Frequently asked questions
How have people been involved in creating the ICP so far?
Between January and April 2018 a series of 'Your Community, Your Care' roadshows were held for staff and local residents. These reached over 600 people whose views have helped shape our approach to the integrated care partnership. We will continue working with and listening to local residents, community groups, patients and their families and carers as we develop more joined-up services.
Does this replace other transformation projects?
All the partner organisations have ongoing improvement projects. The integrated care partnership does not replace these projects; many of them are important to build the foundations for more joined up services.
I keep hearing about clusters and localities. What are they?
Clusters and localities are areas defined by their population size. We are using these to help decide what services should be delivered at a cluster level or a locality level in the community care model.
A cluster is made up of around 30-50,000 people. This would normally be one or more GP practices and an integrated team (for example, social workers, nursing, mental health, therapists and pharmacists) working together to provide care for their local population. Their focus will be on health and well-being advice and supporting people to manage and plan their own care.
A locality is larger at around 80-100,000 people and will provide more specialist community services, such as X-rays, blood tests or consultant-led outpatient clinics, which have traditionally been accessed only at a hospital. These services are aimed at reducing outpatient appointments at a hospital and keeping people living independently for longer and avoiding the need to go to hospital or a care home.
What's happening in each locality?
The integrated care partnership currently has 7 localities covering all of Buckinghamshire; North Aylesbury Vale, Aylesbury Central, Aylesbury South, Amersham and Chesham, Wycombe, Wooburn Green and Southern. Within each locality there will be a delivery team who will be responsible for joining up the services in their area. They will be supported by expertise and resource from the central integrated care system team, and will use the experiences and needs of the local population when designing the services.
Inevitably, some of the localities are further ahead in their development and we're working with them to develop and test their plans. We'll use the learning from these to support the other localities as their plans come together over the coming months.
What happened to the accountable care partnership?
All accountable care systems in England have been renamed integrated care systems by NHS England but the priorities and focus remains the same; to deliver health and social care services based around the individual, closer to where people live, keeping people out of hospital and encouraging self-care and prevention. Rightly, there is a national aim to reduce duplication and ensure we get the best value from these publicly funded services aligned with an overarching aim of keeping people healthier for longer.
How does this link to the Buckinghamshire, Berkshire & Oxfordshire strategic transformation partnership?
Buckinghamshire, Berkshire West and Oxfordshire strategic transformation partnership (BOB STP) is one of 44 partnerships being developed across the country in response to NHS England's Five Year Forward View, which sets a vision for a better NHS. The STP describes how the Five Year Forward View could be delivered locally. The integrated care partnership will help deliver some of the STP priorities, but is focussed on delivering better joined-up care in the communities of Buckinghamshire.
How is the work funded?
Buckinghamshire integrated care partnership has been awarded transformation funding from NHS England. Partner organisations are committed to collaboration and that includes dedicating resource to the work needed to set up the ICP.