IPC areas

Following a rigorous shortlisting and interview process in 2015, a number of areas were selected to be IPC ‘demonstrators’, and lead the way in designing this model of care for people with complex needs in England. These demonstrators were joined by additional ‘early adopters’ in late 2016, representing the first stage of national roll-out.

Current IPC areas are:

All areas rolling out IPC are committed to:

  • Implementing IPC as the approach to supporting people with complex needs in their area,
  • Working in partnership with NHS England and the LGA to refine and implement the IPCEmerging Framework,(PDF)  including alignment with New Care Models
  • Taking a lead role on behalf of their local Sustainability and Transformation Plan (STP) footprint area, and disseminating learning to support wider adoption of IPC across the footprint.

Birmingham and Solihull

In Birmingham and Solihull, Integrated Personal Commissioning (IPC) will benefit both local people as well as supporting the area to achieve local organisational priorities, including the increased uptake of direct payments in social care, the expansion of the offer of personal health budgets and the personalisation of maternity care, for which Birmingham and Solihull is a Choice and Personalisation Pioneer.

Local people will be active participants in the development and testing of the IPC approach, which will include being part of the IPC Board and working groups.

The scope for IPC will initially focus on the populations of Birmingham City (1.1million) and Solihull (207,000). Based on the total of 1.3 million people there are potentially:

  • 63,000 people who could benefit from the IPC approach (5% of the population)
  • 13,000 people (1%) who could benefit from a personalised care plan (1% of the population)
  • Between 2,600 and 5,300 people who could benefit from a personal health budget (between 0.2% and 0.4% of the population)
  • A smaller group, yet to be defined, who could benefit from an integrated personal budget.

Initially the focus of IPC will be people who have mental health problems and people with a learning disability.

The key benefits of IPC for these people will be:

  • People achieving the outcomes most important to them
  • Improved choice and control
  • Positive impact on care related quality of life
  • Increased use of community capacity
  • Integrated care at the level of the individual
  • Improvement in psychological wellbeing

Partnering to deliver IPC in Birmingham and Solihull are:

  • Birmingham City Council
  • Solihull Metropolitan Borough Council
  • NHS Birmingham Cross City CCG
  • NHS Birmingham South Central CCG
  • NHS Solihull CCG
  • Birmingham and Solihull Mental Health Foundation NHS Trust
  • MERIT Vanguard (New Model of Care)

For mental health, the work will be integrated into the work of the West Midlands Mental Health Commission, with the learning shared across the four mental health trusts that form the Mental Health Alliance for Excellence, Resilience, Innovation and Training (MERIT) Vanguard (new models of care).

Filmed in December 2016, hear from Birmingham and Solihull’s project lead Adrian Phillips, about their plans for the Integrated Personal Commissioning programme.


Cheshire West and Chester

“Our catchphrase is ‘It’s my life- I decide’ – this represents a major shift in how individuals and their carers see themselves and how any decisions about their care and support are made.”

Identified cohorts: People with learning disabilities and/or autism

Partners:

  • Cheshire West and Chester Council
  • West Cheshire CCG
  • Vale Royal CCG

Hampshire: My Life, My Way

“In Hampshire, IPC is called “My Life, My Way”. We are bringing together service users, carers, the voluntary sector, providers and commissioners to provide leadership for a new integrated and personalised commissioning approach for people with complex needs”.

Identified cohorts: People aged 14 year and over with a physical disability, learning disability or autism

Partners:

  • Hampshire County Council Adults and Children’s Services
  • Five Hampshire Clinical Commissioning Groups
  • Hampshire Advocacy Regional Group (HARG)
  • Independent Lives

Hertfordshire

By joining the IPC programme, Hertfordshire will, at pace, support and empower local residents to become truly in control of their lives and influence how decisions are made about their health and social care. This will be achieved through working across partners, and together with patients, carers and their families (including those with lived experience).

Hertfordshire’s IPC programme will focus on the following cohorts:

Older people with multiple and long term conditions
The chosen cohort for the first stage of IPC is people with multiple long-term conditions. There are 77,936 people aged over 65 and 16,150 adults under 65 in Hertfordshire living with long term limiting conditions. A subset of this group, people admitted to hospital with a stroke, will be the cohort initially included in IPC.

