As the then Health Minister Michelle O’Neill set out when she launched Delivering Together in October 2016, this is now the single roadmap for the future transformation of health and social care services, and therefore has integrated ongoing activity and initiatives which started under Transforming Your Care.
Background to Transforming Your Care
In June 2011, the Minister for Health, Social Services and Public Safety announced that a review of the provision of health and social care services in Northern Ireland would be undertaken.
The aim of the Review was to bring forward recommendations for the future shape of services and provide an implementation plan.
An independent review panel was formed, led by John Compton, then Chief Executive of the Health and Social Care Board acting in ex-officio capacity. The review panel engaged widely with the public, clinical and professional leaders, health and social care organisations and stakeholders in the voluntary, community, private and independent sectors.
The review panel reported in December 2011, publishing ‘Transforming Your Care: A Review of Health and Social Care in Northern Ireland’. It made 99 proposals for change across the range of health and social care services.
The TYC Review proposed a new model of care for Northern Ireland, underpinned by twelve major principles for change:
- placing the individual at the centre of the model by promoting a better outcome for the service user, carer, and their family
- using outcomes and quality evidence to shape services
- providing the right care in the right place at the right time
- population-based planning of services
- a focus on prevention and tackling inequalities
- integrated care – working together
- promoting independence and personalisation of care
- safeguarding the most vulnerable
- ensuring sustainability of service provision
- realising value for money
- maximising the use of technology
- incentivising innovation at a local level
Strategic implementation plan and population plans
On foot of the review, the Health and Social Care Board and the Health and Social Care Trusts developed implementation plans.
A draft strategic implementation plan was developed to provide an over-arching plan for the changes to be made in support of Transforming Your Care.
Draft local population plans were also developed for each Local Commissioning Group (LCG) area. These plans provided details of the proposed implementation of Transforming Your Care in each local area.
The plans were developed in July 2012 and included as part of the consultation process which ran from October 2012-January 2013. The finalised version of the strategic implementation plan and the local population plans were published in October 2013.
From October 2012 to January 2013, a consultation was undertaken in response to the proposals emerging from Transforming Your Care.
Over the three month consultation period, a series of consultation events were held across Northern Ireland. Many people attended these events, responded to the consultation and got involved via social media.
Overall, the consultation received more than 2,200 responses from people across Northern Ireland. There was strong agreement among respondents of the need to responding to the changing needs of our population.
A summary of the findings from the consultation was published in the Vision to Action Post Consultation report in March 2013. This report also set out the Health and Social Care Board’s response to the issues raised by the consultation respondents and highlighted how these would be addressed during the implementation of Transforming Your Care.
Implementation of Transforming Your Care
The implementation of Transforming Your Care is being led by the Health and Social Care Board in collaboration with the Health and Social Care Trusts and other providers.
Work is progressing at a steady pace. Some of the key areas in which work is being taken forward include:
- Integrated Care Partnerships – ICPs are bringing together health and social care providers from both the statutory and voluntary sector to help improve the patient journey, manage chronic illnesses and prevent unnecessary hospital admissions especially for our frail elderly and those with long term conditions.
- Reablement - this service is for people who have suffered from a health or social care crisis, who are recovering from an illness or injury and have become frail as a result. Reablement helps people regain their independence and continue to live in their own homes. Work has been underway regionally to review this service so that it can be expanded and improved across Northern Ireland.
- Health and Care Centres - construction is on-going on the development of three new centres in Banbridge, Ballymena and Omagh. A further two approved for Newry and Lisburn are currently in the procurement process.
- Self Directed Support - this support increases the choice, flexibility and control that services users have over their social care budget and the services they receive. Progress has been made with positive engagement from all Trusts, and implementation plans and communications about further rollout of this important initiative are underway.
TYC in action
Transforming Your Care focuses on reshaping how services are to be structured and delivered in order to make best use of all resources available to us, and in so doing, ensure that our services are safe, resilient and sustainable into the future.
The Health and Social Care Board (HSCB), in partnership with the Health and Social Care Trusts and other providers, is leading the implementation of many of the service changes in response to theTransforming Your Care proposals. If you want to find out more about the latest news and developments, this can be found on the HSCB Transforming Your Care website:
- Transforming Your care: A Review of Health and Social Care
- Strategic Implementation Plan
- Strategic Implementation Plan Equality Screening
- Northern Health & Social Care Trust Population Plan
- Western Health & Social Care Trust Population Plan
- Belfast Health & Social Care Trust Population Plan
- South Eastern Health & Social Care Trust Population Plan
- Southern Health & Social Care Trust Population Plan
- Vision to Action Consultation Document
- Vision to Action Consultation Document Easy Read
- Vision to Action Post-consultation Report
Ministerial Statements and press releases on Transforming Your Care
- 17 July 2014 Our goal is to improve the lives of residents in nursing homes - Poots
- 7 July 2014 Information can help drive improvement of the health of the Northern Ireland public
- 26 June 2014 Supported living key to an inclusive society say Ministers
- 26 June 2014 We must care for the carer - Poots
- 20 June 2014 New service will improve sharing of patient information - Poots
- 12 June 2014 Minister to consider report on statutory residential homes
- 5 June 2014 Health Minister welcomes revolutionary diabetes project
- 4 June 2014 Think global and act local, urges Poots
- 29 May 2014 Health Minister welcomes GP Report
- 23 May 2014 Poots commits to significant investment in nursing
- 14 May 2014 Drive to improve the lives of people with learning disabilities underway - Poots
- 12 May 2014 Let’s hear it for the nurse – a message from the Health Minister
- 8 May 2014 Health visitors can play a vital role in Transforming Your Care
- 29 April 2014 Minister opens Patient Centred Prescribing Conference
- 11 April 2014 UK-wide report shows Northern Ireland’s health system has made significant improvements: Poots
- 4 April 2014 We all have an important role to play in transforming the care of our population – Poots
- 1 April 2014 New toolkit to streamline the housing adaptations process
- 27 March 2014 TYC vision is being implemented, says Poots
- 26 March 2014 Pharmacy has a key role to play in transforming health service - Poots
- 11 March 2014 Poots updates Assembly on progress in Transforming Your Care
- 6 March 2014 GP’s are the key to supporting community care
- 5 March 2014 Poots encourages public to attend Health and Social Care Board accountability meeting
- 5 March 2014 Ministers address leaders on health and public service reform
- 26 February 2014 Poots announces action plan for Memorandum of Understanding with Basque Country
- 25 February 2014 Connected and Mobile Health will deliver for patients and our economy - Poots
- 10 February 2014 Health Minister moves to reassure the public on emergency departments
- 7 February 2014 Minister approves framework for GP out-of-hours services
- 30 January 2014 European links can help tackle health issues, says Poots
- 21 January 2014 Health Minister welcomes £30million funding allocation in January Monitoring
- 17 January 2014 New Data Centre Facility at South Eastern Trust will improve the patient experience - Poots
- 9 January 2014 Health Minister opens new Intensive Support Unit in Ballymena
As part of the review the review team have undertaken a process of engagement with stakeholders, including the public; this involved workshops, meetings and an online survey.
Details of the public meetings are available on the HSCB website.