Wandsworth Integrating Care for the Elderly

The challenge

Wandsworth CCG (WCCG) and Wandsworth Borough Council (WBC) are undertaking a far reaching service redesign programme with vision of making life better for 'Doris'. Doris is a hypothetical elderly patient with multiple morbidities suffering frequent crisis and exacerbation and has a very fractured experience of today's care systems. The programme will drive the integration of care services - within health through the Out of Hospital (OOH) Care programme and between health and social care through the Better Care Fund (BCF) – to improve experience and outcomes for Doris. The challenge is to project the movements of activity and funding which will occur as a result of the programme and implement an approach to tracking delivery and impact for the care system.