Adults with a Learning Disability (including Transforming Care)
There are currently 21,171 individuals within this cohort, which presents Hertfordshire with an opportunity to delivery IPC at scale.

The vision for health and care in Hertfordshire is of a fully integrated system, built around local individuals and communities to support them to stay healthy, living active, fulfilling lives and placing a higher priority on giving people and communities the practical support and confidence they need to manage their own health and wellbeing.

An early objective of Hertfordshire’s IPC plan is to develop an integrated personal budget (IPB) support service, with a strong commitment to co-production with patients, carers and their families as well as providers.


Islington

The IPC Programme is an opportunity for Islington to build on the strong foundation of integrated work taking place locally, from initiatives focussing on prevention to complex case management.  Islington plans to commence IPC with two groups:

For adults:

Islington has identified people with multiple long term conditions as the group to initially engage in IPC, including people with physical and mental health conditions. This cohort often has needs across health and social care that could be best met through offering people and carers personal budgets. Once in place, the plan is for IPC to be extended where possible to people in last years of life and people with learning disabilities.

For children:

The initial cohort will be looked after children with mental health issues. This area is a high priority for Islington to join up care across agencies and IPC offers an integration framework to accelerate this work. The ambition is to extend IPC to the special educational needs and disability (SEND) cohort.

Through developing IPC, people will be offered more choices to enable them and their families to stay independent for longer, improving both immediate health needs as well as the longer term outlook.

Filmed in December 2016, hear from Islington’s project lead Marisa Rose, about their plans for the Integrated Personal Commissioning programme.


Lincolnshire

“Fundamental for us is ensuring that IPC is sustainable, so that in the future as many people as possible are able to access it”

Identified cohorts: People with learning disabilities, dementia, severe mental health problems and children transitioning to adult services

Partners:

  • Lincolnshire County Council
  • NHS Lincolnshire West CCG
  • South Lincolnshire CCG
  • Lincolnshire East CCG
  • South West Lincolnshire CCG
  • Voluntary sector partners

Luton

Identified cohorts: People diagnosed with dementia

Cohort size: 1200 expected by 2017, 767 currently diagnosed

Partners:

  • Luton CCG
  • Luton Borough Council
  • The Disability Resource Centre
  • Age Concern
  • The Alzheimer’s Society
  • East London NHS Foundation Trust Memory Assessment Services

Useful links:


Nottingham City

In Nottingham City, IPC aligns with work already underway to establish an integrated budget and process for people with health and social care needs, both for those who are eligible for joint funded packages (following NHS Continuing Healthcare assessment) and section 117 mental health after-care.

Nottingham City and Nottinghamshire have developed a local Sustainability and Transformation Plan (STP), setting out how health and social care will be transformed over the next five years and bringing together health, local government, independent sector and voluntary organisations. IPC supports the aims of the STP and the programme will be developed and aligned within the STP.  Crucially, IPC strengthens an objective of the STP to empower people and their communities to take an active role in their health and wellbeing, giving them greater choice and control over the care they need. This work will build on the learning from personal budgets in social care and be a driver for local expansion plans for personal health budgets.

The cohorts for IPC in Nottingham City are:

  • Individuals with joint packages of health and social care (including section 117 after-care)
  • (From April 2017): People with a learning disability and/or autism, people with mental health problems, people with multiple long term conditions and children.

The plans will be delivered in partnership with the following groups:

  • NHS Nottingham City CCG and GPs
  • Nottingham City Council Adult Social care and Children’s Services
  • Local voluntary sector organisations
  • People with lived experience including people already in receipt of a personal budget or personal health budget
  • Nottingham CityCare Partnership (community health provider which includes the NHS CHC assessment and case management review service)
  • Nottinghamshire Healthcare Foundation NHS Trust (mental health and learning disabilities services provider)

Filmed in December 2016, hear from Birmingham and Solihull’s project lead Adrian Phillips, about their plans for the Integrated Personal Commissioning programme.


