We also want to change the way in which we plan services. At the moment we plan services for the Wirral as a whole and we want to make some of our services more tailored to the needs of local communities.  We call this ‘Place Based Care’.

    What does it mean for people?

    People won’t see services change immediately.  We have developed our Healthy Wirral Plan for the next 5 years and this incorporates the requirements of the NHS Long Term Plan and details our priorities and how we will go about doing our work. It’s important that we carefully consider what we need to do and engage the people of Wirral in seeking views and opinions.

    We do know that in the future more services will be organised locally and people will supported better by a range of professionals, some of which will be new such as Social Prescribers and Physicians Assistants. This also means working more with voluntary organisations and groups to help people stay healthy and active in their local communities.

    It is also important that we understand the wider reasons why some people lead less healthy lives than others. Our partnership with Wirral Council ensures that factors such as housing, education and local environments are considered and we can all work together to support people to lead healthier lives.

    Place Based Care in Wirral has taken significant steps in 2018 with the formation of Wirral neighbourhoods. Wirral has been divided into nine neighbourhoods, all with a population of communities between 30-50,000 people.  We have started to use the information we have to determine what the people in these neighbourhoods need.  The recent introduction of Primary Care Networks as part of the Long Term Plan compliments our neighbourhood approach, recognising the importance of the role that General Practitioners and primary care staff play in local communities.

    The Healthy Wirral Partners are committed to engaging the people of Wirral as we move forward with our plans.  There will be lots opportunities to give your views and get involved in shaping your local health and care services.

  • Joining up Care in West Cheshire

     

    The local NHS and Cheshire West and Chester Council is committed to developing a joined-up health and care system that is safe, affordable and, most importantly, meets the needs of the people of Cheshire West.

    In Cheshire West we have a strong track record of working together but we know we can do even better to deliver long-term changes that are backed by investment. Our plans to further join up care in Cheshire West have been carefully thought through, led by clinicians and frontline staff and shaped by the experiences of local people.

    Joining up health and care will help the people of Cheshire West live longer, healthier lives at home, or in a homely setting. Patients will be at the centre of all decisions and will receive higher standards of quality and safety.

    Read more about the Cheshire West Integrated Care Partnership by reading the Joining up Care in Cheshire West document

    Read the Cheshire West Integrated Care Partnership FAQs

  • Connecting Care in Cheshire

    Connecting Care in Cheshire is supported by Cheshire West and Chester Council and Cheshire East Council, along with the four local Clinical Commissioning Groups. The vision is that within three years residents of Cheshire will enjoy a better standard of health and wellbeing. It is based on implementing models of care and support based on integrated communities, integrated case management, integrated commissioning and integrated enablers.

    Find out more about Connecting Care in Cheshire

  • Caring Together

    Caring Together aims to deliver a new system of health and social care across Eastern Cheshire that joins up local care for all our wellbeing. It is about the providers of care working with the people who receive care, their support networks, family friends and carers.

    Find out more about Caring Together.

Cheshire Care Record 

What is the Cheshire Care Record?

The Cheshire Care Record is a collaboration between health and social care services across Cheshire and will give all health and social care professionals access to more detailed shared notes than ever before.

Cheshire and Wirral Partnership NHS Foundation Trust, GPs, hospitals and social care services will automatically feed the care record with useful information including test results, medications and allergies to enable you to more informed decisions about person-centred care. 

What does this mean for me?

  • You don't have to keep repeating your health or social care history
  • You will receive the right treatment and care
  • There will be a reduction in duplicate appointments and tests

Who will be able to see my care record?

Your care record will only be accessed by health and social care professionals. You will be asked to give consent for all relevant professionals to view your record.

 Find out more about the Cheshire Care Record.

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