Community Heathcare Organisations Report & Recommendations of the Integrated Service Area Review Group Frequenty Asked Questions
1. What are Community Heathcare Services? Community Heathcare Services are the broad range of services that are provided outside of the acute hospita system and incudes Primary Care, Socia Care, Menta Heath and Heath & Webeing Services. These services are deivered through the HSE and its funded agencies to peope in oca communities, as cose as possibe to peope s homes. Community Heathcare services focus on keeping you we so that you can continue to ive at home or cose to home through our heath promotion, disease screening, diagnosis, treatment and rehabiitation programmes. You can refer yoursef to most Community Heathcare services or through your GP, pubic heath nurse, community menta heath team, etc. Services are provided as foows: Primary Care incudes your genera practitioner (GP), practice nurse, pubic heath nurse, dietician, dentist, physiotherapist, occupationa therapist, speech and anguage therapist, podiatrist, community pharmacist, psychoogist and others. Socia Care incudes a team of speciaists working together to meet the needs of our oder peope such as home heps and home care teams and incuding day care services, meas on whees, community hospitas and nursing homes. There are aso speciaist teams working with peope with a disabiity through speciaist day, training, home support, respite and residentia services. Menta Heath refers to a wide range of services which extend from enjoying positive menta heath through to severe and disabing menta iness. It incudes speciaised secondary care services for chidren and adoescents, aduts, oder persons, those with an inteectua disabiity and menta iness as we as a range of menta heath promotion initiatives provided by the Nationa Office for Suicide Prevention (NOSP). Services are provided in a number of different settings incuding the service user s own home, day hospitas, hostes and in acute units which are ocated in genera hospitas. Heath & Webeing Heathcare reforms pace considerabe emphasis on keeping peope heathy and we. Community heath care services aready pay a critica roe in promoting heath and webeing by making every heathcare contact count and by working across sectors to create the conditions which support good heath, on equa terms, for the entire popuation. Community Heathcare services pace a strong emphasis on working with communities and individuas to maintain and improve your heath and socia we being. We do this by providing you with an integrated, interdiscipinary, high quaity, team based and user friendy service. Deiver the right service, at the right time, in the right pace, by the right team. 1
2. What is the Report on Community Heathcare Organisations about? Heathcare services in Ireand are undertaking a significant reform programme in ine with Government poicy as outined in its strategy Future Heath. As part of this reform programme, a report The Estabishment of Hospita Groups as a transition to Independent Hospita Trusts was pubished in 2013, which reviewed the organisation and management of our acute hospita services and recommended the estabishment of hospita groups. This is now being impemented. For Community Heathcare services the Report Community Heathcare Organisations was commissioned by the HSE in May 2013, to review our Community Heathcare services. The Report provides a framework for the governance and organisation of a of our Community Heathcare services. When paced aongside the 2013 report on the Estabishment of Hospita Groups, we have a new structure for the most important part of our heath services - the operationa deivery system that interacts with the pubic every day. The foowing extract from this Community Heathcare Organisations report captures the essence of why this Review is necessary: Peope today experience many parts of the service as being very good. However, they experience difficuties in navigating the system due to both compexity and scae of present arrangements. What must be improved is how these parts fit together so that the services are integrated and peope can move smoothy through the system. Staff must be organised in a way that enabes joined-up teamwork, responsive to the assessed needs of the oca peope. In arriving at its recommendations the project team drew extensivey from the wide consutation process, took account of earning from the changes in the heath services since 2005, and earning from nationa and internationa research and experience. An essentia theme underying a of the recommendations in the Report is the importance of deveoping a new, integrated mode of care, which is responsive to the needs of oca communities. This Report emphasises the need for strong eadership and ownership at oca eve, bringing the reationship between primary care and speciaist socia care and menta heath services into a much more focused, ess centraised and integrated approach in each oca area. The changes wi aow the Heath Service to focus on service deivery and decision making at oca eve to: provide better, direct accountabiity; give more decision making back to oca areas; and deiver services in the community through an integrated management structure. 2
