To receive a presentation by the Executive Director – People (copy to follow).
The Committee received a presentation which provided an update on Integrated Care Communities (ICCs).
Members were informed that the integrated teams provided better co?ordinated care through joint working across the system tackling the wider determinants of health giving citizens more control for their own better health outcomes.
Officers explained there were eight ICCs in North Cumbria whose initial activity included:
Ø Co-ordination hubs – daily huddle/multi?disciplinary teams/data analysis
Ø Rapid Response – Lead Professional of the Day
Ø Discharge to Assess
Ø Home First
Ø Frailty Co-ordinators
Ø GP Investment
Ø Community hospitals.
It was anticipated that the impact of ICCs would reduce time in hospital, reduce the number of emergency admissions to hospital and improve patient experience.
The Committee was informed that the next phase for ICCs was to:-
Ø continue to develop ICC based primary and community care services;
Ø support ICCs to develop patient and wider community involvement approaches, linking into existing forums and wider partners;
Ø roll out the social prescribing model;
Ø develop Primary Care mental health services;
Ø continue implementation of community hospital redevelopment;
Ø work more closely with residential and nursing homes to improve the health and wellbeing of residents;
Ø embed third sector working across ICCs.
Members were informed that the overarching public health priorities included:
Ø improving mental wellbeing of children and adults
Ø improving diet and tackling obesity
Ø reducing the prevalence of smoking
Ø promoting physical activity
Ø promoting breastfeeding.
The vision was to enable Cumbria communities to be healthy and to tackle health inequalities.
The Local Committee welcomed the update and held a detailed discussion. During the course of discussion it was confirmed that GP practices remained separate to ICCs but were working together.
A discussion took place regarding access to health care and it was explained that GPs held information for the total registered population. There was an intention not to focus on high intensity users but to reach those who did not attend their GPs regularly. It was noted that primary care held a register which contained data that could be used to identify those who were most at risk. It was explained there was a wide range of professionals including frailty co?ordinators and living well people who would take an holistic view of patients and their families to enable them to be sign?posted to the appropriate support.
Members drew attention to the shorter life expectancy of people with learning difficulties and how the practice would be embedded with the 3rd sector. The Committee was informed that they were in the process of recruiting link workers who would be people with familiarity of services available locally and who would work alongside ICCs in their hubs.
The Committee drew attention to the 111 Service and were surprised this did not appear. It was confirmed that details about more specific services would be available in the future.
Members asked about any influence they had on the Accident and Emergency (A&E) multi?functional team. It was explained that ‘Home First’ comprised of experienced community therapists in A&E and admission units to assess individuals and recommend the appropriate support required.
The local Member for Denton Holme raised a concern regarding the introduction of ICCs and highlighted the different views of individuals regarding the options to either stay at home or to be cared for away from their home. Concerns were also raised regarding the lack of a system which she felt was not joined up.
During the course of discussion she also asked for information regarding the cost and duration of the Privately Funded Investment. It was agreed that this would be provided direct to the member.
A discussion took place regarding the interaction of ICCs with residential home providers, particularly nursing home care. Members were informed that each care home on the plan now had a named GP link and communication was improving.
In conclusion members were informed that the County Council were working closely with NHS bodies to make improvements for the future.