Nottinghamshire

Across Nottinghamshire there are three areas of work currently focussing on integrating services, which will deliver the local sustainability and transformation plan (STP). These are:

  • Integrated Local Care Team models
  • Mid-Nottinghamshire – Better Together programme
  • Greater Nottingham Health and Care Partners – We Care

The IPC approach will be built to fit within the context of these programmes, and will be the mainstream approach for citizens with complex needs in Nottinghamshire.

The vision for IPC is:

  • A person centred, accessible system
  • Personalisation and empowerment
  • Choice and a diverse market place
  • Good reliable advice and support
  • Citizens taking responsibility
  • Open and honest conversations
  • Compassion and dignity
  • Better outcomes and quality of life
  • Citizens are supported through the journey
  • The right support at the right time

Local goals for IPC are:

  • To routinely listen to citizens through support planning and this informs commissioning and market development
  • To provide clear guidance for personal budgets that the workforce are able to work confidently with and are able to be creative with citizens
  • To co-ordinate information across health and social care so that citizens have one co-produced support plan across health and social care
  • To have one pot of money to pay for jointly agreed outcomes
  • More citizens are living independently, with reduced emergency admissions
  • To support a shift of resources from acute and emergency to prevention
  • Shifted expectations and stigma around citizens, this is reflected in the behaviour of our workforce, and in our communities as a whole
  • A vibrant market place enabling people can choose new things, with a focus on self-directed shifted health provision.

Filmed in December 2016, hear from Nottinghamshire’s project lead Debbie Draper, about their plans for the Integrated Personal Commissioning programme.


Portsmouth

“Our aim is by 2017 to have a single assessment process that is adopted across all our partner organisations”

Identified cohorts: People over the age of 50, with two or more long-term conditions, who have been hospitalised at least twice in a 12 month period.

Cohort size: 700 in year one

Partners:

  • Portsmouth City Council
  • NHS Portsmouth CCG
  • Solent NHS Trust
  • Age UK Living Well project

Useful links:


Sheffield

IPC in Sheffield will help to promote much broader cultural change in Sheffield, and help work towards services being more responsive to the needs of individuals, rather than the organisations that provide them.

The initial cohorts that will be included in the local IPC programme are:

  • People with mental health problems who are subject to 117 after-care and frequent A&E attenders
  • Respite services for people with a learning disability
  • Adults with NHS Continuing Healthcare
  • People with an acquired brain injury

Sheffield’s IPC programme will build on local innovative work that is already supporting individuals to contribute to the wellbeing of their community, through peer support activities, social cafes and volunteering opportunities.

Filmed in December 2016, hear from Sheffield’s project lead Joe Fowler, about their plans for the Integrated Personal Commissioning programme.


South West IPC

“As a GP I have seen how person centred care can help transform the lives of people with complex health and care needs. Empowering people, carers and families by offering Integrated Personal Commissioning is one of the key solutions for a sustainable future for Health and Care systems” –

Matthew Dolman, GP, Somerset CCG Chair and Chair of the South West IPC Programme Board

Cohorts:

  • Children with complex needs and their families
  • People with severe learning disabilities
  • People with multiple long term conditions, including older people living with frailty
  • People with significant mental health needs

Partners:

  • 11 CCGs across the South West
  • 13 local authorities
  • Health Education England (South West)
  • Academic and Health Science Network
  • South West Strategic Clinical Network
  • South, Central and West Commissioning Support Unit
  • Range of voluntary and community sector organisations

Useful links:


Stockton-on-Tees: My Voice, My Choice

Cohorts: Older adults with long term respiratory conditions

Partners:

  • Catalyst Stockton
  • Hartlepool & Stockton-on-Tees CCG
  • North Tees and Hartlepool NHS Foundation Trust
  • Stockton Borough Council

Useful links


Tower Hamlets

Cohorts: People with social care needs and one or more of the following:

  • Adults with learning disabilities
  • Adults with severe and enduring mental illness
  • Adults with multiple long term conditions
  • Children with statement of educational needs (SEN).

Partners:

  • NHS Tower Hamlets CCG
  • Tower Hamlets Council
  • Real
  • Bromley by Bow Centre

Useful links: