Health and wellbeing

Working better together

Barnsley Health and Wellbeing Board brings together clinical, political, professional and community leaders. The board's strength lies in working together to increase prevention and early help, and make sure the right help is there for people when they need it most.

On behalf of the Health and Wellbeing Board, Barnsley's Integrated Care Partnership has been set up to focus on connecting health and wellbeing services at a neighbourhood level. Partners work together to understand their local community’s needs, agree priorities and encourage commissioners to work in a more joined-up way. As a result, patients and the public can experience more joined-up services from the council, NHS and community service in the future.

Helping you live better in Barnsley

Our improved way of working will help you and your family lead healthier and longer lives, and give everyone better access to health services.

We want everyone to be able to get information and advice, early help, and make healthy lifestyle choices so they have the best chance at good health.

We’re bringing services together based on local people’s needs and where they live. You’ll get a simpler, more accessible healthcare service. The care you have won’t change, but the healthcare providers that look after you will do so in a more joined-up way.

What we're doing

12 months

  • One primary care network established.
  • Bringing together of six neighbourhood networks and integrated wellbeing teams.
  • Joint Strategic Needs Assessment and Barnsley Data Hub.
  • Barnsley Care Plan.
  • Organisation development program established.

1 to 2 years

  • Core neighbourhood teams with shared leadership across primary and community care.
  • New national service specifications.
  • Barnsley shared care record deployed.
  • Test and developed neighbourhood hub concept.
  • Improved KPIs linked to outcomes framework.

2+ years

  • Joint commissioning arrangements for place and system.
  • A new payment model that supports a focus on value for money and improving outcomes.
  • Fully joined-up pathways with secondary care.
  • Sizeable shift in outpatient services in the community.
  • Digital and technology-enabled new care models.

The story so far

We're already seeing many improvements in how local organisations and communities are working better together. This work has already started in the Dearne, and we’ve made great steps forward. Now this improved way of working will be implemented in other areas of Barnsley.

Find out more in our video about integrated care pilot scheme in the Dearne Valley.

How we work

The NHS long term plan is changing the way services are being delivered. At a regional level plans are being shaped by South Yorkshire and Bassetlaw Integrated Care system and in Barnsley by the Integrated Care Partnership Board.

Barnsley has a long history of working with our neighbourhoods through our area councils and ward alliances, and we value the benefits that come from a neighbourhood focus.

We've recently established integrated wellbeing teams that bring together our area councils, health and care staff, DWP, education, housing and the voluntary sectors to work collectively to meet the needs of the local community.

Our local doctors, practice nurses and other primary care professionals are at the heart of developing better services for local people. To support and develop primary care across Barnsley we've established a single primary care network representing our six neighbourhood networks.

The ambition it to have a single point of access in each neighbourhood and for services to be digitally connected.

What we're working towards

  • An integrated joined-up health and care system where the people of Barnsley experience continuity of care.
     
  • Patients and their families who are supported and empowered by what feels like one team, each delivering their part without duplication.
     
  • A shift in focus on treating patients with health problems to supporting the community to remain healthy in the first instance.
     
  • Integrated care that delivers the best value for partners and patients.

An example of integrated care

A local GP referred a couple to My Best Life (MBL) due to them having health and wider social concerns.

After one of the couple suffered a heart attack, which meant they were unable to maintain their house, a home visit showed that the couple were living in just one room.

The couple fell behind with repayments and bills, and were unable to find steady employment following the heart attack.

How services worked together

  • The Dearne integrated wellbeing team discussed the issues and our adult social care team worked with MBL on a housing application for Berneslai Homes. 
  • The Salvation Army delivered weekly food parcels.
  • A referral was sent to the Department of Work and Pensions (DWP) home visiting team, to support a full benefits review and application.
  • The local GP practice arranged for prescription costs to be covered. 

What the issues were

  • The couple had debts of almost £40,000.
  • Due to a lack of knowledge of the benefits system they weren't making any claims for benefits they were eligible for.
  • The couple's home was being repossessed.
  • There was a danger of social isolation due to a lack of friends and family support.
  • They had no access to regular nutritional food.

What the outcomes were

  • The couple were placed in suitable housing.
  • A care plan was put in place.
  • Specialist debt support was provided.
  • Benefits and housing forms were completed.
  • Regular food and clothing was provided, as well as furnishing
  • The DWP complex case team were informed.



What our partners say

  • This exciting development has brought a variety of partners together to provide joined-up services for the benefit of the people of the Dearne. Local people will also be able to have a say on how local services can be improved and we'll make sure the community voice is listened to and acted upon.
    Chair, Healthwatch Barnsley
  • It’s been great to play a small role in relation to the partnership working that's taking place across the Dearne. The drive and enthusiasm of everyone involved has been really positive. I’m really looking forward to seeing this further take shape and develop over the coming months.
    Engagement Manager, NHS Barnsley Clinical Commissioning Group
  • The integrated health meetings have enabled me to gain invaluable links with health and social care professionals, which has resulted in better outcomes for members of the community.
    Social Prescribing Advisor - My Best Life Barnsley
  • Partnership working is one of the biggest successes of this project. We're all singing from the same song sheet and in constant contact with each other so we know what each other's doing. Residents will benefit from this approach.
    Dearne Area Council Manager
  • Working in an integrated way isn't about being based in a building or working on a patch together; it's been about how we interact and support each other to improve things for people in the Dearne.
    Deputy District Director, SWYP NHS Foundation Trust