The North Staffordshire and Stoke-on-Trent Alliance has been confirmed as the delivery vehicle for the Improvement Plan drawn up by local health and care leaders in response to the recent Care Quality Commission Local System Review
- CQC Review - published in November 2017 - looked specifically at how older people move through the health and social care system, with a focus on how services work together
- Review looked at how hospitals, community health services, GP practices, care homes and homecare agencies work together to provide seamless care for people aged 65 and over living in the Stoke-on-Trent
- Improvement Plan drawn up by local health and care leaders, with input from voluntary sector and user representatives
The Alliance been confirmed as the delivery vehicle for the Improvement Plan in response to the CQC Stoke-on-Trent Local System Review.
The local system review was published on 9th November 2017. As part of the review, which took place between 4 and 8 September, the work of public sector organisations including Stoke-on-Trent Clinical Commissioning Group (CCG), Stoke-on-Trent City Council, University Hospitals of North Midlands NHS Trust (UHNM), and Staffordshire and Stoke-on-Trent Partnership NHS Trust was examined. It focused on how services including GPs, care homes, hospitals, health commissioners and the local authority work together.
Representatives from Healthwatch Stoke-on-Trent, as well as voluntary and community sector services were also interviewed by the CQC, alongside service users.
The review highlighted a number of areas worthy of praise within Stoke-on-Trent, including:
- a positive change in the relationships between all partners across the system, and a willingness to work collaboratively in order to improve services;
- positive progress relating to the Better Care Fund (BCF);
- joint commissioning arrangements between the CCG and Stoke-on-Trent City Council for learning disability, dementia, mental health and carers’ services – elements of which could be replicated in other services to make improvements;
- pooled budgets from health and social care commissioners providing arrangements for the help people receive in the community after they leave hospital, which are having a positive outcome for patients;
- the new cross sector delivery plans for discharge to assess (D2A), which are being introduced and should reduce delayed transfer of care;
- a number of opportunities for service users, families and carers to share their views, which helped to inform strategic planning across the health and social care system;
- the national award winning Meir Partnership Care Hub that brings together health and social care services to deliver more effective services to those living within Meir in Stoke-on-Trent.
Nine areas for improvement were also highlighted by the CQC. Leaders across health and social care agreed to prioritise these working together to deliver the improvements for the people of Stoke-on-Trent.
- there must be better and effective communication between leaders of the system
- there must be effective joint strategic planning based on the needs of the local population with clear shared and owned outcomes
- attention should be given to long-term strategic planning across the system within an agreed joint performance framework
- system leaders should ensure effective delivery of their integrated strategic plans
- strategic commissioning should be aligned to the agreed strategic plans and must include primary care
- system leaders should ensure an integrated approach to market development which should include the monitoring of quality in the care and voluntary sectors
- an effective system of integrated assessment and reviews of the needs of people using services should be introduced urgently
- there should be integrated delivery plans which include resources and workforce
- the trusted assessor scheme should be implemented as soon as possible.
An Improvement Plan has been developed to address these areas.