RightCare Barnsley Jacqui Howarth Service Manager RCB & Acorn Unit Barnsley Patient Council Meeting - 27 November 2019
Community IC Rehabilitation Units Services The Acorn Rehabilitation Unit Independent Sector IC beds Neighbourhood Nursing Teams IC Therapy Teams Specialist Nurses Independent Secondary Care sector care Wards & Departments homes Out of area Hospitals Social Care AE streaming Practitioners BHF GP & ANP Paramedic Practitioners Doctors Paramedics ENPs Primary Care Yorkshire Ambulance Emergency Service Department
Discharge Site Discharge Flow Matron Case Emergency Managers Department Medical Acute Staff Nursing Staff Stroke Adult inpatient wards Unit Discharge Provide a Emergency Department Clinical Unit single point of Decision access Unit Discharge discharge Coordinators service for Frailty Hospital staff Service Acute Medical Unit Physiotherapists Hospital Social Long length of Services Team stay review team Occupational Therapists Surgical Safeguarding Specialist Admissions Team Nurses
GP admissions ambulance Trusted assessors for continuing Health Care Single point for Community equipment and adaptations requests Reablement Manager on site assessments Warm Homes Team SWYT Long Term Conditions & Readmissions Inreach
Barnsley Hospital Patient Flow & Discharge Case Management RightCare Social Team Barnsley Services Barnsley has one of the lowest ‘delayed transfer of care’ (DTOC) results in the country (the national target is 3.5%). This SWYT means it makes sure patients Intermediate BMBC move as quickly and efficiently as Care & Reablement possible from hospital to Community Service wherever they need to go, such as Nursing rehabilitation or social care. Services Barnsley Barnsley Clinical Healthcare Commissioning Federation Group
RightCare Barnsley Crisis Independent Sector Neighbourhood The Acorn Response Care Home Rehabilitation at Rehabilitation Unit Home Service Team Rehabilitation beds Barnsley BMBC SWYT Community Barnsley Hospital Healthcare Reablement Nursing Services Federation
RightCare Barnsley Care Home Skype Support Launched 28 th January 2019 17 Care Homes participating by end of August 2019 up to 907 Residents covered • Enable patients to be treated within the comfort of their own up to 18% Hospital Proactive call from home where possible admissions avoided RightCare Nurse • Provide access for Care Homes to registered nurses via a digital Practitioner to Care applying the same route Homes each criteria as Tameside • Assist staff and patients in non-emergency situations morning giving • Assist with early interventions for illness, long term disease advice and support management and minor injuries and following up on Over 500 referrals • Reduce attendances to ED and subsequent admissions to recovery of hospital to date residents recently • Reduce GP visits to Care Homes referred • Reduce demand on the Ambulance Service Up to Over 80% of the Experienced Nurse We asked “if you had not 73 % referrals are taken called RightCare who would screening, avoided on the proactive you have called? “ assessment and GP visits morning calls The Care homes stated that triage of all if RightCare were not residents referred available they would have Working with and for our partners ensuring right level called for a GP for 470 of on a dedicated phone line, seven of care, in the right the residents referred and days per week 8am-8pm with calls place at the right directed to Crisis Response Team out 999 ambulances for 11 of of these hours ensuring 24/7 time the residents referred response
Discharge to Assess (D2A) Care Home Beds Or Homefirst D2A
Thank you for listening Questions?
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