Shaping our Integrated Care Partnership priorities: A partnership discussion document | 5 ICP partners are clear that we should only take South West London-wide action ‘at-scale’ where there is strong evidence that focussing our effort and resources would deliver the biggest improvements for local people. The ICP Board discussed the following principles to help determine which areas we should focus on: The Board are clear that any action that we agree at South West London level will not duplicate what is happening to drive improvement at Place. The following important considerations were identified by the board: Target our focus on: • The greatest impact and tangible outcomes • Getting the basics right • Good communication • Patient satisfaction • Workforce retention Co-design • Listen to the voices of people and carers • Seek service user and community opinion • Use deliberative approaches like citizens panels • Ensure that our priorities are supported by public and community voice Impact areas to think about • Address wider determinants over a longer timeframe • Impact on environmental footprint • Impact on health life expectancy of the target group • Confront health inequalities and measure outcomes for local populations • Grasp opportunities for prevention, early intervention and holistic care • Early intervention is key Outcomes • Ensure a positive impact on health outcomes • Evidence progress, some outcomes are long-term so we must utilise the use of proxy measures • Ensure positive impact on whole system finance, including social care • Ensure we benefit the greatest number of people, weighted to support smaller populations • Assess to what extent the issue will be in 5/10 years; prioritise interventions with most long-term impact • Address Core20PLUS5 • Develop a prevention framework to put health, social care and wellbeing on more equal footing • Promote future benefit-quality of life Approach • Pragmatism over perfection; a rolling programme of common issues that lead to whole system approaches and be pragmatic with what is possible to deliver • Explicitly set out to learn and adapt • Specify the added value of delivering at SWL level vs place; subsidiarity • Value is also about stopping things that have limited value; we must assess what is working • Take a holistic approach to prioritisation We must assess: • Achievability vs impact • What is best done at scale • What will reduce inequalities • What addresses the highest need Constraints • Be realistic about capacity and capability of workforce to deliver • Reduce dependence and cost in the system by specifically reducing inequalities • Sustainable models for the green agenda • Agree which interventions empower and enable independence Enablers • Accelerate digital change • Use of public health evidence and local insights • Population health management • Workforce 1 2 3 4 5 Need: Is there a significant or compelling need at South West London level and does this theme address any unmet need or inequity? Prevention: Is there an opportunity to prevent ill health and encourage people to take responsibility for their own health? Deliverability: Is there any existing programme of work we could accelerate in order to maximise impact on the population? Strategic fit: Is there multiagency energy and commitment to proceed with this as a theme? Productivity: Will this theme make better use of resources, or provide better or enhanced value?
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