“If we can’t make it work here, then it won’t work anywhere….”

John RiversChairman, Isle of Wight CCG

Introduction to My Life a Full Life & Vanguard Simon Paul & Jacqui Skeel

MLAFL story so far

Vanguard progress so far

What next

Summary and Close

Format for the session

About ‘My Life a Full Life’Why we are unique

Care on the Island will be shaped around people’s individual needs

and managed by them. Our model focuses on keeping people happy and

healthy through self-care and self-management.

Working together is nothing new for us. My Life, A Full Life is already working across organisational

boundaries, sharing resources and expertise.

We’re already on the way – but we can go further and faster with your

help!The age and wellbeing of the Island’s current population is a reflection of

how the rest of England’s population will be in 20 year’s time. If we can

get care right here, we can lead the way for the rest of the country.

We have an incredibly active voluntary sector on the Island, along with strong communities. Both are at

the core of the My Life, A Full Life model.

Our starting point for going forward

Prevention and Early Intervention – accessing information and support

Establishment of an Integrated Access hub

The formation of 3 integrated locality teams

Our three key projects

Key

Stati

stics GP

Registered population

of

2.5mvisitors per annum

Large summer music festivals

2 1

2

3

Why we are the perfect Vanguard site Strong My Life, a Full Life brand Single system, single boundaries

(NHS Trust, CCG, Local Authority) Strongly engaged community

Only accessible by sea and air

380 km2

141,857

My Life is a Full Life

I’ll no longer be a

patient or a

client – I’ll be a person

I have access to a range of support

that helps me

to live the life I

want

I can plan

ahead and keep

control at times of crisis

Integrated Locality Teams

Prevention and Early Intervention Integrated Acute ServicesIntegrated Single Point of

Access

I am able to

get skilled advice to plan my care

and support

I have consider

ate support delivere

d by compete

nt people

I feel valued for the

contribution that I can make

to my communi

ty

I have access to easy

to understa

nd informat

ion

Evaluation, continual improvement and sharing lessons learned

Vision

What do people want?

What will we do?

One Technology-

Enabled Care System

One Island £ One Leadership One Information

One Empowered People and Workforce

How will we do it?

My Life a Full Life - Our Vision & Ambition

Vanguard progress so far…May 2015 One of 29 sites approved for Vanguard, NHS England visit

June My Life a Full Life submitted a funding request for £8m to support the further development

of the integration programme

August £8m My Life a Full Life funding request is approved by NHS England Investment Committee Workstream leads identified / initial discussions on project plans

September The first tranche funding is released Governance starts to be set up Project plans start to be developed Interdependencies start to be identified

By the end of December 2015 Final 2015-16 funding release request to be received by NHS England The next Value Proposition (2016/17+) to be ready for submission to NHS England Interim MLAFL Programme Director and WISR Project Director in place until substantive

appointments made Governance processes agreed and in place, with the My Life A Full Life Board meeting

fortnightly Consistent programme management office methodology adopted Work-streams established & interdependencies mapped Project charters & plans developed with work-streams

Vanguard progress so far…

5 year forward view

Integrated Primary & Acute Systems (PACS)

GP, Hospital, Community & Mental Health

Multi-specialty Community Providers

(MCP)

Enhanced Health in Care Homes

Work streams comprise: Four ‘Service’ work streams, which will deliver the ‘person-

centred’ outcomes across the system. Six ‘Enabler’ work streams, which will deliver the

requirements that underpin the Service work streams.

VANGUARD

Immediate priorities Programme management office Workforce infrastructure Whole Integrated Service Review Continue developing the work-streams and supporting the project teams to:

Accelerate pace of change Developing robust delivery plans, ensure interdependencies are included within the

next level of planning Firm-up milestones and reporting arrangements through PMO Coach and build internal capability Develop business cases for funding release

What next?

Focus 1: Prevention & Early Intervention Recruitment of Local Area Coordinators Development of an Island-wide Prevention and Early Intervention Strategy

Focus 2: Integrated Access Establishment of an Integrated Access point that includes but is not limited to; hospital, ambulance

(999 and 111 calls), out of hours GP, district nursing, multi-disciplinary community support teams, mental health, social care and the voluntary sector.

Focus 3: Integrated Locality Teams Establishment of three locality teams that are led by primary care, lead nurses, and social services Appointment of three GP Locality Leads and Lead Locality Nurses Development of a strategic partnership with health and social care

Focus 4: Whole Integrated System Review Agreement of the scope, objectives, and guidelines by the My Life A Full Life Board The Review is anticipated to start in December 2015.

What next?

Next steps: Enabling WorkstreamsLeadership, workforce and organisational development Identify leadership development interventions to support a system wide development

framework. Development of a central 'development directory' to support the creation of the 'centre

of excellence‘

One Information and technology enabled care, infrastructure, estates Develop technology strategy for enabling shared health and care records Review current estates and buildings, and develop a strategy in line with estates to

provide access for personnel in any building.

Organisational Integration and Form Review the current corporate support functions and conduct initial scoping to lead into

an options appraisal Develop the Joint Provider Board and further develop the Joint Commissioning Board

Strategic Commissioning and One Island £ Design road map to deliver One Island £ Commission as a Single Entity; engagement and co-production with councillors, GP

members, health-watch and governing body Develop new contracting models to enable innovation and collaboration

Evaluation and Measurement Develop My Life a Full Life evaluation framework for each workstream Develop tools to gather qualitative and quantitative data from staff and service users Gather and analyse metrics for base line data

Communications, Engagement and PMO Develop and implement communication and engagement strategy and Develop plan for roll out of shared language / plain English approach (for new docs) to

include health / care services Establish and support quarterly forum and regular meetings for engagement and co-

production partners

Next steps: Enabling Workstreams

Summary and Close

Contact us: Jacqui Skeel - jacqui.skeel@iow.nhs.ukSimon Paul - simon.paul@iow.nhs.uk

Keep posted - www.mylifeafulllife.com