The oca services wi be abe to work better together for the pubic, with joined up teamwork in community services, between the community and hospita services and between the Heath Service as a whoe and other pubic bodies. With these new arrangements heath professionas can improve services for the pubic in their own oca areas by providing: better access; services that are cose to where peope ive without reducing quaity; better oca decision making; and services in which communities have confidence. 3. What is Integrated Care? Integrated Care simpy means that a services work together in a we co-ordinated way around the assessed needs of the person. This working together deas with two key issues for any person, community or the popuation. The first is the ease, through which a person can go through the different heathcare services to meet their needs. The second is the quaity of outcome they get at the end of that patient journey. Many peope need to access more than one service. Peope quite often need their Primary Care service. If however they need to go to hospita, have a menta heath condition, an age-reated iness or a disabiity then they may need the Primary Care and speciaist service together at the same time. To achieve this the way in which services are organised and deivered requires carefu panning. Some key features of successfu integration are: carity of purpose and outcomes; strong eadership; and a cuture where the person receiving care and the staff deivering it are empowered. Integrated Care - a services work together centered on the needs of the person. 3
The Report summarised some of the key themes and earning from internationa experience of integrated care which are captured in the iustration beow. Strong governance & accountabiity Its introduction is chaenging for professionas Cuture change Change process must be supported Leadership Journey Integrated Care - Learning Unique cient identifier Standardised processes are critica Can t be achieved in totaity in one go - must be phased Must focus on programmes of care Service user invovement One mode & approach does not fit a Work is underway on the deveopment of standardised modes and care pathways nationay, which, wi support effective integration between a aspects of community services across primary care, socia care and menta heath services and between these Community Heathcare services and the hospita system. A primary focus of the new Community Heathcare Organisations wi be impementing these integrated modes of care at oca eve and the new structures have been designed to support this approach. Mrs O Nei is a 79 year od widow with diabetes, heart faiure and arthritis. She wants quick responsive services from skied heath and care providers that tak to one another and that have a good understanding of a her care needs. This framework wi hep us to provide what Mrs O Nei wants. 4
4. Who produced the Report and how was it compied? The Report was produced by a project team appointed by Tony O Brien, Director Genera, HSE. The Project Lead was Pat Heay, Nationa Director Socia Care and the team incuded heath service personne with a wide range of experience and expertise in the heath system. The Report and its recommendations were informed by widespread consutation and engagement incuding oca meetings with over 600 staff across the 17 existing Integrated Service Area (ISA) Teams, together with meetings invoving over 40 groups of key interna and externa stakehoders. These incuded frontine heathcare staff such as GPs, nurses, therapists and support staff. It aso incuded many vountary and statutory organisations and groups with a roe in Community Heathcare incuding service user representatives and advocacy groups. The Report incuded a wide range of data anaysis, as we as nationa and internationa research. 5. What did the consutation te us? What s Important? 4 Integrated Care for peope and their famiies 4 Equity of access 4 Choice for peope in what services they receive and how they receive them 4 Responsive and fexibe services 4 Loca Identity 4 Linkages with oca communities and pubic bodies 4 Sustainabe organisationa and cutura change 4 Deivering high quaity and safe services. Areas for improvement 4 Autonomy to deiver services to oca popuations 4 Engagement with stakehoders, advocacy groups and service users 4 Focus on outcomes 4 Standardise eigibiity 4 Evidence-based decision making 4 Manpower and recruitment panning 4 ICT and standardised business processes 4 How we coect and manage information about the services we provide. 5
