Presentation on theme: "CONWY INTERMEDIATE CARE SERVICE Intermediate Care Service manager"— Presentation transcript:
1CONWY INTERMEDIATE CARE SERVICE Intermediate Care Service manager Conwy & Denbighshire NHS TrustCONWY INTERMEDIATE CARE SERVICEGlynis TabbererIntermediate Care Service manager
2BACKGROUNDThe Maintaining Independence Project Board a multi-agency group set up in Conwy in February 2005 including:local authorityhealthvoluntary organisationservice user representatives
3FUNDING FOR THE PROJECT WanlessRef: “The Review of Health and Social Care in Wales”Review existing provisionDevelop the availability of I.C. in Conwy
4WORKSHOP In April 2005 “The Maintaining Independence Project Board” to involve vital stakeholders in the development which was focused on:needpan Conwysustainableachieves the intended outcomesreducing acute demandmaintaining people in their own homes.
5RECOMMENDATIONS Group Staffing Multi-disciplinary Team consisting of: Nurse AssessorsSocial WorkersOccupational TherapyPhysiotherapyTI3 Rehabilitation AssistantsSupport WorkersMedical and Pharmacy support
6RECOMMENDATIONS Service Hours the service becomes a 7 day a week serviceMonday-Friday with full coverweekends with skeleton staff coverage to allow for emergency situations e.g. use of step-up beds, planned discharge for weekends etc
7Service Characteristics RECOMMENDATIONSService CharacteristicsTwo separate rapid response teamsGeographical gapIt was recommended that the intermediate care service would be:Pan ConwyOne team managed by one division within the Conwy & Denbighshire TrustCombined services ensuring that their current best practice was not lostService would also include access to step up and step down beds
8RECOMMENDATIONS Eligibility Criteria The service was targeted at the elderly, over 65 years of age, and registered with a Conwy GPAged over 18 years oldA resident of ConwyNot requiring acute inpatient episode
9RECOMMENDATIONS Access to service Referrals made by an appropriate professional - health or social careDevelopment of additional community based services across the whole countyImproving patient flow through the health and social care systemThe development of staff to meet the challenges of Intermediate CareThe introduction of a single point of referral
10CONWY INTERMEDIATE CARE SERVICE (C.I.C.S.) April 1st 2006The amalgamation / re-configuration of:the Conwy Rapid Response Rehabilitation Team, Colwyn BayElderly Care Assessment Team, Abergele
11Geographical Gaps Original areas covered Population 18,753 aged 65+ Potential increase in population of 72,247
12Increased Staffing Resources Intermediate Care Services ManagerTI3 Rehab AssistantPhysiotherapistOccupational TherapistHome Care Co-OrdinatorSocial WorkerSupport WorkersCPN
13WORKING SEAMLESSLY ACROSS ORGANISATIONS The CICS team promote working in partnership with:The Voluntary SectorSocial Services DepartmentLocal Health BoardPrimary and Secondary Care
14WORKING SEAMLESSLY ACROSS ORGANISATIONS The Health Precinctpartnership project currently underwaycreate seamless joint working betweenConwy & Denbighshire NHS TrustConwy County Borough CouncilSocial Services
15HEALTH PRECINCT an accessible place rehabilitation and the return to fitness is integratedactivity related to the promotion of good healthpartnership workingleisure and health staff can collaboratedevelop innovative and effective physical activity interventions for the management of chronic disease conditions
16The new facility will provide the following: HEALTH PRECINCTThe new facility will provide the following:Swimfityoga, pilates, aquarobics and circuitsBadminton, squash, athletics etcGolfWalking in the ParkConsulting roomsCar parkingPublic transport links100 pieces of state of the art 'Technogym' cardio and resistance equipmentSwimming poolEnlarged changing room facilities for sport and activitiesTennis centreBowling greensIndoor bowling
17G.P. REFERRAL SCHEME to provide supervised safe physical activities a number of group based activity options made available during the 16 week programmemonitored though progress reviews which are used to motivate and encourageconcept will build upon current servicesThe Welsh Assembly is offering support through fundingscheme will be evaluated by Cardiff University
18The methodology has been validated by: SERVICE EVALUATIONKey Performance IndicatorsKPI's were developed in 2006 using the balanced score card methodthe ICD 10 coding system to calculate an average length of stay1st Jan - 11th Feb '08 of 389 bed days savedThe methodology has been validated by:the head of Information, Planning and Performance Managementconsultation with the Clinical Coding Managerthe Information department.
19FACILITATE EARLY DISCHARGE the ICD 10 coding systemcompared against the actual number of days that homeward bound patients remain in hospitalthe patient's admission date and average length of stay for each individual's conditionPredictive date of discharge (PDD)
21LESSONS LEARNED The importance of good change management skills Clear access criteriaClearly defined Performance IndicatorsA robust evaluation tool which identifies subjective outcomesIntroducing the single point of referralIdentification and development of existing services linking to I.C.