Flintshire Learning Disability Integrated Care Management Service

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Flintshire Learning Disability Integrated Care
Management Service

• Angela Wilson, Project Manager Learning
  Disability Integrated Services

Angela Wilson Project Manager Learning Disability
Integrated Services
Angela Wilson Project Manager Learning Disability
Integrated Services
Angela Wilson Project Manager Learning Disability
Integrated Services
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Introduction

• Fulfilling the Promises 2001, states that by
  2010 services for people with learning
  disabilities in Wales should
• provide comprehensive and integrated
  services that will effectively support people to
  achieve social inclusion in all aspects of life
  and society in Wales
• Through Flexibilities monies the Flintshire
  Learning Disability Service appointed a Project
  Manager in October 2004, to take forward the
  integration of Health and Adult Social Care. It
  is envisaged that by April 2006 Flintshire will
  have in operation a new Learning Disability
  Integrated Care Management Service.

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Towards Integration

• Integrated Working is about Partnership
• Building trust
• Recognising differences
• Understanding what is important to ALL

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Goal and Objectives

• Integrated Learning Disability Team
• Seamless Service - people have all their needs
  and aspirations considered at the same time, to
  help avoid crises and duplication
• A more managed system - partner agencies are able
  to concentrate on what they do best and have a
  better understanding of who else can help
• Leaders model partnership working and look beyond
  the needs of their own organisation to find
  solutions
• A shared vision including actions, resources
  risks
• Improved outcomes for service users

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Improve Outcomes for Service Users by

• using a person centred approach
• service users taking control of their lives
• improving communication
• having a greater coordinated accessible team
• unique and flexible services
• timely effective service response
• doing things differently

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Todays Situation in FlintshireWe

• Co-work are Co-located
• Have a number of agreed Procedures/Pathways
• Single entry system for referrals
• MDT approach
• Facility for Care Coordination
• Have a foundation in values principles

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How Did We Get Here?

• All Wales Strategy
• NHS Community Care Services Act 1990
• The Health Act 1999
• Local Government Act 1999
• Numerous re-organisations
• Commitment of individuals
• and now Fulfilling the Promises

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Why Bother?

• Government directive Health Act, Fulfilling the
  Promises
• Integration in name only will result in
  disruption and increased miscommunication between
  agencies and consequently promote damaging
  outcomes for service users and families
• The threat is if we do not grasp the challenge of
  shared authority, we risk the representatives of
  the various parties retreating or demoting the
  role of the partnership.
• One way to address this is to have clear and
  unambiguous partnership agreements, setting out
  processes and business terms, including how to
  address the potential breakdown of relationships.

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Action Plan

• Analysis of current situation operational
  strategic
• Consultation teams, groups and on an individual
  basis
• Prepare for a long-term programme of change
• An integrated approach to information, staff
  support and organisational development clarity
  of roles responsibilities
• Joint strategic commissioning
• Pooled budgets - will ultimately change
  cultures

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Conclusion

• No matter how procedurally sound a Partnership
  agreement may be, it can never make up for good
  relationships.
• Effective partnerships are built on secure and
  trusting relationships not the other way round