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LIVINGSTONE ASHFORD UNIT BECCLES & DISTRICT WAR MEMORIAL HOSPITAL KAREN THOMSON TD RGN SERVICE MANAGER WAVENEY PRIMARY CARE TRUST.

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Presentation on theme: "LIVINGSTONE ASHFORD UNIT BECCLES & DISTRICT WAR MEMORIAL HOSPITAL KAREN THOMSON TD RGN SERVICE MANAGER WAVENEY PRIMARY CARE TRUST."— Presentation transcript:

1 LIVINGSTONE ASHFORD UNIT BECCLES & DISTRICT WAR MEMORIAL HOSPITAL KAREN THOMSON TD RGN SERVICE MANAGER WAVENEY PRIMARY CARE TRUST

2 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice BECCLES Beccles & District War Memorial Hospital BUNGAY HALESWORTH Patrick Stead Hospital B1123 A12 A146 A144 KESSINGLAND WALBERSWICK SOUTHWOLD Southwold Hospital LOWESTOFT James Paget Hospital

3 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice In the three South Waveney Community Hospitals, during the financial year April 2000: Majority of which result from insufficient, suitable residential or nursing home vacancies A monthly average of fourteen delayed discharges

4 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice Step Down Beds for patients who:- Identified as fit for discharge No longer required specialist health care input of medical staff, nurses or therapists Awaiting discharge to a residential home or their own home environment

5 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice

6 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice Enable and facilitate the resident to maximise their independence with day to day living skills and personal care What did we hope to achieve? A reduction in numbers of delayed discharges Length of stay would be days Residents final choice of destination made by forward planning in consultation with resident, family members and Community Social Care Assessor

7 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice A proposal between Local Health Partnerships NHS Trust and Suffolk Social Services Resources were established How did we go about it? Staff recruitment commenced Nov/Dec 2000 Ward prepared for admissions Nov 2000 Plans for closure of unit Nov 2000 Joint Health / Social Services specification Nov 2000

8 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice Prior to the first admission staff had three days induction involving Moving and Handling, Health & Safety, Health & Hygiene Service specifications communicated to all Stakeholders Dec 2000 Step Down Facility Opens Jan 2001 Monitoring of service Jan - Mar 2001 Formal evaluation Feb - Mar 2001 Closure of facility 31st March 2001

9 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice Established Practices What helped? Team Working

10 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice Funding initially for three months over the winter period Staff had to be recruited and selected for this period only Extension of service short term Implications for forward planning and specifying clear, set, timely objectives and goals for the unit Permanent funding What hindered?

11 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice Single sex occupancy, as it is a Nightingale style ward What does the service offer? Social care, physical and mental stimulation in a homely environment Reduction in number of delayed discharges in acute and intermediate care beds Enhancement of joint working between James Paget Hospital, Community Hospital and Social Services

12 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice

13 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice Time for reflection What does the service offer? Social care with health care Medical care provided through general medical services. Admissions through the Co-ordinator working in partnership Removal from an ill health environment to a relaxed homely environment

14 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice Colourful murals throughout bathroom / toilet areas. Self determination & choice regarding day to day living A safe, non-rigid environment where resident is empowered to participate in their days structure A model which is furnished and decorated towards a residential setting

15 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice

16 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice Key worker visits resident at home one month after discharge A personal Key worker to monitor, review and consult on ongoing care needs and development. The opportunity to change pre made decisions Families and carers encouraged to work alongside staff Identification of adaptations and equipment that enables maintaining independence with day to day living skills The opportunity for planned trial periods within their home environment, prior to discharge

17 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice Proven evidence that staff who are encouraged and supported develop rapidly as individuals and groups when empowered Benefits to the organisation: Releases beds hospitals for those who have nursing needs Cost effective User led service A social model that sits well within a health setting Promotes / maintains joint working and multi-disciplinary teams

18 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice Formal evaluation completed 22nd - 31st March positive outcomes which resulted in recurring of funds What methods are used to evaluate?

19 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice Questionnaires devised for both resident and immediate carer or family member

20 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice Future Plans To train and develop staff skills in rehabilitation and re-ablement NVQ qualifications in Health & Social Care Maintain current high standards, strengthen joint working and multi-disciplinary team approach to the Unit

21 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice What lessons are there for others? Forward Planning with adequate time scales Situation of the Unit Transition from Health Environment

22 Livingstone Ashford Unit Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice


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