OVERVIEW: OUR CURRENT SERVICES CHASE PARK REHABILITATION CENTRE 28 en-suite bedrooms 2 step-through Apartments MILLFIELD HOUSE CARE HOME 36 Bedrooms For Older People and those with Long Term Conditions WHICKHAM VILLA HEALTH CLUB Accessible gym with specialist equipment Large Hydrotherapy pool with multi-sensory equipment Café Holistic therapy suite
SUPPORTING REHABILITATION THROUGH THE ENVIRONMENT Improving the existing facilities & aspirations New facilities: Hydrotherapy pool, Gym Café Social Context for rehabilitation Community Hub HIGH LEVEL OF REFERRALS FOR REHABILITATION CLIENTS Consultant in Rehabilitation Medicine Specialist Community Therapy Team 1:1 Opportunities Team Specialist Nursing Team CHASE PARK REHABILITATION CENTRE: DEVELOPING THE SERVICE
DR ANDREW BRADFORD Our Consultant in Rehabilitation Medicine Worked as a Consultant at Walkergate Park, as a G.P. and as a specialist registrar in Neuro Rehabilitation in Liverpool Interest in complementary and psychological approaches to healthcare QUALITY AWARDS CQC Excellent (3 Star) Rated 2007 Pinders/Caring Business award for Best New Specialist Care development Headway Approved Provider status CHASE PARK REHABILITATION CENTRE : THE SERVICE TODAY
CHASE PARK REHABILITATION CENTRE: STEP FORWARD & STEP UP REHABILITATION STEP FORWARD REHABILITATION “Chase Park Rehabilitation Centre provides Step Forward and Step Up Rehabilitation. All input and interventions are focused on planned discharge prior to admission and are focused on clients individual life goals and around enabling the individual to move forward in their lives towards providing as independent a living environment as possible and a sustainable high quality of life”. STEP FORWARD FEATURES: Positive Flexible Person Centred Goal Focused Emphasis on moving through the service towards the most independent life possible
CHASE PARK REHABILITATION CENTRE: THREE PATHWAYS THE REHABILITATION PATHWAY THE IMMEDIATE NEEDS PATHWAY THE DISABILITY MANAGEMENT AND SLOW STREAM REHAB PATHWAY
PURPOSE OF ADMISSION & DIAGNOSIS Snapshot of a changing Client Group Over 70% Active Rehabilitation Clients CHASE PARK REHABILITATION CENTRE: CLIENT DEMOGRAPHICS
CHASE PARK REHABILITATION CENTRE: REFERRALS OCCUPANCY The average occupancy rate for Chase Park Rehabilitation Centre is 92%. This fluctuates throughout the year with a comparatively high rate of admission and discharge.
OUTCOMES AND IMPACTS: THE ANNUAL REVIEW INDIVIDUAL CLIENT OUTCOMES Assessment & Review reports Basket of outcome measures THE FUTURE Expanding the scope Social Impacts Collaboration Neurosciences Network (PROMS)
EVENTS Our Events Others Events Professional Collaboration FAMILY SUPPORT AND COMMUNITY GROUPS Helping through our resources Providing support and education OUTCOMES AND IMPACTS: COLLABORATION COLLABORATION WITH PROFESSIONALS Sharing Information Networking & Changing Culture Learning Opportunities
APPLES AND ORANGES How do you compare generic care with a specialist rehabilitation service? VALUE: THE DIFFERENCE HEADWAY SAYS: ” There are many care/residential units throughout the North East, how many say that they offer specific services for people with brain injury? There are about a dozen, however, are they actually providing specific services or are they generic? By specific services, we mean appropriate neuro-rehabilitation, and continuing neurological assessments with set goals with the aim of improving a person’s quality of life, possibly leading to independent living. Do these care/residential homes involve the local community therefore addressing social isolation and stigma? Involving the local community can assist residents with regards to a smooth transition and integration back into the community – Chase Park Rehabilitation Services address these issues, and they focus on the longer term outcomes”. Alastair White North East Regional Co-ordinator Headway – the brain injury association
VALUE: COSTING STRUCTURE THERAPY (Physio, OT and SaLT) (Physio, OT and SaLT) HIGH/MEDIUM/LOW HOTEL & CAREHOTEL & CARE (including all Medical & Nursing costs) (including all Medical & Nursing costs)HIGH/MEDIUM/LOW DEDICATED 1:1 ENABLEMENT (1:1 Opportunities)(1:1 Opportunities) HIGH/MEDIUM/LOW 3 main services 3 costing bands for each (low, medium and high) Initial assessment is free of charge in the SHA area Full flexibility in offering levels of support and costs between these bandings, for example: -
