Integrated Personal Commissioning (IPC) is one of the pillars of the Five Year Forward View. It empowers people and communities to take an active role in their health and wellbeing with greater choice and control over the care they need.
Joining the sites that have led the development of IPC over 2015/16 (Demonstrators), and supported by the IPC Emerging Framework (published May 2016), a number of “Early Adopters” for IPC became part of the programme in December 2016. Each Early Adopter consists of local partnerships across health, social care and the voluntary sector.
The recruitment of Early Adopters represents the first stage of national roll-out. This will enable further testing and refinement and ensure compatibility with the New Care Models Programme, prior to national implementation by 2020-21.
Early Adopters are committed to:
- Implementing IPC as the approach to supporting people with complex needs in their area
- Working in partnership with NHS England and the LGA to refine and implement the emerging framework at pace, including alignment with New Care Models
- Taking a lead role on behalf of their STP and disseminating learning to support wider adoption of IPC across the footprint.
In Birmingham and Solihull IPC will benefit both local people as well as supporting the area to achieve local organisational priorities, including the increased uptake of direct payments in social care, the expansion of the offer of personal health budgets and the personalisation of maternity care, for which Birmingham and Solihull is a Choice and Personalisation Pioneer.
Local people will be active participants in the development and testing of the IPC approach, which will include being part of the IPC Board and working groups.
The scope for IPC will initially focus on the populations of Birmingham City (1.1million) and Solihull (207,000). Based on the total of 1.3 million people there are potentially:
- 63,000 people who could benefit from the IPC approach (5% of the population)
- 13,000 people (1%) who could benefit from a personalised care plan (1% of the population)
- Between 2,600 and 5,300 people who could benefit from a personal health budget (between 0.2% and 0.4% of the population)
- A smaller group, yet to be defined, who could benefit from an integrated personal budget.
Initially the focus of IPC will be people who have mental health problems and people with a learning disability.
The key benefits of IPC for these people will be:
- People achieving the outcomes most important to them
- Improved choice and control
- Positive impact on care related quality of life
- Increased use of community capacity
- Integrated care at the level of the individual
- Improvement in psychological wellbeing
Partnering to deliver IPC in Birmingham and Solihull are:
- Birmingham City Council
- Solihull Metropolitan Borough Council
- NHS Birmingham CrossCity CCG
- NHS Birmingham South Central CCG
- NHS Solihull CCG
- Birmingham and Solihull Mental Health Foundation NHS Trust
- MERIT Vanguard (New Model of Care)
For mental health, the work will be integrated into the work of the West Midlands Mental Health Commission, with the learning shared across the four mental health trusts that form the Mental Health Alliance for Excellence, Resilience, Innovation and Training (MERIT) Vanguard (new models of care).