Preeti Sheth >> My name is Preeti Sheth, and I am the deputy director for integrated commissioning
in Portsmouth city, and I work both with the council and CCG. My role in the IPC is to
programme manage the overall programme, ensuring that it’s running on track, erm, making
sure that we liaise with NHS England, and addressing any barriers or challenges that
come across. Er the programme that we have developed in
Portsmouth city, is that we have started with erm people with long term conditions and are
at risk of hospital admissions. So that’s what we have started with. And that’s where
we are working very closely with our voluntary sector partner, Age UK, through our Living
Well Programme, where we have started guided conversations with people who have long term
conditions. So the next step for us is how do we take those guided conversations into
an integrated care and support plan, and then look at what personal budgets can we offer
to improve their overall health and wellbeing, but side by side we also have done a lot of
work on SEND reforms, and means working with children with continuing care and children
below the threshold of continuing care and see how we can offer flexible services to them.
Preeti >> I think what has been going well
is that we have got very good foundation of having those conversations with people, because
that is the foundation of any programme, because what is it that will make a difference, the
IPC does not have to be, it cannot be theoretical, it needs to be very real for people and that’s
where the guided conversations will help. It is what is meaningful for them, what is
important to them, and then, all the rest falls in place. So that I think has gone very
well in Portsmouth city, the next step is the technical bit of how we can work those
conversations into plan and into budgets. CCG finance team and CSU have done some very
good work in linking the data set, and file for funding, so we have, er they have manged
to get the data of all our people with long term conditions, and what is the funding element
and all, and now we are going to link that to our social care data, because we want to
try and offer an integrated budget. So then we know about what money we are talking
about, what services people are accessing, what is the budget associated with them, and
then, when we start to have this conversation with people and develop an integrated plan,
we can then say, these are the services you are accessing, what would you like to change,
what can we offer differently, what would people like to offer differently, so we can
then put real money, and real budgets in place. Diane Sherlock >> My name is Diane Sherlock,
I’m the Chief Executive Officer for Age UK Portsmouth. We’re a voluntary sector
organisation that specialises in supporting and helping older people maintain independence
at home, in their lives generally, and to empower their voice to make decisions of their
own. Our involvement as an organisation in the
IPC Programme is around supporting older people to understand the changed process. And our
role in this is to support our local Portsmouth CCG and Portsmouth City Council in introducing
this changed way of functioning, and from our perspective it’s really important that
the individual learns to take some personal responsibility for their own health as part
of this process. The differences with this particular programme are wrapped around the
fact that we’ve done a considerable amount of pre-planning, in partnership with the CCG
and Portsmouth City Council, and have developed a Living Well team, who are employees of the
voluntary sector organisation, and they go into the community now and have a guided conversation
which encourages older people to set their own goals about what makes a good day, what
improves life, and the idea really at this point is to overcome isolation, to make the
older person feel as though they’re part of their community again. Now the difference
is coming now with the introduction of the opportunity to take on a personal health budget.
And we’re doing that by revisiting those clients that have been empowered, feel more
confident, and now encouraging them to think about their health differently, and how they
might like to manage it. I think the key to success is a huge change
in understanding from the public perspective as to how they can interact with their own
health and take responsibility for it. I know, and I’m fortunate to know, that already
our clinical commissioning group and Portsmouth City Council already understand that those
changes are needed, and they’re already taking action, which is marvellous. So, with
public education on board, and becoming part of that, erm, partnership working, we’ll
be educate, talk to, explain and encourage that independence in health thinking.