A co-ordinated mix of health and social care works best for people with complex needs. Like the growing population of elderly people, especially when they come out of hospital, and people with learning disabilities.
In Northamptonshire, the three organisations responsible for commissioning services – two CCGs and the county council – asked us to help them find the best ways to work together to improve the care and support available. This grew out of PA's support to the local Better Care Fund and underpinned a new Integration Transformation Programme, which is now a key part of the county’s Sustainability and Transformation Plan.
We helped them define the outcomes they want to achieve for older people cared for in the community. And we developed a comprehensive guide describing the new services, including a model for rewarding care providers for focusing on the right outcomes. Those providers will use the guide for designing integrated services in detail. We involved the staff who’ll deliver the services by consulting with GP federations, hospitals, social care providers and voluntary organisations.
We also helped the Northamptonshire organisations examine the implications of shifting care out of community hospitals and into people’s homes. We built a model incorporating different services, budgets and staff and ran a series of scenarios to show the impact of different strategies. That helped them decide on the best way forward. Our input is also helping commissioners improve the way they work together through greater use of shared budgets and a shared approach to market development and contracting.
Our work is now helping the CCGs and the county council commission better care for some 45,000 people in Northamptonshire. It will also help our client – and people across the county – get maximum impact from squeezed health and care budgets.