Peope need to experience an integrated response in appropriate settings. Organisationa structures must be designed to support integrated care Governance and management for Primary Care Teams and new Primary Care Networks (to be estabished) is critica, as is carity around arrangements for GP engagement in the process. Throughout the consutation process the wider concept of community was emphasised. It is at this oca eve that individuas, community and vountary groups, sporting partnerships, oca schoos, businesses, Primary Care Teams, community gardaí, oca authority staff and others can interact to work together. The consensus was that the new Community Heathcare Organisations shoud embrace this wider concept of community and shoud be deveoped in a way that supports and enabes oca communities to meet the needs of their peope. 6. What has the Report recommended? The Report sets out a range of measures, which wi ensure that heath service deivery structures for Community Heathcare services are appropriate to achieve nationa poicy objectives whie deivering better, more integrated and responsive services to peope in the most appropriate setting. In re-organising our Community Heathcare services, to successfuy deiver an integrated mode of care, the Report recommends: The estabishment of nine Community Heathcare Organisations, which are the best fit to deiver an integrated mode of care. Deveop 90 Primary Care Networks, averaging 50,000 popuation to: n support groups of Primary Care Teams; and n enabe integration of a services for a oca popuation. Reform Socia Care, Menta Heath and Heath and Webeing services to better serve oca communities: n through standardising modes and pathways of care whie deivering equitabe, high quaity services; and n supporting primary care through deivery of rapid access to secondary care in acute hospitas and speciaised services in the community. Community Heathcare Organisations (CHOs) The Report recommends the estabishment of nine Community Heathcare Organisations (CHOs) with the appropriate governance and management arrangements for the future deivery of Community Heathcare services at oca eve. They wi: enabe and support integrated care - n within Community Heathcare services; n between the community and acute hospita services; and n with wider pubic service organisations such as oca authorities, chid & famiy agency, education and oca vountary organisations, etc. Deiver the mode of service envisaged in Future Heath over time. 6
The Report positions Primary Care at the centre of deivering services to around 90 oca Primary Care Networks across the country, with average popuations of 50,000 with better, more integrated access to speciaised services in Socia Care, Menta Heath and Heath & Webeing. The primary focus of these CHOs wi be on service deivery within a nationa framework responsive to the needs of oca communities. In effect, every arge town and hinterand and every arge district of a city wi be supported through a Primary Care Network. Primary Care Networks This new structure deveoped around Primary Care Networks, for the first time paces an identified, accountabe person as responsibe for actua service deivery to a defined oca popuation averaging 50,000. This person, working with a GP Lead, wi prioritise and manage the deivery of primary care services, whie ensuring effective integration of other speciaised services e.g. socia care, menta heath and access to acute hospita provision. The new roe of a GP Lead wi hep invove GPs in the management and deivery of Community Heathcare services with their HSE coeagues and other community and vountary providers. In summary 90 Primary Care Networks of 50,000 average popuation wi be deveoped across the country average 10 Networks per CHO. Leadership of the Network wi be provided by re-assigning existing senior professiona, management and cinica staff to the new eadership roes as the identifiabe and responsibe manager of the Primary Care Networks, working with a GP Lead. Consequenty these changes wi take pace within existing resources. The current roe of the Heads of Discipine wi be redesigned to provide the necessary cinica governance and supervision across a Primary Care Networks. Greater participation by GPs at Primary Care Network eve, with the estabishment of the GP Lead for each Network, supporting the Network Manager in deveoping professiona reationships, innovative soutions and muti-discipinary approaches to chaenges within the Network. The roe of Team Leader wi be estabished for each Primary Care Team, with protected time from their day job, to undertake this important roe. A Key Worker wi be assigned to support peope with compex needs. The Network wi ensure the maximum provision of primary care services ocay, and wi support appropriate access to speciaised services e.g. socia care, menta heath, etc. for the peope iving within the Network. Reforming Socia Care, Menta Heath and Heath & Webeing At nationa eve, a number of integrated cinica programmes are in deveopment to ensure that patients and cients receive a continuum of diagnostic, care and support services, according to their needs over time and across different parts of the heath system. This wi provide the heath 7
