Sharing and embedding the Transformldn programme

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Earlier in the summer we held an event, which focused on sharing and embedding the TransformLDN programme.

Transformldn has brought together health and care stakeholders, from across London to co-create Our Declaration a set of “foundations” required for “good community services”. This has been developed by the view of hundreds of staff across all London boroughs, then tested and reshaped based on service user and carer feedback. The result is a combined declaration of what service users and staff want from London’s community services.

In response to the London CCG office and the emerging Vanguard landscape, following the publication of the Five Year Forward View, we have also undertaken engagement with community services staff to look at a specific model of community based care – what makes a good Multispecialty Community Provider, to help the design and delivery of this new model of community based care.

At our sharing and embedding the programme event commissioners and providers of health and social care worked together to develop an action plan for taking this work forward and embedding it into practice. The analysis and collation of the conversations had on the day have led to both a set of core recommendations and specific recommendations for different groups.

Core Recommendations

  1. Communications and dissemination: we need to begin a communications and dissemination exercise to share the outputs of this programme both locally and nationally to both share learning and gather feedback. This will help to get more organisations to sign up to the declaration and features of MCPs including health and wellbeing boards, commissioners, providers, local authorities and the voluntary sector.
  2. Creating measurable outcomes: we need to use the declaration and the features of MCPs as tools to create a quantifiable baseline to benchmark services across London. We can then turn the declaration and features of MCPs into measurable outcomes that can be used by organisations to monitor progress and performance.
  3. Building partnerships: we need to use the declaration and features of MCPs as tools for building partnerships and starting conversations with other organisations and sectors. To help with this the declaration and the features of MCPs need to be aligned with other work, including the BCF, Healthy London Partnership and primary care transformation work – creating a common vision for the future of London’s community-based services.
  4. Continuing engagement: the engagement methodology used by the transformldn network should be seen as a benchmark for future engagement activity in this area. The methodology could be used at a local level to add to the evidence base for this way of working and create the local case for change.

Recommendations for Specific Groups

Commissioners

  • Every CCG board should state their position and direction of travel on MCPs and other community based care models.
  • CCGs need to be explicit about how the foundations of the declaration are going to work in practice, expanding the declaration to provide specifications and guidance to support procurement.
  • The business model to support the declaration and the features of MCPs needs to be created – this will make the benefits and outcomes of designing services in this way explicit.
  • The declaration and the features of MCPs should be used as a baseline to assess the current state of services and identify opportunities for improvement.
  • The declaration and the features of MCPs need to be aligned with the Better Care Fund deliverables.
  • The declaration and the features of MCPs need to be used to rewrite Key Performance Indicators to ensure that they are outcome related.
  • More work needs to be done to involve social care – the declaration and the features of MCPs should act as tools to support these conversations and partnerships.
  • The declaration should be used as a tool to support the co-design of services with local communities and service users.
  • The declaration and the features of MCPs should be used to develop outcomes based commissioning models across health and social care.

Providers

  • The declaration and the features of MCPs should be used as tools to create a baseline of where services are to inform plans for future development.
  • More work needs to be done to involve social care – the declaration and the features of MCPs should act as tools to support these conversations and partnerships.
  • The declaration should be used as a tool to gather the views of service users on the future development of services.
  • The declaration and the features of MCPs should be shared with acute colleagues and used to initiate conversations about the interactions between services and areas that could be improved.
  • The declaration and features need to be used as tools to foster a united vision amongst the breadth of providers who make up the community sector.

Local Authorities

  • The declaration and features need to be used as tools to foster a united vision amongst the breadth of providers who make up the community sector.
  • The declaration and the features of MCPs need to be used as evidence of a direction of travel, to help combat risk aversion and continue the shift towards more personalised services.
  • The declaration and the features of MCPs should be used to support local discussions about joined up working between health and social care.
  • The declaration and the features of MCPs should be used to develop outcomes based commissioning models across health and social care.

Do you agree with these recommendations? Can you think of better ways to share and embed the Transformldn work, or is there something we have missed?

Please let us know what you think about the recommendations and what the priorities are for taking this work forward by emailing eileen.bryant1@nhs.net

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