Last week, as part of my work with the Executive Briefing Programme, I attended the LGC and HSJ Integration Summit. From my work with Jos Creese on the Health and Social Care Integration report, I am beginning to understand the vast complexities around this topic and massive challenges that exist. The stakeholders that need to come together are diverse, and would be forgiven for feeling a little helpless as individuals when confronted with these challenges, however what I discovered at the summit was optimism.
The summit was structured around solving challenges in health and social care integration. The group I joined focused on how services can be used to support families: “It takes a village to raise a child”. We started by defining a resilient family, then asked ourselves questions around how we can evolve systems and communities that create resilience. By the end of the third session we had established a vision, an idea of what success would like, some guiding principles, identified the ‘elephants in the room’ in making change a reality and started to solidify practical steps for action.
Our group included representatives from CCGs, local government, education and primary care – drawing cumulatively from almost 200 years of experience!
What did we learn?
- Cost should be seen as a ‘context’, rather than the aim of a project, and in our vision of success should never be the reason for someone not getting help.
- By working together education, primary care and the wider community can reduce the need for children to be referred to CAMHS (Child and Adolescent Mental Health Service) – as has been proved in Plymouth’s successful ‘gateway’ project that has reduced referrals by over 60%.
- A positive message is really import – by talking about ability and achievement young people can be encouraged to more positive outcomes. (For example ‘Kids can achieve’ programme in Harrow).
- GPs are spending 20% of their time on health concerns that are ‘medical’, and need to work effectively with partners to manage the other 80% of health determinants.
- Co-production is the way forward – professionals need to involve patients and carers from the start in designing new services to meet their needs.
At the close of our sessions together we agreed to form a ‘Community of Purpose’, to continue to share knowledge and experience aimed at creating best practice and driving forward change in services available.
I would like to thank the group for welcoming me, as a non-health professional, and sharing their knowledge. I am helping to facilitate the ‘Community of Purpose’ and would be happy to hear from anyone else who would like to join. Contact me.