Wirral Neighbourhoods and Placed Based Care
Kings Fund suggest that the challenges facing health systems and society require collective action across systems and local communities.
The King’s Fund report Place-based systems of care argues that providers of services should work together to improve health and care for the populations they serve. This means organisations collaborating to manage the common resources available to them rather than each organisation adopting a ‘fortress mentality’ in which it acts to secure its own future regardless of the impact on others.
They go onto say that the approach taken to develop local systems of care should be determined by NHS organisations and their partners and as such place-based systems of care involve organisations working together to improve health and care for a geographically defined population, managing common resources.
This webpage describes that new local journey.
What is the vision for Wirral Neighbourhoods and Placed Based Care?
The aim is to enable all people in Wirral to live longer and healthier lives by taking simple steps of their own to improve their health and wellbeing. By achieving this together we can provide the very best health and social care services when people really need them, as close to home as possible.
...'Together we will provide effective care, as close to the resident’s home as possible, delivered by the right person at the right time'...
What will working in Neighbourhoods enable?
Organisation of care around people’s holistic needs - physical health, mental health and social care.
Development of services that are clinically and financially sustainable through greater integration of care, reduction in duplication across a pathway and flexibility in approach of delivery to meet local population needs.
Collaboration and involvement with a wider range of organisations from different sectors, including the identification and use of ‘community assets’
Partnership working with families, carers and public and local neighbourhoods to transform the way that services are delivered and improve the focus on population health and wellbeing.
Sharing of expertise and skills from different organisations to benefit how health and care is delivered.
Make community based care the central focus of the health and care system
Enabling GP time to be more effective
How we defined our Neighbourhood populations and Place Based Care
The process of knowing where and how to work in a Place Based Care way requires work to understand local populations, where they live and travel from and how they use services.
Best practice suggests that you take logical steps to define Place Based Care areas such as defining the population group, the boundaries, the right partners and services that need to be involved and so on.
These best practice approaches were adopted and specifically the following methods used to define our Localities and Neighbourhoods:
- To establish the population group and build up a picture around the wider determinants as well as commissioned health services we have to take in to consideration the borders at least at lower layer super output areas (LSOA) level. Examples of small area statistics to support the ‘place based’ needs are as follows:
- Vulnerable groups – Disability, people out of work, benefits, pensioners, deprived neighbourhoods
- Housing – Type, tenure, affordable housing, energy efficiency of domestic buildings
- Crime & safety – Recorded crime,
- Health & wellbeing – Healthy lifestyles
- Education & skills – qualifications, early years progress, attainment
- Economy – Income and fuel poverty, economic activity, job type and opportunities, local business
- Access & transport – Distance and travel times to key services, digital services (households with broadband),
- Communities & environment – Classification of neighbourhoods, air pollution
- To establish the borders several factors were taken in to consideration, such as:
- Practice populations were split by LSOA. We then assigned the LSOA groupings to the federation/cluster with the highest population. This gave us the geographical reach for each practice.
- Older People Population
- Population Density
- Main travel routes
Taking these approaches has led us to our 51 - 9 - 4 - 1 model
Wirral Model (51-9-4-1) (get Map)
- Teams and care wrapped around the place and people to provide proactive joined up care as 'One Team', working toward shared outcome goals
- Place in Wirral defined as:
51 GP practices
All the place components are being linked to ensure seamless coordinated health and care
Those geographic Wards already used by the Local Authority correspond closely to those boundaries chosen to define Localities and Neighbourhoods (see Ward Map overlaying Localities and Neighbourhoods)
Wirral Neighbourhood Information
Wirral Community Insight provides content to match our 4 Localities and 9 Neighbourhood areas.
These bespoke reports can be found on https://wirral.communityinsight.org/
Follow this route
- Go to https://wirral.communityinsight.org/
- Click on REPORTS,
- then click to view all reports - go down the list where you will find a report for each area
- I) for 4 Localities and
- J) Place-Based Care Neighbourhoods
- Support for place-based commissioning in Wirral (Wirral Intelligence Service - Best Practice Example, 2018)
- Place Based Care Arrangements for Wirral (2017)
Kings Fund papers on Placed Based Care (2016)
- Ten design principles for place-based systems of care (2015)
- Place-based systems of care A way forward for the NHS in England (2016)
- A vision for the future of community-based health services (2017)
National and Local Government content (2016)
- Placed-based services of care (2016)
- House of Commons - Health and Social Care Committee Integrated care: organisations, partnerships and systems Seventh Report of Session 2017–19
- Shifting the centre of gravity: Making place-based, person-centred health and care a reality (2018)