Progress in Strategic commissioning

1

• The Promoting Independence Team
• DoH Invest To Save Project
• Elizabeth Saunders
• Bristol Adult Community Care
• May 2007

2
The Promoting Independence Team

• Result of winning 2005 DOH Invest To Save bid
• Joint Partnership Project, Bristol Adult
  Community
• Care (ACC), Primary Care Trust (PCT), Avon
• Wiltshire Partnership (AWP)
• Team includes practitioners from all partner
  agencies Community Mental Health Nurse (CMHN)
• Assessment Review Co-ordinators (ARC)
• Community Nurses for Older People (CNOP)
• Community Development Facilitator (CDF)
• Based in Bristol South and Bristol North

3
Aims of the Service

• To reduce the number of older people experiencing
  a crisis, avoiding inappropriate admission to
  hospital or institutional care
• Develop a Case Management / Case findings
  approach to this preventative service
• To increase the engagement of local communities
  in supporting their older people

4
Aims of the Service (continued)

• To promote integration of health and social care
  and whole systems working, not exclusively
  focused on statutory agencies
• Develop a more coherent strategic approach, based
  on a Community Leadership model
• To promote the use of Assistive Technology

5
Links with White Paper

• Improving access routes and speed of service
• Promoting health and well-being and develop /
• maintain independence of older people
• Development of local community service promote
• social inclusion
• Developing consultation and engagement with user
  groups and carers
• Need to think differently about older age and
  provide
• a clear strategic focus

6
Early Days Success Achievement

• Successful community development / links with
  local organisations
• Provision of health education events and advice
  surgeries
• Needs of hard to reach BME groups highlighted,
  some positive results
• - plan for a Dementia Café network
• - luncheon club for Somali male elders
• - health education sessions for Chinese elders
  and Asian elders

7
Early Days Success Achievement (continu
ed)

• All individual users of service have received
  prompt response (no waiting lists). Health and
  Safety a priority
• - all users at risk of falls and who live alone
  provided with personal alarms
• - all users / carers receive Care Repair /
  Fire Brigade environmental safety checks in homes
• - medication alerts and specialist dispensers
  also provided

8
Evidence of Making a Difference for

• Promoting the independence of older people
• over 400 service users have been through the
  service
• on evaluation score 65 showing improvements to
  independence
• over 50 disposable alarms issued, 20 mobile
  phones, 3 charitable funding for mobility
  scooters, numerous stair lifts

9
Evidence of Making aDifference
for (continued)

• Improvements to efficiency and effectiveness of
  service delivery
• all service users seen within 5 working days
• feedback information to all GPs
• local referrals target 80, received over 400

10
Capturing The Learning

• Accessing information from Ambulance and AE
• extraordinarily complex (locally!) now
  resolved by simple opt out solution
• Identified gap in accessible community
  transport for older
• people, need to link with Older Peoples
  Strategy
• Full commitment of all partners essential for
  continued
• success of project, Political and Senior
  Officer leadership
• high priority
• Community development equally as important as
  services
• to individual users

11
Next Steps The Way Ahead!

• Project Board, Steering Group continue to provide
  strategic leadership to the project adopting a
  whole systems approach which must include older
  people
• Developing clear vision of what matters and what
• counts to older people (e.g. identified need to
  set
• up bereavement groups)
• Further development of local services, beyond
  statutory health and social care

12
Next Steps The Way Ahead! (continued)

• Recognising the importance of quality partnership
  relationships
• Link with learning from Invest to Save, National
  POPP projects / developments
• Formal evaluation of project, specification in
  place with UWE (capturing outcomes, measuring the
  evidence)
• Half way report action plan in preparation