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Doncaster’s Joint Health and Care Commissioning Strategy 2019-2021

This page is all about something called the ‘Joint Health and Social Care Commissioning Strategy’. This is a document that shows how Health and Social Care is made available in Doncaster. We are really interested in what people think about this plan. Please read through the information below, if you would like to chat about this information, to understand it better or would like to arrange something for members of a group that you represent, please contact Healthwatch Doncaster on 0808 8010 391 or email info@healthwatchdoncaster.org.uk.

Background

Similar to the rest of the country, we know in Doncaster that health and social care services must work closer together to ensure that people are able to take more control over their own health and remain to remain as healthy and independent as possible.

To help us on our journey to work closer together, in the coming months, Doncaster Clinical Commissioning Group and Doncaster Council will publish the first ever joint health and care commissioning strategy, which will align with and support delivery of the NHS long term plan and at the same time, focus on local health and care priorities.

The introduction of a joint strategy will mean that both organisations collectively plan and ensure that services are delivered based on the needs of local people. And by doing so, make best use of tax payer’s money to avoid duplication.

There are several plans already in place across Doncaster where health and care is referenced, such as Doncaster Growing Together, which aims to improve and enhance Doncaster as a place to learn, live, work and play.

The Doncaster Place Plan has a key focus on health and care and the joint health and care commissioning strategy will have the vision of the Place Plan at its core:

“Care and support will be tailored to community strengths to help Doncaster residents maximise their independence health and wellbeing. Doncaster residents will have access to excellent community and hospital based services when needed.”

Based on progress made in Doncaster, working with members of the public and community groups, we know we need to scope, plan and deliver services based around the person as opposed to a place or setting, such as a hospital.

With this in mind, the joint health and care commissioning strategy will focus around three broad life stages – starting well, living well and ageing well. This will help us to ensure services are available for everyone, based on their health and care needs, at different stages in their lives.

In the development of our thinking so far, we have used a wealth of information and feedback from local people and those that use health and care services already. The Hospital Services review, Intermediate and Community care, #systemperfect are just a few examples.

Building on what we know already and how we work, the joint health and care commissioning strategy will reduce duplication, improve access to health and care services and support us to work more closely with local people in Doncaster to enhance services and care provision based in local communities.

As a result of our work with local people, we have developed a number of intentions that will steer our work over the next two years. We want to:

  • Work closely with local communities to support them to manage aspects of their health and wellbeing, including physical and mental health
  • Ensure co-ordinated access to services when they are needed, ensuring they are accessible and matched to people’s level of need
  • Ensure a more holistic approach to the delivery of care – ensuring all health and care needs of individuals and their families are considered
  • Develop care for people when they are in crisis – making it easier to access health and care services when they need them the most
  • Enhance support for people with complex needs – when it is identified that an individual has complex needs, social, physical or mental health issues, organisations will work together to further understand patient needs and wrap care around them.

Much work has already been done, linked to our intentions to improve access to health and care services. We have:

  • Introduced a tool called GP Find which enables GPs to quickly and easily identify appropriate services for patients and refer them to other services more effectively
  • Launched the extended access to primary care service. This has delivered additional GP and nurse appointments through four hubs across the borough and the Doncaster Same Day Health Centre, booked via patient's own GP practice but will the flexibility that they can attend any of the hubs
  • Launched a number of inclusion clinics, run through the primary care extended access services, providing care to people with complex needs, such as substance misuse, homelessness and asylum seekers, on a drop in basis and
  • Tested out different ways of communicating with people in Doncaster around urgent care, to help increase awareness of not only all the options available but also how to self-care. Recent social media activity related to this campaign has reached over 100,000 people.

Over the next two years, working together, with patients and members of the public, we want to develop existing services and think of new ways and models to deliver health and care services locally. Some of these include:

  • Developing conversation points in easily accessible locations such as libraries to enable the first conversation for advice and support to take place, only leading to more formal access to services when needed
  • Identify four locations for community based social/crisis cafes to be established, which will support people with mental health issues
  • Ensure general practice remains at the heart of communities
  • Develop a joint health and social care workforce to reduce duplication between services
  • Bring about sustainable improvements to improve the emotional health and mental wellbeing of children and young people
  • Review Doncaster’s current urgent care model to ensure that at the point that people need urgent care, they are able to get the right service quickly and in the right place
  • Ensure respiratory pathways are reviewed, particularly for pneumonia, to determine whether further more complex long term condition patients can be managed within the community and avoid hospital admission
  • Mental health and alcohol misuse liaison services within urgent and emergency care settings will be examined to help re-engage people with preventative or stabilisation programmes
  • Support healthy ageing across Doncaster, recognising preventative approaches that reduce loneliness and social isolation or promote self-care and independence
  • Help people feel supported and maintain independence longer, supporting people to live in their homes for as long as they can whilst responding to the complexity of need that older people have with long term conditions
  • Work towards supporting individuals, their families and carers to be more engaged in their care and have choice of their place of death.

 

Three life stages

Across all three life stages, we will ensure our commissioning intentions meet the health and care needs of local people in Doncaster.

Starting well is the first of three key life stages. Our plan is to work with local people, and organisations across Doncaster to provide services that babies, children and young people need to lead healthy lives.

Working with local people, we want children, young people, parents and their families to work with us to ensure sustainable improvements are made to improve their emotional and mental wellbeing.

We want to create a universal offer for children and young people who need support around their emotional wellbeing and mental health. Our aspiration is that for every Doncaster child and young person, there is a standardised effective offer that meets their needs.

Living well is the second key life stage and includes everyone from 18 to 65. We want to support everyone via a range of services that are tailored to their health and care needs.

A number of services, such as cancer, dementia, mental health and primary care naturally sit under all three life stages and it is important to mention that whilst these services may sit broadly under living well, they will still universally be available to people that need them.

The third life stage, ageing well will focus on ensuring health and care services are available for everyone over the age of 65. We know from a wide range of engagement activities and events that the majority of older people are supported and have appropriate care packages in place for their health and care needs. However, for a small minority, this is not always the case.

By working with local people more closely, we will help older people take better control over their own health and wellbeing within the wider community, involving families and carers.

We want to know what you think

To bring this vision to life and continue the work we have done so far, we want to know what you think of our intentions to improve health and care outcomes for people in Doncaster.

We would like you to answer four key questions that will not only enable us to gauge what local people think of the vision and how we are going to get there, but also to ensure that local people have the opportunity to scope, shape and deliver the plan with us, enabling a truly co-produced and co-delivered approach.

<<<Follow this link to complete the survey >>>

Next steps

Your feedback and views are very important to us and will be fed into the final strategy that will be published in the spring.

When we publish the final strategy, we will continue to work with local people, community and voluntary groups to ensure that we share progress in ways that demonstrate the work we are doing and the impact this is having on the lives of people in Doncaster.

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