National Expectations Local Implementation

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National Expectations- Local Implementation

• Julia Thompson
• Integrated Care Network Manager
• 4th October 2006

2
The Policy Context

• Integration and partnership are not sideshows
  (Ivan Lewis)
• Every Child Matters, Green Paper, H SC White
  Paper, Joint Commissioning Framework (Feb 07?),
  Local Government White Paper (Dec 06?)
• Emphasis more joint approaches to
  commissioning, market, finance, inspection,
  strategic needs assessment, workforce
  development, Community Ventures etc
• LAA, PBC, Public Health, Care Outside Hospital
• Citizenship, Choice, Risk and Responsibility

3
Why?

• Aim To achieve better outcomes for service
  users but there are problems of evidence.
• Most evidence is on processes not outcomes of
  partnerships
• Partnerships are not an end in themselves!

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Integration the Framework

• Defined structure for service
• Agreement on finance and assets
• Joint approach to management of human resources
• Clear governance and accountability arrangements
• Partnership with service users
• Regular monitoring and evaluation
• Explicit timescales and future planning
  arrangements
• Shared Policy e.g. PBC, Population, LTC
• Dont forget about the culture for leadership!

5
Integration the Environment

• Inclination
• Vision
• Leadership
• Positive, can do attitude
• Willingness to collaborate
• Sharing of power
• Open lines of communication
• Trust
• Acceptance of risk
• Sharing uncertainty
• Thoughtful/meaningful planning
• Inclusivity
• Supporting change

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Partnership

• Territorialism, traditionalism, timidity,
  tribalism, unexpected damage UNITY?
• Time consuming - to begin and to maintain FOCUS
  ON PURPOSE?
• Potential for bureaucracy SIMPLICITY OF
  TRANSACTION
• Perceived unclear accountabilities SOUND
  GOVERNANCE

7
Integrated Care Networkwww.icn.csip.org.uk

• National learning and improvement network
  providing support and advice to frontline health
  and local government organisations
• Website, National and Regional events, resources,
  publications and online advisory notes
• Links with national organisations, policy and
  other govt departments
• CSIP - Regional Development Centre support

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