Below is an overview of some of the things that have been happening over recent months and a forward look at upcoming ICP events:
The implementation of proposals developed by ICPs, and agreed by Local Commissioning Groups, is now underway across all areas. A number of service changes are now live including, a social prescribing pilot in the West, an integrated respiratory service in Belfast, a nursing home in reach service in the North, a social care response pilot in the South East, and an expanded acute care at home service in the South.
Read a full overview of the service changes being implemented by ICPs in each local area in the Patient Care section of our website
The Department of Health, Social Services and Public Safety (DHSSPS) is carrying out an evaluation of ICPs under six key themes as outlined in the Policy Implementation Framework: Quality, Access, Financial benefits, Engagement, Pathway Re-design and Future Proofing.
As part of that evaluation, a survey of all ICP committee members was carried out in March 2014 to gather a baseline of members views in relation to joint working and patient centred collaboration between primary, community and secondary care prior to the establishment of ICPs.
A follow up survey was issued in March 2015 which invited participants to reflect on their experiences since the establishment of ICPs; to comment on the extent to which ICP development to date has matched their initial expectations; and to identify any barriers that have affected their development.
There were a range of views expressed about how effectively health and social care providers have worked together across disciplinary, organisational and geographical boundaries since ICPs were established but overall, responses were notably more positive than those provided in the baseline survey. There was an acknowledgement of the challenges to ICP working and that changes to services on the ground were not yet obvious.
The full report from the survey is available here and has been shared with all ICP committee members, the ICP Business & Clinical Support Teams and the Regional ICP Project Board, to inform the continued implementation of Integrated Care Partnerships across Northern Ireland.
The DHSSPS continue to gather information for the evaluation of ICPs and further updates on that process and the timing of the evaluation report will be reported as soon as available.
ICPs have been tasked with focusing on four key components of care to deliver improved services for older people and those with long term conditions; Risk Stratification, Information Sharing, Care Planning and Evaluation (RICE).
In order to help meet this agenda, £1.9 million has been invested in GP Practices to support delivery of a Risk Stratification and Proactive Management Enhanced Service.
This service involves GPs identifying those patients within their practice at highest risk of hospital admission or deterioration in their condition (risk stratification) and who would benefit from more coordinated and proactive care management.
Once those patients have been identified, the GP Practice works with those patients and their carers to agree goals for more proactive management of their care and with support from a range of health and social care professionals puts in place an integrated care management plan. This coordinated and proactive plan seeks to ensure that those patients, along with their carers and families, are better supported to manage their condition; to identify when they are deteriorating; and to know how best to get prompt care and support as needed. It is hoped that this service will deliver more integrated and responsive care to those in most need and help prevent attendances at Emergency Departments and admissions to hospital.
An evaluation of this service will be available in the autumn and consideration will be given to how best to sustain this approach to management of long term conditions and care of older people.
ICPs are contributing to the European funded Beyond Silos project which aims to improve patient outcomes through integration of healthcare information.
The Beyond Silos pilot in Northern Ireland is led by the Health and Social Care Board and Public Health Agency with support from the Business Services Organisation
The pilot seeks to expand upon the Northern Ireland Electronic Care Record (NIECR) to develop an electronic Shared Care Plan which will increase availability of information about patients and clients to health and social care professionals who are planning for and providing them with care.
The inclusion of a Shared Care Plan within the ECR would allow relevant HSC professionals to create and update service user information using a dynamic, interactive and integrated electronic Shared Care Plan and is very much aligned with the ICPs work on the RICE agenda (Risk stratification, Information sharing, Care planning and Evaluation).
It is anticipated that this integration of available service user information will improve the quality and safety of patient care and help support clinical decision making for better patient outcomes.
The Beyond Silos project is working through ICPs to seek expressions of interest from 30 GP practices to input to the development, testing and evaluation of this electronic Shared Care Plan. Practices delivering the pilot will test its use for approximately 10- 20 consenting patients from September 2015 until April 2016.
Further updates on the implementation of the pilot and its evaluation will be provided as the work progresses. Please contact the ICP Business Manager in your area (Belfast; North; South; South East and West) for further information or to get involved.
The BeyondSilos project is co-funded by the European Commission within the ICT Policy Support Programme of the Competitiveness and Innovation Framework Programme (CIP). Grant Agreement No.: 621069
There are currently a number of ICP vacancies for service user and carer representatives with experience of services for frail older people or experience of diabetes, stroke or respiratory conditions.
A regional meeting was held to discuss stroke work underway by ICPs across all localities on 29 April 2015 at Clotworthy House, Antrim. There was representation from all ICP areas which included GPs, Pharmacists, a representative from Marie Curie and a service user.
Dr Brendan O’Hare set the context for ICP work on stroke with a short presentation. GP and pharmacy leads for each ICP area then presented the conclusions of each locality’s multi-disciplinary stroke group and the challenges each area faced in delivering meaningful change and necessary service developments to benefit patients throughout Northern Ireland.
There was also discussion regarding:
Similar regional meetings were held to focus on the respiratory and diabetes work being undertaken by ICPs, which allowed shared learning and opportunities for collaboration to be identified. A regional ICP meeting to share progress in relation to care for older people will held in the coming weeks.
The South Eastern Business and Clinical Support Team held a workshop for members of the four ICPs in the area (Lisburn, North Down, Ards and Down) on 7 May. The workshop was an opportunity for members of the ICPs across the South Eastern localities to meet and to develop relationships. A number of attendees delivered presentations about their professional roles, providing ICP colleagues with insights and understanding into the challenges and opportunities which exist within their respective sectors to develop ICP working.
Discussions also took place about the commissioning process; future plans across the South Eastern locality; and opportunities to maximise and coordinate community and voluntary sector involvement in ICPs going forward.
Regional meetings of service users and carers from across all 17 ICPs are held regularly and the group have recently met on two occasions; 11 May and 22 June. These meetings are an opportunity for ICP service user and carer representatives to share their experiences and the work that is underway within their partnerships.
Recently, significant efforts have been made by the group to recruit more service users and carers to ensure that all ICPs have effective service user and carer representation.
At the May and June meetings, discussions focused on two key areas:
Actions to take forward were agreed and plans are in place for these meetings to continue every two months with a schedule of topics for discussions which have been identified by the group.
A dedicated ICP service user and carer resource library is now available at the HSC Knowledge Exchange website to support representatives in their role on ICP committees. Resources include information specific to ICPs alongside research studies and reports relating to Integrated Care and to the five clinical priority conditions.