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Bexley Care Service Development Presentation Patient Council 8 - - PowerPoint PPT Presentation
Bexley Care Service Development Presentation Patient Council 8 - - PowerPoint PPT Presentation
Bexley Care Service Development Presentation Patient Council 8 September 2018 1 Integration 2 Formation of Bexley Care The Integrated Care Programme Board commissioned a review by IPC (2016) of existing services to create a vision
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Formation of Bexley Care
- The ‘Integrated Care Programme Board’ commissioned a
review by IPC (2016) of existing services to create a vision for the future for Bexley integrated care for adults
- Bexley Care launched April 2017
- £85 million pound gross budget
- 35% from Oxleas
- 65% from LBB
- Budgets treated as one – looking for best outcomes for
people and value for money
- The new model is our contribution towards supporting the
Bexley Local Care Partnership approach
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Oxleas NHS Foundation Trust Adult Social Care Team/Service Team/Service Central Access Team Adult Mental Health Wards (Lesney and Millbrook) Triage District Nursing Barefoot Lodge Shared Lives Wound Care Home Treatment Team (HTT) Working Age Complex Care teams Continence Day Treatment Rapid Response Team Cardiac Rehab/Heart Failure Primary Care Plus (PCP) Safeguarding (including DoLS & Mental Capacity Act) Respiratory Anxiety, Depression, Effective Disorders, Personality and Trauma Team (ADAPT) Purchasing budgets to support the delivery of care and support Diabetes Intensive Case management of Psychosis pathway (ICMP) Integrated Rehab Podiatry Early Intervention in Psychosis (EIP) Community Assessment & Rehab Team (Short term assessment and Reablement) Community Assessment and Rehab Team Approved Mental Professional Health Team Review Teams Neuro Community Mental Health Team rehab Preparing for Adulthood Team Rapid Response Community Mental Health Team; Older Peoples Hospital Integrated Discharge Team (HID) Meadowview Intermediate Care Unit Intensive HTT Older Peoples Continuing Healthcare Nurses Holbrook MSK
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Reason for Change
These diagrams show the population growth (%) 2017 - 27
They represent the current localities and by corresponding local government wards
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Bexley Care Service Delivery Model
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Reason for Change
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Reason for Change
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Progress to new structure
- 1. Single Point of Contact
- No wrong front door
- One point of contact/telephone for new referrals to a range of
services
- Navigators able to ensure that person is signposted to the right
place reaches the right service or signpost to other agencies
- Triage function which helps address more complex needs or one off
pieces of work
- 2. Single Assessment Process
- Prevents duplicate assessments/telling story more than once
- Been out to consultation including voluntary sector to
promote/support self management
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Implications
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3 . Bexley Care Local Care Network Teams
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Piloting the Clinical Model
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Integrated Case Management (ICM) Pilot
- Co designed by 3 GP LCN leads, CCG and Bexley Care
- Monthly meeting in each locality. Meeting chaired by GP LCN
lead and an Associate Director for Bexley Care
- Pilot of what we hope new model will look like
- Brings together range of professionals from across adult
social care, physical health, mental health, primary care
- Admin support provided by BHNC and supervised by Bexley
Care
- Voluntary sector colleagues key partner in meetings
- Outcomes record and evaluation to be undertaken
- Example of outcomes one person presented 29 x at A&E in 3
months reduced to 6 in 3 month period
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Implications:
Topics for discussion
- What are your thoughts on the Bexley care model and plans
and implications?
- How would you like us to keep you updated on progress?
- How do we further engage and gather feedback from our
local communities?
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Next Steps
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