Welcome to the latest Joined Up Care Derbyshire Update. Joined Up Care Derbyshire brings together twelve partner organisations and sets out ambitions and priorities for the future of the county’s health and care.

The updates follow each Joined Up Care Derbyshire Board to provide you with details on all the latest developments.

The final Board meeting of the year focused on the core element of the Joined Up Care Derbyshire plan – Place. A blueprint for Place was presented to the Board which set out the thinking that has been developed over the last few months to define what and how will be delivered.

Place is simply – empowering people to live a healthy life for as long as possible through joining up health, care and community support for people and individual communities.

The blueprint was welcomed by the Board and there was unanimous agreement that the work set out by Place is essential to the successful delivery of the Joined Up Care Derbyshire priorities.

It was reported that good partnerships are being established in some of the 21 places and the implementation of integrated teams has taken place in parts and is not consistent across the county. In addition, as a system, we have not yet been able to commit teams of people to the development of each of the 21 places to build the new ways of working.

A working group has now been established to take forward the thinking around these key areas including the number of the places that are likely to change from 21 to a more viable eight which will deliver tailored health and care solutions to each areas population needs. The group has also further defined the main areas of work:

Empowering people with multiple health and social care needs to actively manage their own solutions, allowing them to live the most healthy, happy and independent life as possible.
To support people to be treated in the right place, at the right time and without the need to be cared for in hospital.
Joining up all organisations across the system, using best practice to coordinate consistent care and support for people across Derbyshire.
Focus on local areas needs and tailor support to make sure it has the biggest impact on improving people’s health and well- being.

A draft Governance structure has also been proposed which includes a Place Board that will report each month to the Joined Up Care Derbyshire Board. This will now be worked on and established over the coming months.

The next job for the working group is to set up a Programme Team to drive forward the key areas of work, access the current work and position of each Place, support Places with developing their own plans and enable activities such as the Person Centred Development Programme.

Finance

System finance leaders are continuing to work on understanding the likely end of year financial position for the whole system. Current conversations on contracting between commissioners, organisations which buy services, and providers, organisations that care for you in hospital or your home, are agreeing how we use the resources we have to deliver services we need.

Contracting conversations are expected to be completed in early 2018 and this will help firm up the final year end position for the Derbyshire system.

In addition further analysis work is also being carried out to help identify the financial challenge the Derbyshire health and care system which incorporates the Derby City and Derbyshire County Council financial positions.

By having this clear understanding of where the system will be, for the first time, at the end of March we will be able to plan more effectively for next year.

All members of the Board continue to be in agreement that there is more focus on system wide collaboration, putting in system wide plans to ensure there is collective delivery of the plans by all organisations.

Working together gives us all the best opportunity to offer the citizens of Derbyshire the best possible health and care services and make the best use of the resources we have across the system.

Winter

The Board heard that the urgent care system has seen pressures in early December which reflect those at the highest peaks of last winter.  Derby Teaching Hospitals FT have been implementing their full capacity plan – which means that they have filled all available beds and are taking additional steps to utilise elective surgery beds for medicine – for most of the last two weeks.

In Chesterfield, the pressure has not been quite so intense yet, but Chesterfield Royal Hospital FT is also reporting rising numbers of people attending and acuity of patients requiring admission increases.

The health and social care system is, as ever, working very closely together to alleviate the pressure wherever possible, but the system is very tight and there is significant planning taking place to ensure the system understand the capacity challenges and the flow of patients heading into the Christmas and New Year period, which is notoriously difficult for services.

To find out more about how you can stay well and where to go if you feel unwell visit the NHS Stay Well Derbyshire website.

And finally … Newly appointed Vikki Taylor attended the Joined Up Care Derbyshire board for the first tine as Director of the programme and was welcomed by the Board. To read more about Vikki’s appointment visit https://joinedupcarederbyshire.co.uk/news/