1. MY LIFE A FULL LIFE
Isle of Wight
Dr Mark Pugh
Executive Medical Director, Isle of
Wight NHS Trust
mark.pugh@iow.nhs.uk
Loretta Outhwaite
Interim Programme Director & Chief
Finance Officer (IW CCG)
loretta.outhwaite@iow.nhs.uk
2. MY LIFE A FULL LIFE
Isle of Wight, PACS Vanguard
One
Define the
population & system
boundaries
3. Isle of Wight Council (incl. fire & children’s srvs)
Isle of Wight Clinical Commissioning Group
Voluntary Sector
Independent Sector (Care Homes & Home Care)
Isle of Wight NHS Trust
One Wight Health (All 17 GP Practices)
Town & parish councils
Hampshire constabulary
The Island’s citizens
MY LIFE A FULL LIFE: Isle of Wight, PACS Vanguard
Two
Identify the
right
partners &
services
4. MY LIFE A FULL LIFE
Isle of Wight, PACS Vanguard
Three
Develop a shared vision
& objectives
5. ISLE OF WIGHT OVERVIEW
Accessible only by sea/air (weather dependent)
23 miles wide by 13 miles long
Single system, single boundaries
Increasing elderly population; 26% over 65 (17%
England av) & over 75 12% (8% England av)
Recruitment & retention issues
Low earnings; higher than av. long term
unemployment; 20% children live in poverty; low
GCSE attainment (45%)
Population of 142,000; est’d £300m health &
social care budget
2.5m visitors p.a.; 2 large music festivals
6. SERVICING THE ISLAND’S HEALTH NEEDS: LOGISTICS
Off-island
destination
Transport Travel
time
(mins)
Southampton
General
Air 8
Southampton
General
Sea 100
Queen
Alexandra
Portsmouth
Air 8
Queen
Alexandra
Portsmouth
Sea 85
Front line
Transport
Annual
activity
Coastguard 47
Air
ambulance
83
Ferries 392
Type of
patient
% treated
off Island
Elective 22.9%
Non-elective 7.2%
7. AGE PROFILE
• Over 65s expected to increase by 47% & will account for 36% of the
total population by 2037 (vs England 24%)
8. Health Needs:
Multiple Chronic Conditions By Age
– The majority of over-65s have 2 or more conditions, and the majority of over-75s
have 3 or more conditions
– 54% of patients have at least one chronic condition requiring management
Source: ACG Risk Stratification tool, July 2015
9. Isle of Wight Council, Trust & CCG
5 Year Strategic Vision & Objectives
Vision
• Person centred, coordinated health & social care
Objectives
• Improved health & social care outcomes.
• People have a positive experience of care.
• Person centred provision.
• Service provision & commissioning is delivered in the most efficient
& cost effective way across the whole system, leading to system
sustainability.
• Our staff will be proud of the work they do, the services they provide
and the organisations they work for and we will be employers of
choice.
10. AIMS
Person-centred, allowing & enabling individuals
to take control of their lives & their care
Services based in the community/at home,
delivered by integrated teams
Prevention-based, promoting health & wellbeing
Quality of life & keeping well
Linking together & building on schemes already
up & running/being planned across our
communities
11. OUR ‘MY LIFE’ MODEL
http://www.nurturedevelopment.org/
Based on ABCD approach – Cormac Russell
Our integrated ‘My Life’ model is:
Prevention-based
Health and wellbeing promoting
Built on experience-based co-design
Founded on self care and empowered
communities.
At the centre of our model is the person My
Life coordination supports the individual to
navigate the community and system. This
single point of access triages, reduces the
perceived system complexity, increases
awareness of services, and maximises
efficiency.
The Integrated Locality Teams deliver
person centred care and support in the
community, with GP clinical leadership
and multi-specialist teams.
Intimate / Family
Key enablers
My Life, A Full
Life – care
services
Associated Life
Friendships
Support
Groups
Home
OneLeadership
Hospital
Services
Integrated
Locality
Teams
Ambulance
Service
Public
Health
Commissioned
voluntary
sector
Adult
social care Children’s
social care
Integrated
single point
of access
Community
Faith
Groups
Voluntary
Sector
Isle Help
Town and
Parish
Councils
Family
Friends
Colleagues
My Life
Coordination
Informal
community
links
Transport
Education
Housing
Association
Environment
Health-
watch
People
Matter
Crisis
Response
Team
Domiciliary
Care
Out of
Hours
Independent
Sector
Palliative
Care
10.06.2015
Home
09.06.2015
Community
Health
Services
MH & LD
Services
14. MY LIFE A FULL LIFE
Isle of Wight, PACS Vanguard
Four
Develop an
appropriate
governance
structure
15. CURRENT GOVERNANCE
Health & Wellbeing Board
My Life a Full Life Board Joint Adult
Commissioning Board
(CCG & Council)
Strategic Partnerships
Board
(Council & Trust)
Trust Board
CCG Governing
Body
Full Council &
Executive
Hampshire & IW
Executive Groups
Locality Boards,
Management Groups
& Forums
16. MY LIFE A FULL LIFE
Isle of Wight, PACS Vanguard
Five
Identify the
right
leaders &
develop a
new form of
system
leadership
17. MY LIFE A FULL LIFE
Isle of Wight, PACS Vanguard
Six
Agree how conflicts
will be resolved
18. MY LIFE A FULL LIFE
Isle of Wight, PACS Vanguard
Seven
Develop a
sustainable
financing model
Cost
Tariff/benchmarked cost
Inefficiencies
Island Premium
Mitigate with system redesign
Unavoidable
19. MY LIFE A FULL LIFE:
PROGRAMME STRUCTURE
Strategic Commissioning, Contracting and One Island £
Organisational Integration & Form
Communications, Engagement and Project Management Office
Evaluation and Measurement
One Information & Technology Enabled Care, Infrastructure and Estates
One Leadership & One Empowered Workforce
PreventionandEarly
Intervention
IntegratedAccess
IntegratedLocalityTeams
WholeIntegratedSystem
Redesign
Eight
Create a dedicated
team
MY LIFE A FULL LIFE
Isle of Wight, PACS Vanguard
20. MY LIFE A FULL LIFE
Isle of Wight, PACS Vanguard
Nine
Develop
systems within
systems
“Are there examples of really good integrated
services? I mean unified not just joined up.
Working seamlessly. There is a place, I know
where it is, I've been there, seen it.” Roy Lilley
21. MY LIFE A FULL LIFE
Isle of Wight, PACS Vanguard
Ten
Develop a
single set of
measures
22. MY LIFE A FULL LIFE
Isle of Wight
Dr Mark Pugh
Executive Medical Director, Isle of
Wight NHS Trust
mark.pugh@iow.nhs.uk
Loretta Outhwaite
Interim Programme Director & Chief
Finance Officer (IW CCG)
loretta.outhwaite@iow.nhs.uk
