5/8/22 – Shared patient records

Health and care partners are preparing to launch the Devon and Cornwall Care Record this summer.

The DCCR will enable authorised health and care staff to see relevant details held by a range of health and care providers across Devon, Cornwall and the Isle of Scilly in a single record – giving them a more complete view of a patient’s history. It’s part of a national programme to transform information sharing across health and social care.

The launch is part of a phased roll out that will enable additional organisations to sign up to use the system over time. To date, 108 organisations have signed up. Read more

(22/7/22) Help develop an ICS strategy

  • The ICS is informed by a VCSE Assembly
  • The ICB (One Devon) has created a ‘Community First Strategy’ (draft) that sets out a vision – ‘Tcreate the conditions to empower people to take a greater role in their own health and care and deliver services which use our workforce most effectively to deliver outstanding careproviding sustainable, community care based on what people tell us they need, in the place they most want to be enabled by collaborative design, commissioning and delivery across Devon ICS.’
  • Introducing One Devon (video)
  • They ‘want community servicesincluding the voluntary sector, to be far more prominent in our system with well thought out planning regarding the steps we need to take to achieve the vision.’
  • This strategy will be signed of in September by the ICB, OND requested a copy and asked if we can share with VCSE leaders for commenting. Please read and send any comments for consideration by Friday 29th July 2022 to vanessavale@nhs.net

(14 July 2022) Making sense of Integrated Care Part 2

  • Integrated care boards (ICBs) replaced clinical commissioning groups (CCGs) in the NHS in England from 1 July 2022.
  • One Devon is the name for the ICB in our county. They are ‘a collaboration of the NHS and local councils, as well as a wide range of other organisations like the voluntary sector, who are working together to improve the lives of people in Devon.’
  • The Health and Social Care Act 2022 requires ‘The responsible local authority and each of its partner integrated care boards must prepare a strategy (“a joint local health and wellbeing strategy”) setting out how the assessed needs [Joint Strategic Needs Assessments] in relation to the responsible local authority’s area are to be met by the exercise of functions of— (a) the responsible local authority, (b) its partner integrated care boards, or (c) NHS England (Section 26, 5b, 2).
  • Local care partnerships (LCPs) ‘are collaborations between a wide range of organisations and groups who help people live happier and healthier lives… Devon has five LCPs across the county’… An LCP is not a new organisation but a renewed partnership that, by aligning resources and efforts, will collectively seek to make a difference to the lives of people in [specific areas e.g. Northern Devon]. Many factors affect people’s health and wellbeing from their homes and personal finances to their education and employment. LCPs bring together the organisations and groups that provide these services (and many others) to better support people and communities.’
  • Devon has five LCPs across the county: In Northern Devon, ‘One Northern Devon’ are an integral part of the LCP

Here’s a useful video from the Kings fund explaining these important changes to our Health and Care systems and a blog post from Nuffield Trust ‘A new NHS reorganisation: will it work this time?

(June 2022) Making sense of Integrated Care Part 1

This structure or terminology can be reflected in evaluation reports. There is a lot of work underway at the moment as Integrated Care Systems become statutory bodies that have Integrated Care Boards (ICBs) and integrated Care Partnerships (ICPs). There are clear structures at each level of the hierarchy as in the diagram but how each level communicates with the other doesn’t seem as developed at this time.

In the NHS Long Term plan there are masses of work programmes e.g. 

 Prevention where there are the following programmes/ambitions:

  • Using evidence based programmes for smoking, obesity and alcohol intake reduction
  • Managing diabetes
  • Antimicrobial resistance
  • Reducing air pollution
  • Provide digital tools e.g. smartphone apps to enable more people to self-manage and access online services

Ageing Well as far as I can glean and what I was told by NHS England was that there are the following main programmes

  • Urgent Community Response
  • Anticipatory Care
  • Enhanced Health in Care Homes

This slide is helpful to see how some of the work overlaps and is focussed