>> James Sanderson: Integrated Personal Commissioning or IPC is an innovative practical delivery
model that enables the NHS and local authorities to join up their approach to providing health
and social care services around the individual.
It is a new model, which can be implemented locally using existing powers and duties and
it is a key bridge towards securing the future sustainability of the NHS.
It ensures that people are seen as experts in their own condition and partners in their
care, rather than passive recipients of services.
Better joint working across health and social care is vital to improving health outcomes,
both for individuals and the system, but our attempts have often failed to recognise the
pivotal role that people themselves play in integrating their own care.
>> Nicola Gitsham: IPC helps people to find new and better ways to meet their health and
wellbeing needs, and make less use of formal health and social care services.
This works by enabling people to make more use of their own strengths and abilities and
what's available in the local communitiy.
For example, in the case of loneliness, which affects a lot of older people living in the
community, the answer often lies by really connecting people up to other people with
lived experience or other people in their community rather than traditional support.
>>James Sanderson: IPC is the 'backbone' for providing this more personalised approach
and sets out in practical steps how the NHS and local authorities can join up health,
social care and education at the level of the person, through a single, person-centred
plan, which focuses on what matters to the person.
>>Nicola Gitsham: So who benefit from this approach?
>>James Sanderson: The IPC programme is of particular benefit to disabled people and
those with long-term conditions and complex needs.
Currently these groups make up about 30% of the population and account for 50% of all
GP appointments and occupy 70% of hospital beds.
The benefits are increasingly recognised that this approach can bring to the system and
to individuals.
>>Nicola Gitsham: So how do we make this happen?
Well, the IPC Delivery model sets out practical steps that commissioners and providers can
use to join up health, social care and education.
It provides a whole system approach to personalisation and delivering personalised care at scale.
So what's changing?
>>James Sanderson: For IPC to be really effective, there needs to be five key changes in place.
>>Nicola Gitsham: The first change is proactive coordination of care.
So the IPC model helps to identify people who have a lot of contact with the system
and looks at what's working and not working from their perspective and from the perspective
of the local system.
So it enables you to target people who will benefit most from this approach.
>>Jon Hastie: In life we don't make that easy distinction between what's social care and
what's health care.
I know certainly for me, as my health condition has progressed and deteriorated, I've still
got all social care stuff as well.
>>James Sanderson: The second change is community capacity and peer support so IPC really focuses
on people's strengths and how to get support from peers and the local community so it's
about really finding out what matters to people and through community navigation and social
prescribing, making full use of the assets in the community and support from other people.
>>Isaac Samuels: Having mental health challenges, often you can feel that you don't want to
talk about that because it's still a taboo in society but going to a peer support group,
where everyone's had mental health challenges -- you feel really free.
>>Nicola Gitsham: The third change is person centred care and support planning.
This is a better conversation, a conversation about what matters to you as well as what's
important for your health and wellbeing.
It builds on people's skills, confidence and aspirations so they can take more control
over their plan.
It provides a one-plan approach so it brings the whole multi-disciplinary team around the
individual.
>>Robyn Chappell: My own package is joint funded so I'm sixty percent funded by social
and forty percent funded by health so it took both agencies coming together to work out
how best to manage my care, to fit it around me and what mattered to me.
>>James Sanderson: The fourth change is choice and control so some people would be eligible
for a personal health budget and it's looking at how we can be really flexible with the
resources and the system.
IPC is also helping drive the uptake of personal health budgets, with now over 23,000 people
holding a personal health budget, with many living in areas that are currently engaged
with the IPC programme.
>>Jacqueline Kennedy: What I love about IPC- it puts the person in the driving seat of
their care so they're the ones who decide how they want to live their lives, what risks
they want to take.
>>Nicola Gitsham: And the fifth change is personalised commissioning and payment so
more choice of support.
>>Melanie Hall: I believe that through partnership working, IPC and personal health budgets will
make a real difference to people's lives and think about contracting in a different way.
>>Nicola Gitsham These changes will only work if they are designed
and developed with people with lived experience so disabled people and people with complex
needs and their families so it's really important that they are involved right from the beginning.
>>James Sanderson: And these changes need to be championed at a senior level across
the system.
It needs system leadership.
Good attention needs to be paid to the work force development so that you are changing
both the culture and re-designing the work force to be able to deliver personalised care.
>>Nicola Gitsham: So, in summary Integrated Personal Commissioning is a practical delivery
model for commissioners and providers that enables the NHS and the local authorities
to join up and personalise their approach.
>>James Sanderson: IPC improves people's health and wellbeing outcomes by giving them more
choice and control.
It can also reduce crisis in people's lives that lead to unplanned hospital admissions
or admissions into institutionalized care.
It can also deliver improved value for health and care system by improving quality, integrating
care and supporting inappropriate demands and costs.
>>Christine Burrows: I hold a personal health budget for my son.
At the moment, he's stable with his seizures, he's not been to hospital for twelve months,
he hasn't had an infection for a long time, he's alert, he's happy.
Nicola Gitsham: We have plenty of resources and guides about IPC on our website, so please
do take a look and sign up to our learning network to receive our latest updates.