1. Integrating Health and Social Care
Intensive Care Syndrome: Promoting Independence and Return to Employment
Integrating Health and Social Care

2. Overview
What did we do?
Why did we do it?

3. Who funded the programme?
Health Foundation
Shine award (£75,000)
Funded for 15 months

4. We had the problems. What about the solutions?

5. What problems did we need to address?
Physical
Psychological
Social
Carers just as important!
Social Isolation/ Empowerment

6. Structure of InS:PIRE Peer Support PFAC Social Isolation
Previous Research
PFAC

7. Peer Support: Cafe Area

8. Peer Support: Volunteer Network

9. Five week Programme/Outcomes
Decided upon by patients
Challenge dependency/ adequate support
What was important to the patients?
10-12 participants with caregivers
6-12 weeks pot ICU discharge
Working Age Population

10. Who will be in our team? Nurse Doctor Physiotherapist Pharmacy
Clinical Psychology
Citizens Advice Bureau
Carers Centre
Health And Social Care Alliance

11. Exercise Class

12. Physiotherapy (Week One- Three)
One to One Appointment
What matters to the patient?
Building on Personal Goals
Chronic Pain issues.

13. Nurse/Dr (Week One to three)
One to One Appointment
Lay Summary- Optional
How are you getting on?
What different?
Where do you want to be?
Personal goals are set which we work towards

14. Pharmacy (Week One to Three)
One to one Appointment
Education
Empowerment
Medicine Reconciliation
Identifies any ongoing gaps.

15. Clinical Psychology (Week Four)
Diverse Needs
Focus on coping skills
Group Session
Sleep Session
Patient and Caregiver Sessions.

16. Social Prescription Week (Week Five)
ALISS
Employability (including options for volunteering)
Good Moves
Carers Centres GP
CAB

17. What about the carers? Carers are involved in all of the interventions
Can take part in the exercise class
Have undertaken volunteering roles

18. Always Learning…. We need to continue learning
Learning Session at the end of every week (5-10 minutes)
Week Six- Formal Learning Session with the entire team

19. InS:PIRE Programme WEEK 1 2 3 4 5 6 Group Physiotherapy Class PharmacyX
Physiotherapy
Medic/Nurse
Group Psychology
Dietician/Sleep psychology
Good moves
ALISS
Carers Centre
CAB
Patient Volunteer

20. Integrating Health and Social Care
Intensive Care Syndrome: Promoting Independence and Return to Employment
Integrating Health and Social Care