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Transforming Your Care

Transforming Your Care . Strategic Overview – turning the vision into action Emma Holden May 2014. What is “ Transforming Your Care” ?. Improving the health and wellbeing of people by

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Transforming Your Care

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  1. Transforming Your Care • Strategic Overview – turning the vision into action • Emma Holden • May 2014

  2. What is “Transforming Your Care”? Improving the health and wellbeing of people by promoting good health decisions, preventing ill health in the first place, achieving better outcomes when ill health does occur &enabling people to live healthily and independently for as long as possible.

  3. What is our vision?

  4. How are we delivering the vision? Integrated Care Partnerships • 17 Integrated Care Partnerships established across Northern Ireland • Collaborative Networks • Trust AHP representation on each ICP committee • AHP Input to the ICP Multi Disciplinary groups • AHP Federation NI are members of the ICP stakeholder reference group • Focus on Clinical Priorities – some examples of recent investment: AcuteInpatientMentalHealthUnit Community Information SocialCareProcurement MaternityStrategy Radiology HealthAnalytics PhysiotherapySelfReferral Reablement Service/WorkforceModelling ProjectEcho PrimaryCardiacInterventionServices Community Capacity Ambulance Protocols Carers WebPortal Day Opportunities Stroke IntegratedCarePartnerships DomiciliaryCareReview IntermediateCare Project Echo 7DayWorking DeliveringChoicesProgramme SelfDirectedSupport NeedsAssessmentforOlderPeople PrimaryCareInfrastructure Specialist Foster Carers HospitalNetworks e-Health StatutoryResidentialHomes ElectronicCareRecord

  5. How are we delivering the vision? • Health and Care Centres • Investment in primary care infrastructure through Hub and Spoke configuration • Many services that currently require a hospital visit will be available locally at the hub, such as: • outpatient assessments for long term condition clinics • minor surgery • diagnostics (such as x-ray and ultrasound) • range of AHP services • Portadown, Belfast, on-going development Ballymena, Banbridge, Omagh, Newry and Lisburn • For example, new HCC in Newry will see investment in specialist facilities for Physiotherapy, Hydrotherapy, Podiatry, Dietetics, Speech and Language Therapy, Orthoptics AcuteInpatientMentalHealthUnit Community Information SocialCareProcurement MaternityStrategy Radiology HealthAnalytics PhysiotherapySelfReferral Reablement Service/WorkforceModelling ProjectEcho PrimaryCardiacInterventionServices Community Capacity Ambulance Protocols Carers WebPortal Day Opportunities Stroke IntegratedCarePartnerships DomiciliaryCareReview IntermediateCare Project Echo 7DayWorking DeliveringChoicesProgramme SelfDirectedSupport NeedsAssessmentforOlderPeople PrimaryCareInfrastructure Specialist Foster Carers HospitalNetworks e-Health StatutoryResidentialHomes ElectronicCareRecord

  6. How are we delivering the vision? 7 Day Service • Aim to introduce 2014/15 at each large hospital site, including 7 day proactive management • Support from • 7 day diagnostic service • Social Care • Allied Health Professionals • Benefits • Support early discharge • Improve patient flow • Improvements in morbidity and mortality AcuteInpatientMentalHealthUnit Community Information SocialCareProcurement MaternityStrategy Radiology HealthAnalytics PhysiotherapySelfReferral Reablement Service/WorkforceModelling ProjectEcho PrimaryCardiacInterventionServices Community Capacity Ambulance Protocols Carers WebPortal Day Opportunities Stroke IntegratedCarePartnerships DomiciliaryCareReview IntermediateCare Project Echo 7DayWorking DeliveringChoicesProgramme SelfDirectedSupport NeedsAssessmentforOlderPeople PrimaryCareInfrastructure Specialist Foster Carers HospitalNetworks e-Health StatutoryResidentialHomes ElectronicCareRecord

  7. How are we delivering the vision? • Self Referral Physiotherapy • Regional Context • What is self referral? • Benefits • Progress to date • Opportunities AcuteInpatientMentalHealthUnit Community Information SocialCareProcurement MaternityStrategy Radiology HealthAnalytics PhysiotherapySelfReferral Reablement Service/WorkforceModelling ProjectEcho PrimaryCardiacInterventionServices Community Capacity Ambulance Protocols Carers Public Health Agency TYC WebPortal Day Opportunities Stroke IntegratedCarePartnerships DomiciliaryCareReview IntermediateCare Project Echo 7DayWorking DeliveringChoicesProgramme SelfDirectedSupport NeedsAssessmentforOlderPeople PrimaryCareInfrastructure Specialist Foster Carers HospitalNetworks e-Health StatutoryResidentialHomes ElectronicCareRecord

  8. How are we delivering the vision? • Reablement • Supporting people to remain at home • AHPs key to success - led by Occupational Therapists • Aims to help people accommodate their illness or condition by relearning skills necessary for daily living • Benefits • On discharge from the reablement service, users need less/no support than when they initially contacted HSC services • Promotes independence • Improves outcomes • Avoidance of unnecessary hospital admission • Full coverage in Northern/Belfast/South Eastern Trust areas, partial in Southern/Western AcuteInpatientMentalHealthUnit Community Information SocialCareProcurement MaternityStrategy Radiology HealthAnalytics PhysiotherapySelfReferral Ambulance Protocols Service/WorkforceModelling ProjectEcho PrimaryCardiacInterventionServices Community Capacity Reablement Carers WebPortal Day Opportunities Stroke IntegratedCarePartnerships DomiciliaryCareReview IntermediateCare Project Echo 7DayWorking DeliveringChoicesProgramme SelfDirectedSupport NeedsAssessmentforOlderPeople PrimaryCareInfrastructure Specialist Foster Carers HospitalNetworks e-Health StatutoryResidentialHomes ElectronicCareRecord

  9. How are we delivering the vision? Connecting Health and Social Care across Northern Ireland AcuteInpatientMentalHealthUnit Community Information SocialCareProcurement MaternityStrategy Radiology HealthAnalytics PhysiotherapySelfReferral • 10,000 registered users • Currently 8% users made up of AHPs • Used in the provision of care to over 250,000 unique patients - around 14% of the N.I. population. • Initial focus on Acute- now branching out to community teams • 250,000 Radiology Reports Viewed • 2.5 million Cumulated Laboratory results • 800,000 Episodic Encounters accessed Reablement Service/WorkforceModelling ProjectEcho PrimaryCardiacInterventionServices Community Capacity Ambulance Protocols Carers WebPortal Day Opportunities Stroke IntegratedCarePartnerships DomiciliaryCareReview IntermediateCare Project Echo 7DayWorking DeliveringChoicesProgramme SelfDirectedSupport NeedsAssessmentforOlderPeople PrimaryCareInfrastructure Specialist Foster Carers HospitalNetworks e-Health StatutoryResidentialHomes ElectronicCareRecord

  10. How are we delivering the vision? AcuteInpatientMentalHealthUnit Community Information SocialCareProcurement MaternityStrategy Radiology HealthAnalytics PhysiotherapySelfReferral Reablement Service/WorkforceModelling ProjectEcho PrimaryCardiacInterventionServices Community Capacity Ambulance Protocols Carers WebPortal Day Opportunities Stroke IntegratedCarePartnerships Workforce DomiciliaryCareReview IntermediateCare Project Echo 7DayWorking DeliveringChoicesProgramme SelfDirectedSupport NeedsAssessmentforOlderPeople PrimaryCareInfrastructure Specialist Foster Carers HospitalNetworks e-Health StatutoryResidentialHomes ElectronicCareRecord

  11. How do you contribute to change? • Vital to our system • Be the voice to support change • No neutral decisions – standing still isn’t an option • Change takes time • Show clinical leadership – everybody's responsibility or no-one’s

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