CASE STUDIES We can provide a range of case studies to illustrate the impact and return on investment represented by neurological rehabilitation VALUE: CASE STUDIES – Ever Decreasing Need
If Mr X were to live to age 70 and the original predictions of his needs were correct, then extrapolating the costs to provide for his needs (without inflation) provided the following figures; £3,939,000 Cost of remaining in Continuing Care placement for rest of Mr X’s life with static level of need from original admission £3,939,000 £8,291,002 Estimated community living care costs for Mr X with 2 carers needed to meet static needs from original admission £8,291,002 £1,520,388 Total rehab and likely care costs once Mr X is resettled in community, assuming continuation of progress to fulfil his potential £1,520,388 Blue line - the cost of his care if he had remained in the facility and not changed, as predicted. Yellow line -The cost of his care had he been moved to live independently in the community with no change in his needs Green line – the actual cost of care plus rehabilitation therapies and return to the community with consequent increase in independence and reduced care needs and costs VALUE: IN DEPTH CASE STUDY
VALUE: RESIDENTIAL REABLEMENT SHORT-TERM REABLEMENT PLACEMENTS Bridging the gap between hospital and home Medically fit for discharge Additional resources required to return home Further Reablement/rehabilitation required Adaptations or new accommodation required Short-term packages based on promoting independence and where appropriate offering targeted rehabilitation services to assist an individual to return to living at home.
The Current Situation: CHALLENGES Equity of Access Fragmented Services across North East Pockets of excellence NHS Changes and Drivers Uncertainty & Loss of Intelligence Reduce Admissions / Reduce length of Stay / Reduce Re-admissions Cultural Shift Macroeconomics Housing Care Home Trap Commissioning Whole Life Costs Community Services Lack of Priority and Investment Personalisation Customer vs. Consumer
The Current Situation: NHS QIPP AGENDA Quality Improvement Productivity Prevention
The Current Market: OPPORTUNTITES North East Neurosciences Network Unique Organisation Joint Commissioning Workforce Development Dataset and Intelligence Pathways Task Group Information and Communication (Forums) Evidenced Based Practice Sub Group Leadership Commissioning Clinical Commissioning Groups Regional Specialised Commissioning Blue Sky Thinking
The Way Ahead: Where should we go from here? Equity of Access Regional Trauma Centre in Middlesbrough Out of Area Placements Review Investment in Neuro-rehabilitation Regional Specialised Commissioning Review Collaboration Joint Commissioning & Whole Life Cost Seamless Service Pathway – Whole Systems Approach! Link Person (Social Work Neuro Specialist / 3 rd Sector Advocate) Neuro Representation on the Local Health and Wellbeing Board
The Current Market: Where should we go from here? Personalisation – who drives the market? Raising Expectations and Building Communities Community Investment Self Management Community Multidisciplinary Rehabilitation Tele-Care & Assistive Technologies Vocational and Education support Housing Ensure the ongoing viability of NENP (NENN & NA’s)
Our Future: The Gateway Project - Middlehaven Multi Agency Stakeholder Team – (Co-Production) The Gateway Step Forward Rehabilitation Step Up Wellbeing Centre & Community/Resource Hub Transitional Housing & Long Term Housing Collaboration South Tees NHS Trust Middlesbrough CouncilMiddlesbrough PCT Housing (Erimus/Fabrick)Middlesbrough CollegeTeesside University Vocational RehabSocial Enterprise TVDNY & 3 rd Sector Community Rehab TeamTeesside LA’s Telecare and Technology ONEHCATees Valley Unlimited Equity of Access for people in Teesside Outcomes and Impacts – The ‘Win – Win’ Regeneration and Investment in Local Services & Local People
Our Future: The Gateway Project - Middlehaven Commissioning Event - 2 nd November 2011 Public & Service User Consultation Event - w/c 31 st Oct 2011 @ Middlesbrough College Planning Submission - December 2011 Opening Summer 2013
? ANY QUESTIONS: Our Future: HOW CAN WE HELP YOU?