Can Do Health & Care - NHS Uncomfortable Truths Report

Part 1: WHY as system leaders we need to address culture to improve outcomes | 3 Susannah Howard, Director, Suffolk and North East Essex Integrated Care Partnership As an Integrated Care System we come together across all sectors, and whilst it looks like a complicated system to us, it is also a very confusing system to the people using our services. At its heart, our system recognises that what people want a health and care system that is genuinely ‘Can Do’ and that ‘Will Do’. Our health and care system needs to be one that is safe, compassionate, inclusive, fair, courageous, collaborative, evidence based and continuously learning, and our regulators want to see that too. Integrated Care Systems have four purposes, bringing partner organisations together to: • improve outcomes in population health and healthcare; • tackle inequalities in outcomes, experience and access; • enhance productivity and value for money; and • help the NHS support broader social and economic development. In 2024 the Care Quality Commission will start its programme of reviewing integrated care systems. Being ‘Well Led’ involves “an inclusive and positive culture of continuous learning and improvement. This is based on meeting the needs of people who use services and wider communities, and all leaders and staff share this. Leaders proactively support staff and collaborate with partners to deliver care that is safe, integrated, person-centred and sustainable, and to reduce inequalities.” The questions we pose today draw on these statements to ask, ‘Are we Well Led?’ We work together as an ICS in different ways. We come together through the Integrated Care Board, the Integrated Care Partnership Committee, Health and Wellbeing Boards, our Alliances, our acute and community NHS collaborative, VCFSE Assembly, our Chairs Group, Integrated Neighbourhood Teams and Primary Care Networks. We want to build an ICS that is genuinely inclusive of every voice, and together we are the system, and to do that we want to cultivate our ‘Can Do’ Integrated Care eco-system. Integrated Care Partnerships are a core part of ICSs, driving their direction and priorities, and are rooted in the needs of people, communities and places. ICPs create a space to develop and oversee population health strategies to improve health outcomes and experiences. ICPs will support integrated approaches and subsidiarity. And ICPs should take an open and inclusive approach to strategy development and leadership, involving communities and partners to utilise local data and insights. (DHSC Guidance). Today is about creating that thriving integrated care eco-system, drawing on those principles. “Our shared vision in the ICS is to support everyone living in Suffolk and North East Essex to live well and provide the care they need to stay well in their local communities.” The data shows these are longstanding systemic issues, and we are not turning the curve on many of the data trends. To achieve our shared vision, we need a ‘left shift’ for the people we serve, and this means bringing together all areas of our ICS strategy, and together focusing on Culture.

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