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Wellbeing Erewash has developed a number of exciting and innovative projects over the years and now those who have championed this work are busy putting together plans for its longer-term sustainability.

Wellbeing Erewash is a NHS England ‘vanguard’ – part of a national programme of forward-thinking areas originally set up in 2015 to try out new models of health and care.

As we approach the end of national programme funding in March 2018, programme leads are working on ways of best taking forward the work into 2018-19 and potentially beyond.

While the national funding is coming to an end, there is no need for our innovative work to conclude – instead bespoke sustainability plans are being developed for the range of Wellbeing Erewash initiatives.

There are likely to be different ways in which the various schemes and projects are handled from April 2018 onwards. Options will vary from mainstreaming activities completely to looking at altering methods of delivery or seeking different ways of funding with partner organisations potentially increasing their involvement.

As Hannah Leaton, Wellbeing Erewash Programme Lead, explains: “The national funding has been really welcome and has allowed us to attempt radical solutions to long-standing problems in the health and care system. However, as we reach the end of the final year of national funding, we do not see this as an end in itself; instead we will continue the good work based on the lessons learnt and insights gained, and will seek to transfer this into a new ‘business as usual’ approach.”

Wellbeing Erewash representatives have been working with Erewash CCG and partner organisations to see how aspects of the vanguard, such as its culture, governance and the projects themselves, could best transition into the new arrangements post-April 2018.

Talks have been taking place with partner organisations and it is likely that some partners will take on increased responsibilities for some projects. This could be the case for initiatives such as Brilliant Erewash, with the involvement of the University of the First Age for example, and various dementia projects where interested project stakeholders could help make the work become self-sustaining.

Future activities being progressed by the workstreams of primary care and integrated care, personal resilience, and community resilience, will be overseen by the Erewash Alliance Board. This board is made up of representatives of provider organisations, voluntary sector organisations, and commissioners. Its remit is to consider the needs
of the population within the ‘place’ of Erewash rather than examining care and individual services in isolation.

This ‘place-based’ thinking is an important part of the way that the wider Derbyshire health and care community is organising itself as part of the county’s Sustainability and Transformation Plan (STP).

The vanguard will have been in place for three years by 2018 and evidence gained during this time is pointing to a number of achievements. These include a reduction in emergency admissions, a slower rise in A&E attendance, and high levels of patient satisfaction.

Evaluation will continue to have an important role, as Hannah explains: “As we come to the end of fixed term funding for the vanguard, there will be
a natural concern among staff and in our partner organisations. We are in a strong position though of being able to demonstrate the impact of our work. It is important that we can continue to demonstrate that impact as we build the various business cases – and that is the responsibility of all involved.”

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Wellbeing Erewash

by Wellbeing Erewash