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الحوكمة والشراكات في الأنظمة الصحية

استكشاف هياكل الحوكمة وترتيبات الشراكة في الأنظمة الصحية الحديثة

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القسم 1 Publications approval reference: PAR905

استكشاف هياكل الحوكمة وترتيبات الشراكة في الأنظمة الصحية الحديثة

Building strong integrated care systems everywhere ICS implementation guidance on partnerships with the voluntary, community and social enterprise sector الخدمة الصحية الوطنية England and الخدمة الصحية الوطنية Improvement may update or supplement this document during 2021/22. Elements of this guidance are subject to change until the legislation passes through Parliament and receives Royal Assent. We also welcome feedback from system and stake holders to help us continually improve our guidance and learn from implementation. The la

القسم 2 They exist to achieve four aims:

  • improve outcom es in population health and healthcare • tackle inequalities in outcomes, experience and access • enhance productivity and value for money • help the الخدمة الصحية الوطنية support broader social and economic development . Following several years of locally -led development, and based on the recommendations of الخدمة الصحية الوطنية England and الخدمة الصحية الوطنية Improvement, the government has set out plans to put ICSs on a statutory footing. To support this transition, الخدمة الصحية الوطنية England and الخدمة الصحية الوطنية Improvement are publishing guidance and

القسم 3 Foreword: communities at the heart of health and care systems – the essential

role of the VCSE ................................ ................................ ................................ .... 5 Why do we need VCSE partnerships in ICSs? ................................ ...................... 7 Challenges to VCSE and ICS partnership working ................................ ........... 10 Core require ment and good practice for building VCSE partnerships in ICSs ..... 11 Working with the VCSE sector across the ICS ................................ ...............

القسم 4 Foreword : communities at the heart of

health and care systems – the essential role of the VCSE The COVID -19 pandemi c has given society its biggest challenge of the past 70 years. It has shown that people need support joined up across local councils, the الخدمة الصحية الوطنية and voluntary organisations. Initiatives to bring support to people in their communities have been most successfu l when partners have bridged traditional divisions between health and care and the voluntary sector . The pandemic has highlighted the value of th is work. Some of

القسم 5 This is what we learned:

  • Find out what’s important to residents and listen closely to communities. They will make the right decisions about their own lives with the right support. 6 | Building strong ICSs everywhere: ICS implementation guidance on partnerships with the VCSE sector • Invest in local community grassroots organisations and relationships with families to truly help people and reduce demand for expensive, ineffective and clunky state solutions. • Give the freedom to test new approaches in integrated plac

القسم 6 Case study: A VCSE Assembly in Norfolk and Waveney ICS

The Norfolk and Waveney الصحة and الرعاية الشراكة and its local VCSE organisations have developed a VCSE Assembly as a way to improve health and care by connecting the VCSE sector with statutory partners in the ICS. الخدمة الصحية الوطنية, county councils and VCSE sector partners work in partnership to develop the Assembly and link it to the الصحة and Wellbeing Board , to ensure it represents and meets the needs of communities and the voluntary sector, and that the voices of smaller groups are heard. 11 |

القسم 7 Case studies: Supporting broader economic and social development in the north

west Parts of the Lancashire coastal town Fleetwood are significantly disadvantaged الصحةier Fleetwood helps residents improve their health and wellbeing. The starting point was ‘connecting’ all the great work going on in Fleetwood so that residents could engage with the services and su pport available. A strong network of partners is now providing expertise and facilities alongside the enthusiasm and energy of the residents, turning ideas into reality. Local authorities, الخدمة الصحية الوطنية providers, clini

القسم 8 Case study: Building VCSE sector leadership and representation in Lancashire and

South Cumbria Lancashire and South Cumbria has strengthened its engagement processes by clarifying the lines of accountability and channels of communication. New voluntary sector leadership groups in its five integrated care partnership areas or places, each chaired by an elected representative, have jointly agreed a mechanism for transparent representation and voice. Representatives of each of the five areas and other voluntary organisations across the ICS area are also included in the Voluntar

القسم 9 Case study: joined up work between all sectors to improve health and housing in

Wakefield Wakefield CCG and other الخدمة الصحية الوطنية and local authority partners work with Wakefield District Housing, a social enterprise, to fund a number of schemes to improve housing and tenants’ and community health. Mental health navigators take referrals on problems like hoarding, poor tenancy management and anti -social behaviour. In addition, a service based on local hospital wards is helping people get home from hospital sooner, by addressing barriers such as broken heating, col d homes or the need

القسم 10 Integrated care : www.england.nhs.uk/integratedcare/

ICS Design إطار العمل 20 | Building strong ICSs everywhere: ICS implementation guidance on partnerships with the VCSE sector NCVO : Creating الشراكةs for Success details examples and case studies from the STP/ICS VCSE Leadership programme الخدمة الصحية الوطنية Confederation: How health and care systems can work better with VCSE partners The role of VCSE organisations in care and support planning : National Voices

القسم 11 المجتمع organisations and primary care networks : National Voices

Inclusion health self -assessment tool for primary care networks

القسم 12 Social prescribing : الخدمة الصحية الوطنية England Social Prescribing Summary Guide

National Voices, Rolling Out Social Prescribing RSA and NCVO: Meeting as equals; Creating asset -based charities which have real impact 21 | Building strong ICSs everywhere: ICS implementation guidance on partnerships with the VCSE sector Appendix B : Glossary Integrated care system (ICS): In an ICS, الخدمة الصحية الوطنية organisations in partnership with local councils and others take collective responsibility for managing resources, delivering الخدمة الصحية الوطنية standards and improving the health of the population they serv

القسم 13 Neighbourhood: The smallest and most local area that services are organised at.

Primary care network (PCN): Local collaboration of GP practices covering 30, 000 to 50,000 people working towards integrated primary and community health services.

القسم 14 Provider collaborative:6 الشراكة arrangements involving two or more trusts

(الخدمة الصحية الوطنية trusts or f oundation trusts) working at scale across multiple places, with shared purpose and effective decision -making arrangements, to: • reduce unwarranted variation and inequality in health outcomes, access to services and experience • improve resilience (eg by providing mutual aid ) • ensure that specialisation and consolidation occur where this will provide better outcomes and value. 6 Working toget her at scale: guidance on provider collaboratives 22 | Building strong ICSs every

القسم 15 Voluntary and community sector: Made up of organisations which have a social

purpose and exist not to make profit. Those with i ncomes of over £5,000 must register as a charity. المجتمع organisations are generally smaller, operate in a particular community of geography or interest, and may be formally constituted with a management committee.

القسم 16 Social enterprise:7 Like traditional businesses, social enterprises aim to make a

profit, but reinvest or donate those profits to create positive social change. 7 www.socialenterprise.org.uk

القسم 17 For more information on integrated care systems visit:

www.england.nhs.uk/integratedcare/ Find us on LinkedIn: www.linkedin.com/showcase/futurehealthandcare/ Sign up to the Integrated الرعاية bulletin: www.england.nhs.uk/email - bulletins/integrated -care-bulletin/ الخدمة الصحية الوطنية England and الخدمة الصحية الوطنية Improvement Skipton House 80 London R oad London SE1 6LH This publication can be made available in a number of other formats on request. © الخدمة الصحية الوطنية England and الخدمة الصحية الوطنية Improvement 2021