Improving the quality of care offered to our residents who have Long Term Conditions is one of our priorities. We are working closely with NHS Wrightington, Wigan and Leigh Foundation Trust, Bridgewater Community NHS Trust and Wigan Council on this.
This video, Living Healthier Longer, explains about the programme together we are implementing:
Long Term Conditions are chronic illnesses that can limit the lifestyle of patients living with them. Examples include:
In order to help manage the burden that living with a long term condition can place upon patients, their families and health services, Practice Based Commissioners are working to:
- Prevent residents of Wigan Borough developing long term conditions
- Ensure early diagnosis of illness
- Improve the quality of services and care for patients
- Make services more convenient and closer to patients' homes
- Provide services and education to enable patients to understand and manage their conditions
- Help residents of Wigan Borough to live healthier and longer lives
We and Wigan Council have agreed to create a Single Commissioning Agency for Health and Wellbeing. It will plan and commission services in the community for health, social care, leisure, culture, advice, support and other services that promote wellbeing. Staff will work together with a single pool of funding to plan, buy and manage services for health and social care and services that support people's wellbeing through prevention, early intervention, support and advice. A Board comprising Council Cabinet members, NHS Trust Board members and responsible Chief Officers will govern this. The aim will be to remove gaps, waste and duplication, provide a range of services that offer choice and control to people, and drive financial efficiency and continuous improvement. This does not change Council or Health legal responsibilities. This will provide leadership for commissioning for health and wellbeing within the strategies, plans and budgets of the Council and NHS Ashton, Leigh and Wigan.
The direction of commissioning will be towards creating a framework of services that are:
- Preventive and aimed at early intervention
- Accessible, through single points of access, locally available, simple and clear referral routes
- Support people to remain in their communities and support families
- Socially inclusive - eg tailoring services to enable everyone to use mainstream leisure, culture, education, skills and transport
- Enabling and empowering individuals to exercise choice and control
- Recovery and re-ablement focused and change towards greater independence
- Individually tailored
- Build social capital
Commissioning will be outcome focused, linking investment to outcomes. It will shift the focus to results that may be achieved for individuals served by services.
The commissioning approach will be based on a financial management strategy linking service improvement to financial efficiencies. It will also make financial savings through disinvestment in services which do not deliver strategic outcomes.
Practice based commissioners have reviewed the pathways for improved clinical outcomes and for high cost and complex needs to be met more effectively for individuals and financially. The model may be seen as a triangle of need with high numbers low needs at the bottom while currently investment sits at the tip of the triangle where there are low numbers, but high needs.