Post on 23-Dec-2014
description
Integrated care: a revolution in UK health and care practice?
Transforming care for older people in Hampshire
Katrina Percy, Chief Executive
Southern Health has a longstanding vision to transform care for older people in Hampshire
Hampshire
Population of 1.3 million people, of which 230,000 are over 65 and 35,000 over 85.
Healthy and wealthy but some pockets of deprivation
Estimated 100,000 older people admitted to hospital as emergency every year
150,000 people with both long term conditions and mental health needs
Southern Health
Providing community, mental health and social care services to this population
Real opportunity for us to redesign how care is delivered to meet the physical health, mental health and social care needs of older people
Southern Health has a longstanding vision to transform care for older people in Hampshire
We began by creating a focus on supporting frail elderly people in the community
District Nursing Team Twilight Team
Rapid Response Team
Community rehab team
Patient Support Team Therapy Team
Single Community Care Team (CCT) based around general practice, serving a
population of approx30,000 people
3 sub-teams serving populations of 10,000
Joining up physical and mental healthcare, and social care for older people – tailored to local needs
Community Care Teams
Older People’s Mental Health
Teams
Social Care Services (ours and
LA services)
Single Integrated Teams based around
groups of General Practices
Now working with local GPs to create single integrated primary and community care teams structured around groups of GP practices
Southern Health Integrated Teams
General Practice Teams
Acute Care Teams
Single teams of primary and
community care staff operating as one – and based around groups of General Practices
Engaging third sector and wider community groups in designing care that meets the holistic needs of individuals
Southern Health Integrated Teams
General Practice Teams
Acute Care Teams
Empowered communities fully
engaged in supporting people in later life
Third sector and community groups
We have placed significant emphasis on developing our people
Observations and reflections
We believe there is an opportunity to fundamentally change the way health and social care services are delivered for our population…
…and that this will lead to better experience of care, better outcomes – including greater independence – and that overall this will deliver better value for taxpayers
Delivering our vision, rather than ensuring a successful future for our organisation has been our driving principle
Investing in and developing our people and our culture is the most important enabler to realise this vision