MANAGED CARE NETWORK OLDER PEOPLE

1
MANAGED CARE NETWORK OLDER PEOPLE

• Lanarkshire Workshop
• 28 April 2006
• Mike Martin Director, Joint Improvement Team

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The JIT .

• A Partnership
• Practical support and assistance
• Voluntary engagement
• Development and innovation
• Shared learning

3
Managed Care Networks contribute to andlearn
from

• Intermediate care
• Housing with Support
• Strategic Joint Commissioning
• Performance Improvement
• Admission and Discharge processes
• Transport with Care

• User/carer/patient engagement
• Governance and Management Framework

4
National Policies some Common Principles

• Personalised Services
• Patient Centred
• Whole Systems
• Outcome focussed
• Multi-disciplinary/agency approaches
• Partnership working

• Economies through integration
• Economies through scale
• Consistent standards
• Effective and Efficient delivery
• Information and resource sharing
• Explicit accountability

Not easy to reconcile all of these!
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MCNs A Vehicle for Reconciliation?

• Build around patient/user needs/experiences
• Vesting authority with individuals
• Organisations signing-up to delegate authority
  (within/across partnership?)
• Focus on the service outcomes
• Enables personalised, flexible services within a
  framework of standards
• Requires information and resource sharing
• The collective impact of individuals in the
  network makes the difference!

6
Some Commissioning tensions

• Person centred services multiple service inputs
• Funding comprehensive services multiple funding
  streams
• Accountability multiple organisations
• Regulations and standards multiple inspection
  agencies
• Partnership decisions multiple meetings and low
  cost denominator
• MCNs well placed to navigate this maze!

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A Managed Care Network for Older People

• Will it work?
• Will it add value?
• Will it be practicable?
• Today will test this out identify the critical
  questions
• set down the bottom-lines
• spot the critical success factors
• establish some key milestones
• agree the process for innovation
  and development