Agenda Item No. 4 Paper No. 1

Date of Meeting: 27 August 2015

From: Dr Ed Garratt, Chief Operating Officer, and Isabel Cockayne, Head of Communications

Community Engagement Group: Connect Sudbury

Summary 1. Connect Sudbury is an ambitious project aimed at answering people’s calls to bring services together by bringing together police, housing, health and social care services, voluntary sector and community organisations. The shared aims are to make sure services are wrapped around people so that they can better look after themselves, and to minimise duplications in services. The concept for Connect Sudbury and its sister project in East Ipswich was shaped by clinicians, councillors and public representatives last year during the Health and Care Review.

Purpose 2. The purpose of this paper is to update the West Community Engagement Group on progress with the delivery of the Health and Care Review model, specifically with the integrated health and social care project, Connect Sudbury. 3. Staff in Sudbury and its locality will test the system, keeping people safe at the same time. Eventually, should this system model be successful, this approach will be used across Suffolk with local variations.

Introduction 4. The outcome of the Health and Care Review, completed in 2014, has been endorsed by the Suffolk Health and Wellbeing Board and provides a model for the delivery of joining up services. The Health and Care Review is also articulated in the Better Care Fund Plan for Suffolk which was approved by the Department of Health in December 2014. 5. The approach to delivering the Health and Care Review is twofold: a) Establishing early adopter sites to test out how to deliver the new service model in particular localities (i.e. Sudbury and surrounding area and the East Ipswich area) b) Delivery of the Better Care Fund more widely across Suffolk including in Waveney.

A brief overview of the Connect Sudbury area is given below: 6. The geographical area covered includes Sudbury, Great Cornard, , Clare and . The GP practice population for this area is around 53,000 people. Importantly, we have strong representation from the Sudbury VCS organisation, The HIVE and Sudbury WATCH. Healthwatch Suffolk are sent information about the project and have attended project board meetings. Connect Sudbury has a wide range of public sector partners, which sit on a project group, from the county council, Council, Suffolk Constabulary, the NHS, including Norfolk and Suffolk Mental Health Services and Suffolk Community Healthcare. Governance 7 Both Connect Sudbury and the Connect East Ipswich projects are within the integrated governance arrangements for West Suffolk CCG area and Ipswich and East Suffolk CCG area respectively. They are part of the systems leaders group, charged by the Health and Wellbeing Board to deliver integration of health and social care in Suffolk. The board provides strong oversight and challenge for the arrangements. 8 Both areas have a local project group which is driving forward activity in a structured manner, ensuring appropriate local groups are represented and that the work is carried out in a planned and co-ordinated way. Workstream leads are core members of the project groups, which meet monthly. 9. Specific areas of work include: a) Integrated Neighbourhood Teams – all operational teams have supported the development of this work programme, which tests the vision, aims and function of the INT strategic approach whilst embedding local needs and priorities. It provides a multi-agency approach to support patients, customers or clients with high needs or high frequency use of services. A deeper review of specific individuals and families will examine how many times high users cross into other systems and whether information is shared to ensure quality and safety of service. Neighbourhood Networks – Through the HIVE, a survey of VCS demonstrated a need to better work with public sector teams to strengthen their position and build capacity. This development will provide improved communications and referral networks between VCS organisations as well as across integrated neighbourhood teams. In addition, Infolink has been re-launched and offers a more user friendly experience when searching for information and this is being promoted across the voluntary and community sector. This workstream is also reviewing how Community Pharmacies feed into the NN framework and the introduction of a Local Area Co-ordinator, a model of individual community support which connects people to community and voluntary sector support and helps manage demand on statutory services. c) Integrated Reablement and Rehabilitation (IRR) - The Health and Care Review service model is built on the move towards prevention, self-management and preparedness as key to driving down longer term reliance on care and support and stopping people reaching a crisis. One of the key enablers to achieving this is a reablement and rehabilitation. It will mean individuals can access support to help them to achieve the independence and wellbeing they want and value.

This workstream is developing a methodology for this approach to be embedded in Integrated Neighbourhood Teams and Neighbourhood Networks. e) Prevention - this workstream is taking the agreed recommendations from “Embedding Prevention in Suffolk”, the approach endorsed by the Health and Wellbeing Board in March 2015, and ensuring that they are taken forward in the two early adopter sites. It will also draw on the outcomes from this year’s Public Health Annual Report which will assess the major causes of demand in the system and recommend options for short and medium term prevention interventions that will both improve health and decrease demand for services. Some practical applications will include training of Integrated Neighbourhood Team members and other public sector partners (e.g. customer facing district council staff) to deliver brief lifestyle advice to clients with modifiable risk factors (e.g. smoking). In the longer term a target operating model within the Integrated Neighbourhood Teams will be developed. This shift to a more preventative approach will require resources to move upstream. f) Engagement and Communication - Since January 2015, the HIVE and Sudbury WATCH has helped coproduce the communications and engagement plans. Five events have been held for staff and voluntary sector to improve networking and share the project so that they can help develop new ways of working. At the time of writing, the plans are to have a multi-agency approach, and all organisations will be able to own and feed into the communications work, after key messages are agreed. There will be:  Branding – Connect Sudbury led the way in the branding of this project, thanks to support from the HIVE and Sudbury WATCH.  Website – www.connectsuffolk.co.uk provides information on the project, frequently asked questions and maps are included.  Social media – a dedicated Facebook page and Twitter feed  Printed information - the Sudbury Health Guide has a broad range of information about health and voluntary sector organisations in the town.  Development of frequently asked questions for dissemination. Attached as Appendix A to this document. g) Workforce – In supporting integrated working, a work shadowing programme has been started, alongside rotation programmes for staff, the development of an early professional development programme and joint work to support recruitment. Workforce development is critical to the success of the programme to ensure that true integration of service teams is effective. h) Property and co-location - all organisations believe in the strength of closer environment working. The Sudbury Adult and Community Services team will shortly be co-locating in the Sudbury Community Health Centre. Formal arrangements are in the process of finalisation with the intention that the team will be in place at the start of September 2015.

Progress on Health and Integration – Connect Sudbury and alignment with Connect East Ipswich  A joint Health, Care and Safety Commissioning Group in place to take oversight of plans and receive escalation reports on cross county issues  Connect Coordinating Team in place to link across both the Sudbury and East Ipswich sites  Workshop with Adult Community Services area team managers held (18th June) to discuss how the Integrated Neighbourhood Team model will be implemented operationally and to agree collective arrangements for working with health colleagues and other partners as the Connect sites move from the planning to the delivery phase.  Draft Operational Toolkit Manual for staff working in Integrated Neighbourhood Teams developed which brings together all of the work that has been completed so far by the Connect Sudbury work  Adult Community Services team will move from their current location, Friar Street, to Sudbury Health centre to support implementation of the Integrated Neighbourhood Teams. Date of move – 3 September 2015.  Delivery plan for Connect Sudbury developed with all stakeholders

Next steps Now we need your support to help us develop three questions to ask the public. So far clinicians and VCS involved in the engagement workstream have settled on these:  What is great or has worked well for you from services offered in the town and surrounding villages, such as housing, NHS or social services?  What would you change?  As we move to more joined up services between housing, NHS and social services, what would work better for you?

Appendix A – Connect Sudbury Frequently Asked Questions

ConnectSudburyFAQ _vFINAL.pdf