Presentation on theme: "Allied Health within the Community Independence Service Hammersmith & Fulham Penny Magud & Gillian McTaggart 12th November2014."— Presentation transcript:
1 Allied Health within the Community Independence Service Hammersmith & Fulham Penny Magud & Gillian McTaggart 12th November2014
2 The Community Independence Service Is an Integrated Health & Social Care Crisis Response/Admission Avoidance Service within the community , 7 days per weekThe Service operates a ‘virtual ward’ model of case management & care coordination to avoid unnecessary institutional careProvides an In reach service into A & E/Medical Assessment Unit & the Older Persons Rapid Access Clinic (OPRAC) , as well as supporting earlier discharge & providing care to facilitate dischargeProvides an integrated Intermediate Care/Therapy Led Reablement Service for up to 12 weeksIs the entry point for Health & Social care services
3 CIS service coordinator Community Independence Service Structure 1st November 2014CIS service coordinatorAssistant CIS coordinator1 WTEAssistive Technology Coordinator1 WTEClinical nurse specialist, older age mental health.2 WTEPhysiotherapy Clinical lead1WTESPoR coordinator1WTECommunity Independence Assistants Team Leader2 WTEOccupational Therapy Clinical Lead1WTENurse clinical lead1WTEIndependent Living Assessment Team Lead1WTEPhysiotherapy Team6 WTENursing team6.2 WTEAdmin team7 WTEAssessor Group10 WTECommunity Independence Assistants30 WTEOT team7 WTEIn-reach Team6 WTE
4 The development of the Community Independence Service 3 Separate teams across Health & Social care to 1 integrated Health & Social Care ServiceLimited Allied Health Professionals in the services, 15 clinical Allied Health Staff within the teamCare being provided under an enabling ethos, without Allied Health oversight or governance, to a multi professional, multi provider service managed by a PhysiotherapistUnqualified assessing staff are now managed by an Allied Health ProfessionalHealth & Social Care senior leadership & oversight provided by 2 Occupational Therapists
5 Core Achievements Implementation of a Workforce Competency framework Development of a pre-registration to registered career pathwayThe development of the Hybrid Worker programme - up skilling of unqualified staff providing non-invasive nursing & therapeutic programmes -Multiskilled competencies developed for the Social Work, Nursing staff, Occupational Therapist’s & Physiotherapist ‘s within the serviceIncreased complex patients supported in the community out of institutional careIncreased patients whom have achieved their GOALS with the support of Therapeutic programme overseen by OT/Physio & under taken by CIA’sSetting up & managing the ‘Virtual Ward’, across multiple professions & multiple providers.
6 Virtual Ward team Adult Social Care Community Independence Service PatientCase ManagerVW GPHealth & Social Care CoordinatorCommunity Independence ServiceAdult Social CareOther care providers community/social/voluntaryHospital ConsultantCommunity MatronGP Practice
7 OutcomesProvision of in excess of 40,000 therapeutically delivered care hours last year for 1470 patients45% of patients leave the CIS with no ongoing Health & Social Care needsSince April 2014, 508 ‘virtual ward’ patients have avoided an unnecessary hospital stayA further 468 people have been enabled to go straight home from A & E, avoiding unnecessary admission following a therapies assessment, review of their home situation & supported on the way home from Charing Cross Hospital1000 bed days saved by providing a therapeutically lead in reach service enabling earlier supported discharge in 13/14