Stewardship is an approach to health and care services that we are developing across the Mid and South Essex Integrated Care System. It is about bringing together teams of health and care staff and managers within a care area, to get the best value from our shared health and care resources.
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across mid and south essex we’re on an
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exciting journey to achieve two simple
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things better support for local people
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to stay healthy and independent for as
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long as possible
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and
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making sure when our people do need
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services they are high quality and
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focused on delivering what matters the
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most the best possible outcomes for each
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individual
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now what’s new is that our partnership
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of health and care services are now
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coming together in an integrated care
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system
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to steward our resources
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at the moment the way health and care
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services work as separate organisations
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can limit the opportunities to look at
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the overall picture we want to focus on
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listening to local people and staff on
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working smarter following best practice
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so that we get the most benefit from
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every partnership pound
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fragmented resources can often result in
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fragmented care that can lead to a poor
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patient experience
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collaborative joined up working has been
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a long-standing aim of many
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organizations
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and we have a real opportunity to act
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and do things differently to tackle
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long-standing barriers linked to data
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and funding flows
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our greatest asset is you
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it’s us it’s our people
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we recognize the value in people who are
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from different backgrounds communities
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and experiences
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we recognise the need to have these
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voices shaping our future and want to
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empower mid and south essex to take
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collective responsibility to a new level
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to improve our health and care in an
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approach we call stewardship
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frontline clinicians and managers are
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already coming together to explore
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opportunities for improved management
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care and support in six care
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areas sharing a collective
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responsibility for stewarding resources
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within their care area directed by local
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population health data
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through working together our staff can
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bring tangible benefits for health and
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care professionals and the people they
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care for
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our health and care partnership will be
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about stewardship it’ll be about making
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the most
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from our shared time energy ideas
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knowledge and investment to bring deeper
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and wider impact
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better outcomes for people living across
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mid and south essex with individuals
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feeling in more control of their lives
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and their needs
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[Music]
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you
What we want to achieve
Teams must deliver on the Triple Aim.
The Triple Aim is set out in the Department of Health and Social Care’s White Paper in Feb 2021 – Integration and Innovation.
This sets three challenges for every Integrated Care System like ours.
- Better health and wellbeing for everyone
- Better quality of health services for all individuals
- Sustainable use of health and care resources
Where are we now
Phases one and two.
The first phase of the stewardship programme sees six groups, called ‘Stewardship teams’ define their care areas in terms of the resident population who may need health and care resources, the level of shared resources within their care area, current service activity, burden of disease and outcomes.
The first six care areas include:
- Ageing well
- Cancer care
- Cardiac care
- Respiratory care
- Stroke care
- Urgent and emergency care
The second phase
We are now looking to develop six new stewardship groups, each comprising of 10 stewards:
- Mental Health and Learning Disabilities
- Children and Young People
- Dermatology
- Ophthalmology
- Musculoskeletal
- Diabetes
All new stewards are provided with development opportunities, including training in value-based healthcare.
Through the Stewardship programme, they will be able to access broader, better shared data and intelligence, engage widely with staff and residents in order to re-prioritise how resources are used.
They will have the responsibility to re-shape how health and care services deliver value for our residents.
What is different about Stewardship?
Shared thinking, shared responsibility.
Stewardship is about forming teams that bring together perspectives from the whole cycle of care, i.e. from across all services supporting residents moving through our health and care system, from before they enter, too after they step out.
Lived experience of local people is key, with a strong emphasis on involving our residents in defining what ‘value’ means.
The experience, knowledge and leadership by health and care staff allows Stewardship teams to identify areas where using evidence-based practice and more joined-up working can improve quality and make better use of our resources.
This approach has the backing and support of senior leaders within our system, including the Chief Executives of each organisation.
Shared Resources: care area budgets
Stewardship teams focus on how we can best use the health and care resources available within each care area (i.e. pooled resources between all organisations) on outcomes that matter most to individual patients and to our whole population.
Shared Data: Population health management
The approach uses different sources of data to understand the health and care needs of our whole population, identifying inequalities and vulnerable populations, and then developing solutions to improve health and wellbeing tailored to our population.
Overall, Stewardship will:
- Close the gaps between health and care services for our patients and residents.
- Empower health and care staff from all organisations to be at the heart of service planning.
- Enable our Integrated Care System to deliver on the promise of Integrated Care.
How can people get involved?
Stewardship teams will need to engage and collaborate closely with all those in their care area, in order to:
- truly understand the full cycle of care, experienced by residents and delivered by staff
- develop and co-produce proposals for improvement
- deliver change together
- evaluate impact
If you are believe you would be a good steward and would like to find out more, please email: mseicb-s.mse-stewardship@nhs.net.