Stewardship is an approach to health and care services that we are developing across the Mid and South Essex Integrated Care System. It is about bringing together teams of health and care staff and managers within a care area, to get the best value from our shared health and care resources.
across mid and south essex we’re on an
exciting journey to achieve two simple
things better support for local people
to stay healthy and independent for as
long as possible
making sure when our people do need
services they are high quality and
focused on delivering what matters the
most the best possible outcomes for each
now what’s new is that our partnership
of health and care services are now
coming together in an integrated care
to steward our resources
at the moment the way health and care
services work as separate organisations
can limit the opportunities to look at
the overall picture we want to focus on
listening to local people and staff on
working smarter following best practice
so that we get the most benefit from
every partnership pound
fragmented resources can often result in
fragmented care that can lead to a poor
collaborative joined up working has been
a long-standing aim of many
and we have a real opportunity to act
and do things differently to tackle
long-standing barriers linked to data
and funding flows
our greatest asset is you
it’s us it’s our people
we recognize the value in people who are
from different backgrounds communities
we recognise the need to have these
voices shaping our future and want to
empower mid and south essex to take
collective responsibility to a new level
to improve our health and care in an
approach we call stewardship
frontline clinicians and managers are
already coming together to explore
opportunities for improved management
care and support in six care
areas sharing a collective
responsibility for stewarding resources
within their care area directed by local
population health data
through working together our staff can
bring tangible benefits for health and
care professionals and the people they
our health and care partnership will be
about stewardship it’ll be about making
from our shared time energy ideas
knowledge and investment to bring deeper
and wider impact
better outcomes for people living across
mid and south essex with individuals
feeling in more control of their lives
and their needs
What we want to achieve
Teams must deliver on the Triple Aim.
The Triple Aim is set out in the Department of Health and Social Care’s White Paper in Feb 2021 – Integration and Innovation.
This sets three challenges for every Integrated Care System like ours.
- Better health and wellbeing for everyone
- Better quality of health services for all individuals
- Sustainable use of health and care resources
Where are we now
Phases one and two.
The first phase of the stewardship programme sees six groups, called ‘Stewardship teams’ define their care areas in terms of the resident population who may need health and care resources, the level of shared resources within their care area, current service activity, burden of disease and outcomes.
The first six care areas include:
- Ageing well
- Cancer care
- Cardiac care
- Respiratory care
- Stroke care
- Urgent and emergency care
The second phase
We are now looking to develop six new stewardship groups, each comprising of 10 stewards:
- Mental Health and Learning Disabilities
- Children and Young People
All new stewards are provided with development opportunities, including training in value-based healthcare.
Through the Stewardship programme, they will be able to access broader, better shared data and intelligence, engage widely with staff and residents in order to re-prioritise how resources are used.
They will have the responsibility to re-shape how health and care services deliver value for our residents.
What is different about Stewardship?
Shared thinking, shared responsibility.
Stewardship is about forming teams that bring together perspectives from the whole cycle of care, i.e. from across all services supporting residents moving through our health and care system, from before they enter, too after they step out.
Lived experience of local people is key, with a strong emphasis on involving our residents in defining what ‘value’ means.
The experience, knowledge and leadership by health and care staff allows Stewardship teams to identify areas where using evidence-based practice and more joined-up working can improve quality and make better use of our resources.
This approach has the backing and support of senior leaders within our system, including the Chief Executives of each organisation.
Shared Resources: care area budgets
Stewardship teams focus on how we can best use the health and care resources available within each care area (i.e. pooled resources between all organisations) on outcomes that matter most to individual patients and to our whole population.
Shared Data: Population health management
The approach uses different sources of data to understand the health and care needs of our whole population, identifying inequalities and vulnerable populations, and then developing solutions to improve health and wellbeing tailored to our population.
Overall, Stewardship will:
- Close the gaps between health and care services for our patients and residents.
- Empower health and care staff from all organisations to be at the heart of service planning.
- Enable our Integrated Care System to deliver on the promise of Integrated Care.
How can people get involved?
Stewardship teams will need to engage and collaborate closely with all those in their care area, in order to:
- truly understand the full cycle of care, experienced by residents and delivered by staff
- develop and co-produce proposals for improvement
- deliver change together
- evaluate impact
If you are believe you would be a good steward and would like to find out more, please email: email@example.com.