We are introducing care coordination to improve health and care services locally and help people stay remain well at home.
Care coordination is an integrated system ensuring anyone referred to community services receives appropriate support from the most suitable professional when they need it.
To make services easier to navigate we have created a single phone number staffed by a team focused solely on coordinating referrals and queries.
Care coordination for our patients:
Care coordination aims to reduce pressure by keeping people out of hospital and reducing on the need for unplanned services by increasing support in the community and addressing problems before they escalate. We also work with social services and third sector organisations providing proactive support as needed.
When commissioners look for a new provider to take on services in their area there are many problems that the bidder will need to demonstrate that it can resolve for them.
Many community services are not integrated and have varying numbers of locations, contact points and phone numbers as well as hundreds of processes generating a variety of referral forms.
A single provider
Sometimes services are run by a several providers and commissioners would prefer a single provider to bring services together and ensure they are equitable.
High demand and low budgets
There is often a lack of coordination between the NHS, local authority and third sector services. Invariably services face increasing demand with decreasing budgets. We are experienced at overcoming these challenges and can demonstrate a strong track record, specifically on how introducing a care coordination system overcomes these challenges.
We take up to 250 calls a day
The care coordination centre takes 250 calls a day and is estimated to have prevented some 500 people from having to go to hospital during its first few months.
The care coordination centre is central to the East Staffordshire Improving Lives Programme which focuses on helping people to stay healthier for longer and enabling those with long-term health conditions take more control over their own care.
We have reduced pressure on local GP's
On average 94% of calls were answered within 30 seconds and more than 5% came directly from families reducing pressure on local GPs.
We oversee some community health and social care services in Bath and North East Somerset.
Helen Tilke is a community public health nurse team leader for Devon Integrated Children’s Services and was recently nominated for a long service award. She started nursing 34 years ago.
Children, young people, parents and carers will now have an improved experience when seeing Wiltshire’s speech and language service after it developed the way it explains appointments to help prepare them and reduce anxiety.
Delivering improved colleague satisfaction and flexible working with an effective eRostering rollout in NHS community services
How we provide care as a seamless experience and made the service easier to access for local people.
How we launched a new service to keep vulnerable children and young people in Devon out of hospital.