Since 2005 we have been working to integrate Adult Social Care (ASC) services with NHS services, and by using most of the ASC budget to commission local NHS providers to deliver social care for adults, or commission independent sector providers, we can provide better ‘joined up care.’ People have told us they do not mind who provides services for them, they just want the right care provided at the right time.
In October 2015 the two largest NHS Trusts in the Torbay and South Devon area merged to form an Integrated Care Organisation (ICO), now called Torbay and South Devon NHS Foundation Trust (referred to in the rest of this document as the Trust) and we also created pooled budgets.
Our Model of Care (see diagram below) outlines our vision for the future of health and care in Torbay and South Devon for providers.
Image shows - the Torbay model of care which illustrates our vision of how care will look, wherever you live in Torbay and South Devon.
Care is centred around communities and people, and is focussed on wellbeing, self-care and prevention.
Non-statutory services and volunteers work with doctors, therapists, social workers and specialist teams to help provide care in the community.
People only go to the hospital when they need treatment or care that can’t be provided in their community.
Wellbeing resources include:
- Technology and learning resource centre
- Family support
- Pharmacies
- Volunteers
- Coffee shops and memory cafes
- Wellbeing co-ordinators
Health and social care can involve:
- Palliative care
- Bed cased care
- Mental health
- GP/primary care
- Care co-ordinator
- Nurses
- Rehabilitation (occupational therapist and physiotherapist)
- Social care
- Partnerships
Community based specialist care is supported by:
- Health and social care clinics
- Doctors with broader clinical skills
- Remote access to specialist support
The Trust, NHS Devon (the organisation responsible for commissioning most of the county’s NHS budget), and the local authority are continuing to develop our Model of Care, which emphasises well-being and prevention. We focus on using people’s strengths and assets to promote resilience, prevent their need for statutory social care intervention, and reduce the length of any intervention.
ASC independent sector care providers have a crucial role to play in the current health and social care system and our Model of Care. Providers are key partners for us, so we want to make sure they get the information and support they need to carry out their roles effectively.
The strategic plans of Torbay Council, NHS Devon, and the Trust (as part of the One Devon Integrated Care Partnership that was established in 2022) will give more insight into the local provision of adult social care. Their representatives, along with other partners, meet as the Torbay Health and Wellbeing Board (HWB) to improve the commissioning and delivery of NHS and local government services.
There are now five established local care partnerships (LCPs) that, when combined, form the whole of One Devon Integrated Care System; of these, one (South LCP) encompasses the Torbay Council and Torbay HWB footprint.
Part of the HWB and LCP’s remit is to agree, plan, and implement, at a local level, how the Better Care Fund (BCF) programme and pooled budgets support local systems to successfully deliver the integration of health, housing, and social care in a way that supports person-centered care, sustainability, and better outcomes for people and carers.
- See more information on the Torbay Council Community and Corporate Plan.
- See more information about the ASC commissioning plans and strategies for Torbay Council.
- See more information about the plans of One Devon and the Integrated Care Strategy.
- See more information about the plans of the Integrated Care Organisation – Torbay and South Devon NHS Foundation Trust.