Integrated Care: Delivering the Long-Term Plan

Registration and Coffee in the Networking Area

Chair's Opening Address

• Neil Walbran, Chief Officer, Healthwatch Manchester (confirmed)

Keynote Address

• Sarah Walter, Assistant Director, ICS Network, NHS Confederation (confirmed)

The Health and Care Bill intends to reform the delivery of health services and promote integration between health and care in England. This is the first major piece of primary legislation on health and care in England since the Health and Social Care Act 2012. As part of this agenda the Integration White Paper has been published to promote connection, communication and collaboration across the health and care system.

• Amanda Sullivan, Designate Chief Executive, Nottingham and Nottinghamshire Integrated Care Board (ICB) (confirmed)

The new legislation mandates for the establishment of Integrated Care Systems (ICSs) as statutory bodies to cover England by April 2022. Many STPs morphed into ICSs as forerunners and have experience of delivering services in a more integrated system.

• Annette Bradley, CEO of MA Training, co-founder Aligned Care Programme, Advanced nurse Practitioner, NMC registered tutor, NLP Master Practitioner., M A Training Enterprise Ltd (confirmed)

There have been several initiatives over the last few years within health and Social Care with the intention of addressing and reducing inequalities. Very few initiatives have been effective in providing professionals in secondary care, social work and Primary care with the skills and expertise needed to really make a difference using a bottom-up approach. This presentation will demonstrate how an aligned care approach can be the difference that makes the difference.

Headline Supporter

Question & Answer Session

Coffee in the Networking Area

Case Study

Sanofi are a global biopharmaceutical company focused on human health - helping prevent illness with vaccines, provide innovative treatments to fight pain and ease suffering. We stand by the few who suffer from rare diseases and the millions with long-term chronic conditions.

With more than 100,000 people in 100 countries, Sanofi is transforming scientific innovation into healthcare solutions around the globe.

The Health and Care Bill has set out new powers for CQC to have oversight of Integrated Care Systems (ICSs) to support the health and care systems to be held accountable and encourage the shift towards more integrated services and improved outcomes for people.

• Dr Philip Barber, Consultant Respiratory Physician , University Hospital of South Manchester NHS Foundation Trust (confirmed)

Lung cancer is by far the commonest cause of cancer death, and in Greater Manchester is the single commonest cause of premature death. This is despite its being almost completely preventable, increasingly predictable, and eminently curable. It remains, however, curiously off the national radar, probably due to a combination of factors which may include a persistent and unaccountable pessimism in some medical circles, a lingering image of lung cancer patients as responsible for their own downfall, and the energetic rearguard action of Big Tobacco in maintaining the inhaling habit and attempting, probably successfully, to perpetuate nicotine addiction into another generation. So, what can we do as a nation?

It is logical to look at prevention, prediction and treatment in reverse order as, respectively, long-term, medium term and short-term components of the lung cancer question:

1. Treatment: lung cancer patients deserve, but often do not get, prompt attention, often failing to obtain treatment within an appallingly unambitious 62-day target from urgent referral, aggravated now by Covid constraints. Lung cancer survival is intimately linked to Stage, and it is now known that delays of months, even weeks, are responsible for stage-shift to incurability. We need to up our game so that treatment resources wait for patients, not the other way round.
2. Prediction: it is now known that the Lung Health Check methodology pioneered in Manchester can identify lung cancer at a curable stage in 80% of high-risk patients, avoiding the pitfalls of earlier screening methods, especially high false-positive diagnostic rates resulting in inappropriate thoracotomies. Lung Health Checks have proven cost-effectiveness, now form part of the NHS Forward Plan, but have yet to evolve into a long-overdue national screening programme capable of saving many thousands of lives within a decade, and in doing so reducing the cost of expensive palliation, the price of late diagnosis.
3. Prevention: smoking causes almost all lung cancer deaths, and still accounts for fully half of all health inequalities experienced by deprived populations; moreover, smoking cessation is the cheapest and most cost-effective intervention any health economy can ever make, and in fact actually yields a dividend. So why has the NHS systematically disinvested from smoking cessation support, ceding it to cash-strapped Local Authorities? It yields massive benefits, even in-year, in the shape of reduced respiratory emergencies, the easing of A&E pressures and lower bed occupancies - all boxes we need to tick, in re-booting our NHS after the Pandemic. A determined Lung Cancer National (or Regional) Plan, addressing the golden triad of Prediction, Prevention and Treatment, is capable by itself of meeting all our targets for Avoidable Deaths, at the same time achieving a game-changing reduction of health inequalities, and a profound improvement in the nation’s health.

So, Lung Cancer, the nation’s biggest killer, can be predicted, prevented, and effectively treated, by uniquely cost-effective methods, with a profound consequent benefit to the nation’s health. What are we waiting for?

Case Study

Question & Answer Session

Lunch in the Networking Area

A hot, two-course lunch consisting of multiple options will be provided for delegates. We cater for all dietary requirements, including vegetarian, vegan and gluten/dairy-free; just notify us ahead of time should you have any allergens or requir

Chair's Afternoon Address

Case Study

By 2024, each integrated care system should have set up shared health and social care records for all citizens, and be working towards giving people, their caregivers and professionals access and the ability to contribute to them.

What are the workforce capacity and capability implications of making the shift to more integrated ways of working.

Question & Answer Session

Afternoon Refreshment Break

Integrated Discharge Teams (IDT) are made up of a team of professionals including occupational health, physiotherapy and social care who work with colleagues across health and care to get patients home with the support they need.

Sharing Best Practice

• Helen Duckworth, Deputy Director of Planning, Performance and Delivery , Liverpool CCG and Director, Cheshire & Merseyside CIPHA Programme (confirmed)

CIPHA is a population health management platform, which was established in three months across Cheshire and Merseyside to help the health and care system manage the Coronavirus crisis and to drive its recovery. A collaboration involving the NHS, local government and Liverpool University, is central to the region’s response and recovery, including virtual ward programmes. It is also key to mass testing, vaccine delivery and national investigations on re-opening events.

Questions & Answer Session

Chair's Closing Remarks and Event Close