Living Well Pioneer for Cornwall and the Isles of Scilly OUR STORY SO FAR 2012 2012 2013 2013 2013 2013 2014 2014 2014 2014 Summer Winter Spring Newquay Pathfinder initiated Newquay Pathfinder interim report produced for first 20 on the cohort People, Place, Purpose: Newquay Pathfinder evaluation report produced Visit by Sir David Nicholson, CEO of NHS England Cabinet Office, Big Lottery and Age UK national visit Summer Briefing to Norman Lamb and Jeremy Hunt at the House of Commons Autumn Winter Trained more than 100 lay pastors in Changing Lives/ Living Well principles Local Funding secured for Living Well Penwith Penwith community board established Penwith co-ordinators recruited Breakfast briefing to Older People’s Tsar, Cabinet Office and a representative from HRH Prince Charles’ office, chaired by Age UK national Countywide Project team established – including health, social care, voluntary and independent sectors National Won HSJ Award for Managing Long Term Conditions Briefing to HRH Prince Charles in London Awarded national Pioneer status Civil Society visit to Newquay David Oliver visit to Newquay HRH Duke and Duchess of Cornwall visit to Newquay and Penwith Spring Summer Autumn 2015 2015 2015 2015 2016 Winter Spring Summer Autumn First 2 of the 5 new sites go live Next 3 sites go live Local Local Local Local Total cohort up to 1,000 Living Well Penwith initiated in 6 local practices First meeting of Penwith community board First stakeholder group with representation from health, social care, police, voluntary and community sector Local People Local Conversation group established Local practitioner team established Process mapping completed Community mapping underway First 50 people recruited to the Penwith cohort Volunteer recruitment underway Community map produced and more than 45 ‘community makers’ identified Living Well East initiated and East community board established Guided conversations with Peter, Ivy, Gilbert and Joan reveal common desire to get out and feel useful again ‘Community Line’ developed by practitioner team Speed dating event with front line practitioners – ‘myth busting’ roles and responsibilities East volunteer team recruited and starting to take referrals Penwith cohort at nearly 500 Ivy has pneumonia but with a bit of help from the volunteer team she’s out and about after 2 weeks Land Girls themed event organised by Penwith volunteer team in response to guided conversations and shared aspiration for company Land Girls group leads to regular ‘ring around group’ ‘Community Line’ options paper produced Peter gives a public talk on his life in the diamond drilling business Gilbert and Joan say life is a lot better, home is no longer an “open prison” Voluntary teams in West Cornwall Hospital – referrals have increased from 25 over the summer to 25 in one month Penwith locality GP chair requests Living Well shared values to be developed and agreed with Council members ‘Community Line’ test phase underway with plans to link with One Stop Shops First data analysis for Penwith showing 35% reduction in acute activity Penwith community board Chair won NHS South West Leadership Award New film produced showing the impact of Living Well on Peter, Ivy, Gilbert and Joan MDT guidance co-produced and shared at request of East community board Business case produced for Living Well – steady state and countywide extension East cohort up to 250 Penwith cohort over 500 Newquay expansion to a cohort of 250 West Cornwall Hosptial advanced discharge planning project live Community Line testing used to create Care Act information and advice service Countywide Age UK and Cornwall Partnership Foundation Trust form a partnership to use RIO as case management system 6 locality workshops involving over 150 practitioners developing Living Well culture Outcome measures drafted Evaluation framework drafted Presentation to Leadership Summit where outcomes framework adopted Full Council briefing on Living Well National Norman Lamb visit to Newquay and Penwith Clarence House briefing including members of the volunteer team Countywide Whole system sign up to financial model Outcome measures agreed Evaluation framework agreed Learning Histories gathered and used to produce learning report Community pharmacy integration with Living Well agreed National Database of external organisations including CCGs wanting to learn about the Living Well approach now at more than 40 Ian Bainbridge, Public Health England and Katharine Pollard, Monitor visit Penwith Presented at the King’s Fund Integration Learning Set Meeting with Norman Lamb and Nick Clegg Part of Helen Bevan’s Disruption Event Cabinet Office funding secured for Living Well East Nuffield selected and agreed as evaluators for Penwith HRH Prince Charles visit to Cornwall Countywide ‘Knowledge Bucket’ specification developed in response to learning history feedback Honorary contracts for volunteers working within health settings commonplace – 2 week turnaround instead of 2 months People, Place, Purpose: Our Living Well Learning History produced Early indications of cost and activity reductions across the system Community Network Panel meetings about Living Well Funding agreed for Welcome Home project Meeting with CEO of BT Global Local media offer to use community map and encourage local ownership National Shortlisted for HSJ Award – Primary and Community Care Redesign Showcased in NHS England’s Five Year Forward View as a future model of care Full page case study in NHS Commissioners’ Leading Local Partnerships Presentation to Directors of Nursing, NHS England (South) Monitor in Cornwall Countywide First phase of ‘Knowledge Bucket’ ready to share ‘Cornwall Celebrates Volunteering’ special recognition award to Living Well team Information governance agreement signed off by all partners Meeting with elected members from Cornwall Council ‘Pioneer one year on’ event planned for January Voluntary sector ‘canvas’ and guidance to support provider discussions on new landscape Financial modelling based on linked data published Evaluation ‘tea party’ planned for January in celebration of what’s been achieved Public Sector Group presentation Welcome Home project is live and integrated within Living Well approach Isles of Scilly Living Well goes live in January 2015 National Minister for Civil Society visit in January Pioneer Assembly First local ‘School of Health and Care Radicals’ for NHS Improving Quality NESTA funding agreed and Macmillan bid submitted to increase capacity in West Invited to present as an ‘expert witness’ to NICE in December Cornwall bid to become Integrated Personal Commissioning site – result due December ‘School of Health and Care Radicals’ term starts January THE POTENTIAL FORWARD VIEW Based on the assumption that funding is confirmed for steady state and expansion Care co-ordinators network established in West, Newquay and East Neighbourhoods for wellbeing established in West, Newquay and East Multi-disciplinary care co-ordination best practice implemented countywide Expansion of front line teams to include police, troubled families workers and housing Next 5 sites identified and agreed Shadow provider community boards established in West, East and Newquay Expansion of West Cornwall Hospital model to Liskeard and Newquay community hospitals Winter West, Newquay Nuffield evaluation and East are now report for Penwith ‘business as usual’ published Spring Rest of the county (4 sites) goes live New provider landscape fully established
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