Welcome Wifi CODE Upton1947!Ms USE SLIDO TO ASK QUESTIONS OF THE - PowerPoint PPT Presentation

Welcome Wifi CODE Upton1947!Ms USE SLIDO TO ASK QUESTIONS OF THE PANEL 1. OPEN BROWSER ON SMARTPHONE, TABLET OR LAPTOP 2. GO TO www.slido.com 3. ENTER CODE #Q358 TWEET ABOUT THE EVENT #WokinghamCHASC

Introduction David Cahill (BHFT Wokingham Locality Director) and Phillip Sharpe (WBC Interim Assistant Director, People ) WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

Sam’s Story WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

Wokingham Community Health and Social Care CHASC Dr Amit Sharma and Heidi Ilsley WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

4 main functions of Community Health and Social Care (CHASC)  Complex case management – for when residents need care and support that is coordinated and planned  Simple case management and on-going care – to meet all residents on-going care and support needs  Specialist Input – for when residents need care and support from an expert in a particular field  Promoting Self-Care and Prevention - to improve access to local voluntary and community resources by providing targeted, up to date information to residents and their families, and support residents to self-care and maximise their wellbeing – Social Prescribing WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

Wokingham Borough User Model WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

The Integrated team The integrated care team will merge the professionals and roles of the following existing services into one multi- disciplinary team (MDT), a planned phased implementation with an agreed timeframe will be required:  Community matron  Social workers and brokers  Support workers  Community nursing  Community Navigators  GPs and primary Care  Locality MDT co-ordinators  Public health  AHP’s WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

What will be different? WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

What will be different? WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

WISH Service Wokingham Integrated Social care and Health Service Martin Sloan WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

WISH - VISION Delivering high quality integrated health and social care services in Wokingham supporting people to: - Promote independence, choice and control for all people in the Community. - Reduce hospital admissions by supporting people to maintain their health and wellbeing in the Community - Ensuring wellbeing by Safeguarding people using positive risk taking principals - Co-ordinate and facilitate safe and timely discharge from hospital. WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

Integrated Services to support User Model Optalis : START team WBC : Adult Social Care teams BHFT : Intermediate Care team Rapid Response Nursing team Interfaces:

40 50 60 20 25 30 35 45 55 10 15 2012/13 1 2012/13 3 RRAT Wokingham Care Home Acute Admissions 2012/13 5 2012/13 7 2012/13 9 2012/13 11 2013/14 1 2013/14 3 2013/14 5 2013/14 7 Performance – NELs 2013/14 9 2013/14 11 2014/15 1 2014/15 3 2014/15 5 2014/15 7 2014/15 9 2014/15 11 2015/16 1 2015/16 3 2015/16 5 2015/16 7 2015/16 9 2015/16 11 2016/17 1 2016/17 3 2016/17 5 2016/17 7 2016/17 9 2016/17 11 2017/18 1 2017/18 3 2017/18 5 2017/18 7 Poly. (Number of Admissions) Number of Admissions

Performance – Reablement/Independence

Performance - DTOC DTOC total (national metric) 1 mth lag 500 449 400 324 number of days 320 300 262 283 220 200 158 100 0 Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 17/18 16/17 16/17 av. 17/18 av. planned WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

COMMUNITY MATRONS John Weaver-Lovell WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

Berkshire Healthcare’s vision  “…is to provide the best care in the right place; developing and delivering excellent services in local communities with people and their families to improve their health, well-being and independence”. WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

What is the role of the Community Matron? WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

Analysis prior to interventions and working in partnership to deliver a better patient experience WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

OPTALIS ADULT SOCIAL CARE Angela Morris WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

About Optalis  Optalis is a local authority trading company that employs 660 people.  We provide services for around 5000 people encompassing: - physical disabilities - learning disabilities - older people - people with mental health needs.  Services include 3 residential care homes, 7 independent living services, 4 extra care services, 8 day care services, home care, outreach, reablement, employment services and statutory adult social care, including integrated teams.  We have services in Wokingham, Bracknell, Oxfordshire and Windsor & Maidenhead. WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

Challenges  Increase in demand  Increased frailty and complexity  Increase in an ageing population  Workforce and recruitment  Safeguarding WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

How working in an integrated way will help us improve the service  Improved customer experience – right service right time  Coordinated and planned services  Improved discharge response  Empowering individuals to maximise their well being and manage their needs WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

INVOLVE COMMUNITY NAVIGATORS Phil Cook WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

Community Navigation Helping people find help and/or support from their local community or the voluntary and community sector. WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

Challenges  Volunteers availability  Capacity  Missing information  Inappropriate referrals  Clear knowledge/ understanding of options + systems WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

How a CHASC/integrated approach might overcome these challenges and benefit Sam…  Partnership working  Respect & understanding between partners  Clear communications between all parties  Appropriate referrals  Smart working  Keeping the patient/ client at the centre of all decisions WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

Panel Discussion USE SLIDO TO ASK QUESTIONS OF THE PANEL 1. OPEN BROWSER ON SMARTPHONE, TABLET OR LAPTOP 2. GO TO www.slido.com 3. ENTER CODE #Q358 WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358

Workshops Registered for Clinical TIPS Workshop? Please follow signs to The Stables WIFI Upton1947!Ms #WokinghamCHASC SLIDO #Q358