Connected care and support
Key priorityOur ambition
Organisations and professionals across the health and care system work together to ensure people are able to access the right care and support for their needs, when they need it, making the best use of all available resources.
Why this is important
Access:
Health and care systems which are easy to access and navigate, enable the best outcomes for people and reduce inequalities.
Life stages and transitions:
A connected care and support system is most important during the first 1000 days of life with key transition points, for example; being diagnosed with a long-term condition, and the last 1000 days of life.
Quality of experience:
When there is a coordinated systems approach, people have a better experience of care across the life course, including at end of life, that is timely and where people don’t need to retell their story.
Efficiency:
With people living longer and with more complex needs and technological advances, the system needs to respond in a coordinated way.
Resources:
Across the system there are significant and ongoing challenges in terms of funding, resources and workforce capacity. Alternative and more joined up ways of working are required to support a sustainable future
Pressures:
The system is managing the ongoing legacy of Covid and other pressures including poverty and the cost of living crisis.
National Policy:
Policy is changing to facilitate partnership working locally, regionally and nationally.
Sustainability:
The system is managing the ongoing legacy of Covid and other pressures including poverty and the cost of living crisis.
We will:
- Recognise that individuals are expert in their own health and care because you live it every day and work with you rather than do things to you.
- Support you to take ownership and control of your own care and the management of longterm conditions.
- Support you in connecting with local resources, groups and individuals.
- Recognise carers as a local asset and will create an environment where carers feel confident and supported to identify themselves
- Work together to improve and deliver services which are more accessible, joined up using integrated care pathways and where appropriate in community settings
- Improve the way we communicate with each other to prevent you needing to tell your story over and over again.
- Take a neighbourhood approach where possible and involve wider partners, for example education services.
- Reduce unintended and unnecessary duplication in services.
- Develop a 'one workforce' approach for health and social care with partners locally and across West Yorkshire
- Maximise use of digital technology, when it is right for the individual, to access care and support.
- Share data to enable a joined-up approach to planning and delivering care and support.
- Work with partners to ensure quality planning, design, construction and management of spaces, places and homes.
- Take an integrated approach to monitoring and improving the quality of health and care services.
- Work together across the West Yorkshire Health and Care Partnership to identify areas for improvement and sharing of learning on a larger scale, where it adds value.
- Use the resources available to us responsibly taking into account the impact on the wider system.
- Minimise the impact of the services we provide on the environment and adapt to changes in the climate.
You can:
- Take ownership and control of your own care and the management of long-term conditions to help us make the best use of our resources.
- Access local resources, groups and individuals who may be able to support you in managing your own health and care.
- Use all options including digital technology to access care.
- Work with us to co-produce better health and care services for the future.
- I would like all the different aspects of who I am and how this impacts on my health and wellbeing to be recognised and understood, and that I am seen as a whole person.
- I would like services to know that I am an expert in my own health and wellbeing because I live it every day.
- I would like services to improve the way they communicate with me and with each other, so I don’t have to tell my story over and over.
- I would like information and support to help me manage my own health and remain as independent as possible for as long as possible.
- I would like dignity and choice throughout my life, including at the end of it.
- Healthy birth weight (shared outcome headline indicator)
- Healthy life expectancy (shared outcome headline indicator)
- Social care support (shared outcome headline indicator)
- Avoidable admissions
- Length of (hospital) stay
- Patient/user satisfaction
- Choice and dignity at end of life
- People's stories
- Workforce sufficiency
- Kirklees Health and Care Plan
- SEND Strategy
- Vision for Adult Social Care
- Carers Strategy
- Ageing Well Strategy
- Dementia Strategy
- Primary Care Strategy
- West Yorkshire ICS (Integrated Care System) strategies.