service with the capabiity of designing and agreeing cinicay-ed, muti-discipinary, cross-sector, integrated modes of care. The deveopment of these standardised modes and care pathways nationay wi support effective integration between a aspects of Community Heathcare services across primary care, socia care and menta heath and between these Community Heathcare services and the acute hospita system. A primary focus of the new Community Heathcare Organisations wi be to impement these integrated modes of care at oca eve and the new structures have been designed to support this approach. 7. What does this Report mean for peope accessing Community Heathcare services? You are probaby asking yoursef what wi I gain from these new Community Heathcare Organisations, Primary Care Networks and how wi they be different from before? The team working on this Report asked themseves and those with whom they consuted during the Review the same question. The findings from the Review and subsequent recommendations are our response to this question, which is about: making it easier for the person in the oca community to: access services; navigate through the services from Community Heathcare services to acute hospitas and discharge back to community. (Standard care pathways for patients going in and out of Community Heathcare services and acute hospitas wi be deveoped); and receive the right service, at the right time, in the right pace, by the right team and ink between the heath service, oca authorities, Chid & Famiy Agency, Gardaí and other pubic bodies and community organisations. providing the person in the oca community with Community Heathcare services that: are as cose to a person s home as is practica; meet high quaity, safety and vaue for money standards; are consistent throughout the country where-ever you may ive; oca communities can have confidence in; staff have pride in; make the most effective use of resources and provide vaue for tax payer s money; and give oca ownership and responsibiities to staff and associated agencies for the heath status of their oca popuation. Staff with more autonomy and decision-making abiity at oca eve. 8
At oca Network eve: Each of the 90 Primary Care Networks wi be ed by a person, working with a GP Lead and a team of professionas, responsibe for ensuring the deivery of primary care services and integration with the other services provided in the Network. The Network Manager, working with cinicians wi champion the needs and requirements of those iving in the area that their Network covers. This wi ensure that appropriate care pathways are deveoped and other services deivered to those who need them. Staff working in Primary Care Teams, Menta Heath Services, Edery and Disabiity Services, (your GPs, pubic heath nurse, community menta heath team, home care staff, etc.) wi have more autonomy in terms of oca decision making around service needs. The Networks wi have oca accountabiity for each service, thus providing you with coser access to decision makers in Community Heathcare. Patients and service users with compex care needs wi have a named Key Worker from the oca Primary Care Team assigned to them. This Key Worker wi ensure that peope with compex care needs experience integrated and co-ordinated care as they move across services in their communities, for exampe a person needing a of the foowing: day care, meas on whees, respite and home supports, acute hospita services, menta heath supports and disabiity services. At a CHO eve, the focus is on: Deivering services ocay to you based on nationay prescribed frameworks, so that everyone iving in Ireand wi have standard Community Heathcare services. Management teams providing the eadership and operationa autonomy to the Networks to deiver integrated services that address the needs of oca communities. Invovement of cinicians in the management team at CHO eve through the GP Lead and the Lead on Quaity and Professiona Deveopment wi ensure the necessary focus on quaity and safety of service deivery and supporting cinica eadership, professiona deveopment and ro out of programmes of care. Working cosey with pubic sector bodies such as oca authorities, Chid & Famiy Agency, Education and Gardaí in responding to the needs of oca communities. 8. What is the recommended composition of the Community Heathcare Organisations? The Report recommends the estabishment of nine Community Heathcare Organisations (CHOs) and the necessary governance and management arrangements. The recommended CHOs must support and enabe integrated care and it must do this at a number of eves: Integration between the different parts of the Community Heathcare services. Integration between the tota Community Heathcare services and acute hospitas. Integration with wider pubic services organisations e.g. Loca Authorities, Chid & Famiy Agency, Education, An Garda Síochána, Loca Vountary Organisations, etc. 9
The nine Community Heathcare Organisations are outined beow: 9. Based on a the factors why has the Report recommended nine Community Heathcare Organisations? This option of nine Community Heathcare Organisations is viewed as the most appropriate one to deiver the significant reform and responsive service envisaged in Future Heath. This option of nine has the foowing features: It meets a broad range of the defined criteria; It meets a key requirement of inking Primary Care Networks of teams and secondary care in acute hospitas; It provides a very strong basis for inkage with oca authority boundaries, both county councis and the proposed Regiona Assembies in the future; It provides the best fit in striking the right baance between an organisation of sufficienty arge scae to support organisation and business capabiity, whie at the same time being sufficienty sma scae to provide the oca community connection and response required to deiver integrated care; It accounts for cross-border inks and connections; and The re-organisation of governance and management arrangements wi be deivered from within existing resources. 10
10. How wi these new Community Heathcare Organisations work? Each Community Heathcare Organisation (CHO) wi have a Chief Officer in the area who wi ead a oca management team that incudes focus on a of the speciaist services in their area. Each CHO wi operate through an average of 10 Primary Care Networks comprising of GPs, nurses and aied heath professionas. Each Network wi service a popuation of approximatey 50,000. Leadership and management of the Network wi be provided by appointing existing senior staff to new roes. There wi be a GP Lead for each Network, which wi hep provide for greater participation by GPs. The Network Manager wi manage a Primary Care services in their oca area and wi aso ead on integrating the Primary Care Teams with the Socia Care and Menta Heath services for that 50,000 popuation. The current Heads of Discipine (e.g. nursing/occupationa therapist/physiotherapist/ speech & anguage therapist manager) roe wi be redesigned to provide the necessary cinica governance for their own discipine, across a Primary Care Networks. Each Primary Care Team wi have one ead member with protected time, from their day job, to co-ordinate the daiy working arrangements. When a Team is deaing with a compex case a Key Worker wi be assigned to support everyone invoved. 11. Who wi manage the Community Heathcare Organisations? The Chief Officer, working in ine with nationay agreed frameworks and reporting arrangements, wi have fu responsibiity and accountabiity for the deivery of a Community Heathcare services in the area, ensuring appropriate integration with acute hospita services and other pubic bodies. Each Community Heathcare Organisation (CHO) wi have a management team as foows: Management / Leadership Team The Head of Primary Care wi have fu responsibiity and accountabiity for primary care service provision across Networks and Primary Care Teams. He/She wi aso focus on Socia Incusion. The Head of Socia Care wi have fu responsibiity and accountabiity for service provision for oder peope and peope with a disabiity, impementing standardised modes and pathways of care to support integration. The Head of Menta Heath wi have fu responsibiity and accountabiity for menta heath service provision. The Head of Heath & Webeing wi have fu responsibiity and accountabiity for ensuring Heath and Webeing reforms and poicies are fuy impemented throughout each CHOs structure and services. This person wi work cosey with other heads of service to drive improved heath outcomes for patients and service users. The Lead Quaity & Professiona Deveopment wi provide assurance that the appropriate cinica governance and reated assurance frameworks are in pace in respect of a services throughout the CHO area. 11
The GP Lead wi be a key infuencer on decision making at management team eve. In particuar, this position wi support the deveopment of the Primary Care Networks and the service deivery arrangements in order to ensure responsiveness to the needs at Primary Care Team eve. Business Management - The Heads of the Business Support functions wi operate within the context of the nationa shared services arrangements. These positions wi ead their respective functions in support of efficient and effective service deivery. In particuar, they wi be responsibe for achieving the benefits of scae arising from nationa frameworks in areas such as procurement within the CHO area. The diagram beow iustrates the CHO s management structure: Chief Officer Lead - Quaity & Professiona Deveopment GP Lead Head of Primary Care Head of Socia Care Head of Heath & Webeing Head of Menta Heath Business Management Head of Finance Head of Human Resources Quaity & Safety, Standards & Professiona Deveopment Leadership Team: - Medica Lead - Nursing Lead - Aied Heath Professionas Lead Primary Care Networks (Between 8-14 networks per CHO) 90 Networks Nationay 50,000 avg. per network Network Manager GP Lead Primary Care Teams Average 5 per network Muti-discipinary working Heads of Discipine CLINICAL LEADERSHIP PROFESSIONAL DEVELOPMENT PROGRAMMES OF CARE Head of Corporate Support Services (ICT, Estates, Comms, Lega) The detais of these new arrangements wi be impemented in consutation with staff associations and representative bodies in ine with the Pubic Service Stabiity Agreement (Haddington Road). The deveopment of the GP Lead roe and its specifications wi be undertaken in coaboration with the Irish Coege of Genera Practitioners (ICGP) and other reevant representative bodies. Cinica staff and GPs wi be appointed to management teams bringing professiona staff coser to patient decision-making. 12
12. How wi the changes, outined in the Report, affect staff working in Community Heathcare services? Change impacts on every aspect of the way we work, the way we reate to each other and how we pan and deiver services for the benefit of patients, service users and oca communities. The reorganisation of Community Heathcare services and the move to an integrated care mode wi aso bring chaenges and opportunities as with a change programmes. From the consutation and the internationa experience, the Report identified a number of important themes in terms of supporting our staff in moving through this change journey. Staff Must be incuded in the decision-making process. Must be enabed and supported throughout the process. Must be trained in the knowedge and skis required to make integration a success. Mutidiscipinary/interdiscipinary staff training and deveopment can hep break down barriers and smooth cutura differences and faciitate a unified approach to patient care. Staff commitment is equay necessary for success. Leadership Strong eadership wi be required at a eves and must be supported and deveoped from the top and at various eves in the process. Buy in from cinicians is essentia - cinicians to act as eaders. Buiding a coaition of support among staff and their oca communities. The HSE recognises the chaenges of working in an integrated way are significant and wi need to be supported through a comprehensive human resource strategy. This wi incude an appropriate investment in education and training with appropriate mentoring, and deveopment of eadership and management skis. The changes in management and governance structures outined in the Report incuding the estabishment of 90 Networks wi ensure staff have a greater say and are invoved in decision making at a more oca eve, focused on the needs of the service users in their Network. The Networks wi provide staff with the opportunity to work with coeagues from other discipines in a new, dynamic and integrated manner. The current Heads of Discipine roe (e.g. nursing/occupationa therapist/physiotherapist/speech & anguage therapist manager) wi be redesigned to provide the necessary cinica governance system and technica supervision, for their own discipine, across a Primary Care Networks. Communication and stakehoder engagement is an essentia enaber of change. Key stakehoders such as staff, patients and service users, representative and professiona bodies and others shoud 13
fee part of the change and that their views are istened to. This approach wi inform a comprehensive communication effort throughout the change programme. A these new arrangements wi be impemented in consutation with staff associations and representative bodies in ine with the Pubic Service Stabiity Agreement (Haddington Road). The same approach across the nine CHOs wi mean greater consistency for everyone in Ireand accessing heathcare service, pubic and staff aike. 13. How wi Community Heathcare services ink in with the acute hospita system? The HSE is committed to improving integration between acute hospita and Community Heathcare services. The new Community Heathcare Organisations (CHOs) and Hospita Groups wi be required to work activey together to improve the connection between the services and to ensure that peope experience continuity of care and fu impementation of the new nationa standardised modes of care. Work is underway on the deveopment of standardised modes and care pathways nationay, which, wi support effective integration between a aspects of Community Heathcare services across primary care, socia care and menta heath services and between these Community Heathcare services and the hospita system. The Chief Officer and the eadership team within the CHO wi have fu accountabiity for the deivery of a Community Heathcare Services within the area and for ensuring the appropriate integration with acute hospitas and other speciaist services. At a more oca eve the new structure around Networks of 50,000 popuation with effective mutidiscipinary working, a GP ead and an identifiabe manager responsibe for service deivery and integration provides a strong basis for ensuring connectivity between Community Heathcare and acute hospita services. Cose inks between Community Heathcare services and acute hospitas. 14. Wi the changes outined in the Report require additiona resources? The estabishment of Community Heathcare Organisations (CHOs) and the associated governance and management arrangements as outined in the Report wi be impemented from within existing resources. The changes wi invove a reduction from the current 17 Integrated Service Areas (ISAs) to the nine new community CHOs, which wi see a reduction in management structures at a senior eve as the programme is roed out. The estabishment of the 90 Networks wi invove reorganisation of services with new roes and responsibiities, which wi be achieved through the re-organisation and re-assignment of existing resources and staff. 14
The re-organisation wi aso provide significant opportunities to optimise efficiencies through shared services and deveopments. The HSE has recenty estabished Heath Business Services (HBS) a shared services unit that is designed to meet the future administration needs of the heath system both statutory and vountary. The move to nine CHOs wi aow HBS to deiver effective pubic administration across the areas of estates management, ICT, procurement, payro, pensions and recruitment to these organisations. Moving to create a significant scae and management capacity in the nine CHOs wi hep deiver pubic vaue through scae. 15. How wi the Community Heathcare Organisations be estabished? The Community Heathcare Organisations (CHOs) wi be estabished in a timey, efficient and safe manner that recognises the importance of change as we as the need for services to continue during the change. It is essentia, to ensure the continued, effective management and organisation of the service and to progress impementation of the reform programme, that we move rapidy with the impementation of the recommended nine CHOs. This re-organisation can take pace smoothy within the existing governance arrangements of the Heath Service Directorate. A nationa steering group wi ead this important transition. 16. What are the next steps? Communication & Engagement: Phase 1: Foowing the aunch of this Report there wi be an intensive communication and engagement process to provide an opportunity for briefing and feedback to a stakehoders, incuding those invoved in the origina consutation, together with staff and key partners in each of the nine identified Community Heathcare Organisation (CHO) areas. Parae to this there wi be nationa communication with a reevant stakehoder groups in the wider heath community. Phase 2: Wi invove a more in-depth process of communication and engagement with a stakehoders as part of the impementation process, incuding comprehensive engagement with staff associations and representative bodies and service user representatives. Impementation: A comprehensive governance process to oversee the impementation of the Community Heathcare Organisations (CHOs) reform programme, has commenced. A nationa steering group wi oversee the impementation of this Report s recommendations. Together with the pubication of the Report a high eve impementation agenda is being deveoped. The first step towards impementation wi be the appointment of the CHOs Chief Officers in the ast quarter of 2014 with a view to taking up responsibiity in January 2015. 15
Community Heathcare Organisations Our vision and what they wi deiver for pubic and staff Programme Vision To To create create organisationa organisationa arrangements arrangements where where the the required required eadership eadership and and operationa operationa autonomy autonomy exist exist to to fufi fufi the responsibiity of deivering and managing integrated services that address the needs of oca the responsibiity of deivering and managing integrated services that address the needs of oca communities. communities. What it means? 99 Community Community Heath Heath Organisations Organisations & & Management Management Teams Teams in in pace pace Loca Loca accountabiity accountabiity through through circa circa 90 90 Networks ofnetworks of co-terminus community 50K 50K popuation popuation for for a a services services Consistent and easy access for users to go through and out of the Heath Service. Services that staff have pride in. What it deivers? Provision of services as cose to a person s home as is practica, subject to appropriate quaity, safety and vaue not being compromised. Effective and safe services of a consistent high quaity that oca communities have confidence in. The most effective use of resources & equitabe resource aocation. 16 A shift in care deivery in ine with the emerging integrated care modes. Focus Focus on on deivery deivery through through Network Network Teams Teams with with an an emphasis emphasis on on integrated integrated services services across across Primary Primary Care Care,and Community Community Speciaist Speciaist Services Services -and Socia Care and Menta Heath Acute Hospita Services and Acute Hospita Services Ownership and responsibiity for the heath status of oca popuation. Efficient patient pathways across communities and hospitas. Synergies from continuing / reconfiguring services
Murphy Print & Graphic Design 064 663 4650