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SUCCESSES, CHALLENGES AND OPPORTUNITIES

NORTH LANARKSHIRE HEALTH AND CARE PARTNERSHIP. Social Work. SUCCESSES, CHALLENGES AND OPPORTUNITIES. Sandra Mackay Planning and Development Manager, (Community Care Partnerships). Cumbernauld Chryston Kilsyth. Coatbridge. Pop: 83,860 . Pop: 47,104. OP: 6,781. OP: 9,650.

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SUCCESSES, CHALLENGES AND OPPORTUNITIES

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  1. NORTH LANARKSHIRE HEALTH AND CARE PARTNERSHIP Social Work SUCCESSES, CHALLENGES AND OPPORTUNITIES Sandra Mackay Planning and Development Manager, (Community Care Partnerships)

  2. Cumbernauld Chryston Kilsyth Coatbridge Pop: 83,860 Pop: 47,104 OP: 6,781 OP: 9,650 Airdrie Motherwell Pop: 52,888 Pop:42,065 OP: 7,216 OP: 6,558 Bellshill Pop:58,117 Pop:42,760 OP: 8,849 Wishaw Shotts OP: 5,422 NORTH LANARKSHIRE LOCALITIES Total Pop. 321,059 65yrs + 44,476

  3. A HOME FOR THE FUTURE A VISION FOR SERVICES FOR OLDER PEOPLE IN NORTH LANARKSHIRE LANARKSHIRE STRATEGY FOR FRAIL OLDER PEOPLE INTEGRATED DAY SERVCIES FOR OLDER PEOPLE IN NORTH LANARKSHIRE JUNE 2005

  4. SOCIAL ACTIVITIES EMPLOYMENT HOUSING LIBRARY UTILITY SERVICES COLLEGE COURSES LEISURE BENEFITS INFORMATION DAY-CARE ADVOCACY RESPITE SUPPORT IN THE COMMUNITY ASSESSMENT & CARE MANAGEMENT OCCUPATIONAL THERAPY EQUIPMENT & ADAPTATIONS FAMILY FRIENDS RELATIONSHIPS GP COMMUNITY NURSING SERVICES PSYCHIATRY COMMUNITY TEAMS DIETETICS SPEECH & LANGUAGE/ HOSPITAL OT/PHYSIO ADMISSION / ASSESSMEN/TREATMENT

  5. SUCCESSES North Lanarkshire Key Stakeholders PATH Event - 1st September 2005 The Way Ahead SHARED VISION KEY ACTIONS WHEN JOINT PRIORITIES BY WHOM

  6. SUCCESSES PATH Event - 1st September 2005 2 Key Objectives Identified:- • Improved access to health and social care services [NL Health and Care Partnership] • Promotion of inclusion, citizenship and health improvement [NL Older People’s Working Group]

  7. North Lanarkshire Health & Care Partnership Care Group Partnership Board – Older People Locality Health & Care Partnership Airdrie Locality Health & Care Partnership Bellshill Locality Health & Care Partnership Coatbridge Locality Health & Care Partnership Cumb’nauld Locality Health & Care Partnership Motherwell Locality Health & Care Partnership Wishaw LPG OP LPG OP LPG OP LPG OP LPG OP LPG OP Locality Planning Groups - Older People

  8. SUCCESSES High level starting point eg:- • Home support service - 1100 people receive > 10 hrs per week (NL - 24 per 1000 Scot Av 17.1 per 1000) • Community Alarms - 65+ yrs 8400 (19%) 75+ yrs 6233 (33%) • Consistently meet annual targets re individuals whose discharge is delayed

  9. SUCCESSES North Lanarkshire Service Alignments • Joint Equipment Service - 2003 • Single shared assessment - 2003 • Aligning home support with community nursing (out of hours) - 2004 • Care management / co-ordination - pilot 2004 • Integrated day services - pilot 2005

  10. PIMS SWIS SHARED STORE SUCCESSES Single Shared Assessment • Over 450 health and social care staff trained • Direct access to home support services (up to 28 times per week) • Direct access to joint equipment service

  11. SUCCESSES Aligning home support with community nursing (out of hours)

  12. SUCCESSES Care Management/Co-ordination • Early pilot in Wishaw Locality • Joint Care Management Group • Joint NES Project • Implementation in Coatbridge

  13. SUCCESSES Integrated Day Services Existing Health and Social Care Day Provision Acute Health Service Day Hospital/ Services Old Age Psychiatry/ Day Hospital Services Existing Community Social Care Provision

  14. Old Age Psychiatry Acute Day Hospital INTEGRATED DAY SERVICE SUCCESSES Integrated Day Services Community Resources

  15. SUCCESSES Integrating Day Services:- Locality Planning Groups Senior Charge Nurse (Old Age Psychiatry) Integrated Service Co-ordinator JOINT ACCESS TO RESOURCES Team Leader District Nurse Senior Social Work Officer Locality LinkOfficer Day Hospital Manager

  16. CHALLENGES • Ensuring effectiveness of Partnership Board and Locality Groups (x6) • Seek to reduce emergency admissions • Continuous improvement in service delivery to improve outcomes for individuals • Progress effective engagement with service users; carers and public • Progress roll out of service alignment/integration

  17. OPPORTUNITIES • New structure for joint planning and governance agreed and being implemented • Major culture shift in progress - peer group learning + co-location of staff • Develop community based intermediate care • Joint resourcing in locality planning groups • Sound basis for user and carer consultation and involvement

  18. North Lanarkshire Users and Carers Forum Commun i t i e s J o i n t P l a n n ing North Lanarkshire Carers Together Participation Forum North Lanarkshire Disability Forum Lanarkshire Links Voice of Experience Forum

  19. BEST POSSIBLE OUTCOMES FOR INDIVIDUALS AND THEIR CARERS Mrs A - Difficulty getting out of house - intensive rehab at day hospital

  20. BEST POSSIBLE OUTCOMES FOR INDIVIDUALS AND THEIR CARERS Mrs B - Isolated and loss of confidence - ? Day Service

  21. BEST POSSIBLE OUTCOMES FOR INDIVIDUALS AND THEIR CARERS Mr C - Stroke 2 years ago, lost confidence, unable to go outside

  22. BEST POSSIBLE OUTCOMES FOR INDIVIDUALS AND THEIR CARERS Mrs D - Socially isolated with diagnosis of dementia, unable to go out on own

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