23 rd January 2014, London Demonstrating the Value of Community Services Sussex Community Trust Marion Homersham, Head of Performance Excellent care at the heart of the community
about Sussex Community Trust • Formed October 2010 • Population 1.2 million • 4,400 staff – one of largest community trusts in country • 2 local authorities - Brighton & Hove City; West Sussex • 4 CCGs • 3 acute trusts / 1 mental health trust - Brighton & Sussex University Hospital NHS Trust - Surrey & Sussex Healthcare NHS Trust - Western Sussex NHS Foundation Trust - Sussex Partnership NHS Foundation Trust
wide geographical spread – multiple locations
services – grouped… • Children’s • Managing the front door • Improving the interface between primary care and community care • Working towards proactive care • CCG Other • Public Health (Local Authority) • Public Health (NHS England)
example: Managing the front door • One Call – single point of access • Clinical Assessment Unit • Community Rapid Response Teams x 5 (Admission Avoidance Teams, Community Rapid Response Team, Rapid Access & Intervention Teams) • IV Nursing / IV Therapy Need KPIs that demonstrate how our services working together add value to health economy
6 generic categories – working model • Admission Avoidance non conveyance to hospital; contingency plans on IBIS • Self-management care plan self-management goals agreed with patients • Patient experience and satisfaction • Care coordination patients with case manager or key worker • Access / response times including waiting list management • Clinical outcomes including TOMS, PROMS, healing rates
demonstrating value and effectiveness • assurance on safety and quality • impact on wider health economy: - avoided admissions / conveyance - early / supported discharge - improved outcomes - integrated health and social care - proactive / anticipatory care
Demonstrating the Value of SCT Services SASH West Sx CC BSUH (Mid Sx) Sussex Western Partnership BSUH SECAmb B&H CC (Brighton)
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