Introducing Whickham Villa LLP Opportunities for Living

1. IntroducingWhickham Villa LLPOpportunities for Living

2. INTRODUCTIONS BODA GALLON Chief Executive Whickham Villa LLP Treasurer /Trustee Tees Valley & Durham Neurological Alliance (TVDNY) Vice Chair South of Tyne Neuro Forum

3. INTRODUCING WHICKHAM VILLA LLP

4. OVERVIEW: OUR CURRENT SERVICES • CHASE PARK REHABILITATION CENTRE • 28 en-suite bedrooms • 2 step-through Apartments • MILLFIELD HOUSE CARE HOME • 36 Bedrooms • For Older People and those with Long Term Conditions • WHICKHAM VILLA HEALTH CLUB • Accessible gym with specialist equipment • Large Hydrotherapy pool with multi-sensory equipment • Café • Holistic therapy suite

5. CHASE PARK REHABILITATION CENTRE

6. CHASE PARK REHABILITATION CENTRE: DEVELOPING THE SERVICE • HIGH LEVEL OF REFERRALS FOR REHABILITATION CLIENTS • Consultant in Rehabilitation Medicine • Specialist Community Therapy Team • 1:1 Opportunities Team • Specialist Nursing Team • SUPPORTING REHABILITATION THROUGH THE ENVIRONMENT • Improving the existing facilities & aspirations • New facilities: Hydrotherapy pool, Gym Café • Social Context for rehabilitation • Community Hub

7. CHASE PARK REHABILITATION CENTRE : THE SERVICE TODAY • QUALITY AWARDS • CQC Excellent (3 Star) Rated • 2007 Pinders/Caring Business award for Best New Specialist Care development • Headway Approved Provider status • DR ANDREW BRADFORD • Our Consultant in Rehabilitation Medicine • Worked as a Consultant at Walkergate Park, as a G.P. and as a specialist registrar in Neuro Rehabilitation in Liverpool • Interest in complementary and psychological approaches to healthcare

8. CHASE PARK REHABILITATION CENTRE: STEP FORWARD & STEP UP REHABILITATION STEP FORWARD REHABILITATION “Chase Park Rehabilitation Centre provides Step Forward and Step Up Rehabilitation. All input and interventions are focused on planned discharge prior to admission and are focused on clients individual life goals and around enabling the individual to move forward in their lives towards providing as independent a living environment as possible and a sustainable high quality of life”. • STEP FORWARD FEATURES: • Positive • Flexible • Person Centred • Goal Focused • Emphasis on moving through the service towards the most independent life possible

9. CHASE PARK REHABILITATION CENTRE: THREE PATHWAYS THE REHABILITATION PATHWAY THE IMMEDIATE NEEDS PATHWAY THE DISABILITY MANAGEMENT AND SLOW STREAM REHAB PATHWAY

10. CHASE PARK REHABILITATION CENTRE: CLIENT DEMOGRAPHICS • PURPOSE OF ADMISSION & DIAGNOSIS • Snapshot of a changing Client Group • Over 70% Active Rehabilitation Clients

11. CHASE PARK REHABILITATION CENTRE: REFERRALS OCCUPANCY The average occupancy rate for Chase Park Rehabilitation Centre is 92%. This fluctuates throughout the year with a comparatively high rate of admission and discharge.

12. CHASE PARK REHABILITATION CENTRE: REFERRALS

13. IOUTCOMES AND IMPACTS

14. OUTCOMES AND IMPACTS: THE ANNUAL REVIEW • INDIVIDUAL CLIENT OUTCOMES • Assessment & Review reports • Basket of outcome measures • THE FUTURE • Expanding the scope • Social Impacts • Collaboration • Neurosciences Network (PROMS)

15. OUTCOMES AND IMPACTS: COLLABORATION • FAMILY SUPPORT AND COMMUNITY GROUPS • Helping through our resources • Providing support and education • EVENTS • Our Events • Others Events • Professional Collaboration • COLLABORATION WITH PROFESSIONALS • Sharing Information • Networking & Changing Culture • Learning Opportunities

16. IVALUE

17. VALUE: DISCHARGE

18. VALUE: THE DIFFERENCE HEADWAY SAYS:  ”There are many care/residential units throughout the North East, how many say that they offer specific services for people with brain injury? There are about a dozen, however, are they actually providing specific services or are they generic? By specific services, we mean appropriate neuro-rehabilitation, and continuing neurological assessments with set goals with the aim of improving a person’s quality of life, possibly leading to independent living. Do these care/residential homes involve the local community therefore addressing social isolation and stigma? Involving the local community can assist residents with regards to a smooth transition and integration back into the community – Chase Park Rehabilitation Services address these issues, and they focus on the longer term outcomes”. Alastair White North East Regional Co-ordinator Headway – the brain injury association APPLES AND ORANGES How do you compare generic care with a specialist rehabilitation service?

19. VALUE: COSTING STRUCTURE HOTEL & CARE (including all Medical & Nursing costs) HIGH/MEDIUM/LOW DEDICATED 1:1 ENABLEMENT (1:1 Opportunities) HIGH/MEDIUM/LOW THERAPY (Physio, OT and SaLT) HIGH/MEDIUM/LOW • 3 main services • 3 costing bands for each (low, medium and high) • Initial assessment is free of charge in the SHA area • Full flexibility in offering levels of support and costs between these bandings, for example: -

20. VALUE: CASE STUDIES – Ever Decreasing Need CASE STUDIES We can provide a range of case studies to illustrate the impact and return on investment represented by neurological rehabilitation

21. VALUE: IN DEPTH CASE STUDY Blue line - the cost of his care if he had remained in the facility and not changed, as predicted. Yellow line -The cost of his care had he been moved to live independently in the community with no change in his needs Green line – the actual cost of care plus rehabilitation therapies and return to the community with consequent increase in independence and reduced care needs and costs • If Mr X were to live to age 70 and the original predictions of his needs were correct, then extrapolating the costs to provide for his needs (without inflation) provided the following figures; • Cost of remaining in Continuing Care placement for rest of Mr X’s life with static level of need from original admission £3,939,000 • Estimated community living care costs for Mr X with 2 carers needed to meet static needs from original admission £8,291,002 • Total rehab and likely care costs once Mr X is resettled in community, assuming continuation of progress to fulfil his potential £1,520,388

22. VALUE: RESIDENTIAL REABLEMENT • SHORT-TERM REABLEMENT PLACEMENTS • Bridging the gap between hospital and home • Medically fit for discharge • Additional resources required to return home • Further Reablement/rehabilitation required • Adaptations or new accommodation required • Short-term packages based on promoting independence and where appropriate offering targeted rehabilitation services to assist an individual to return to living at home.

23. The Current Market

24. The Current Situation: CHALLENGES • Equity of Access • Fragmented Services across North East • Pockets of excellence • NHS Changes and Drivers • Uncertainty & Loss of Intelligence • Reduce Admissions / Reduce length of Stay / Reduce Re-admissions • Cultural Shift • Macroeconomics • Housing • Care Home Trap • Commissioning • Whole Life Costs • Community Services • Lack of Priority and Investment • Personalisation • Customer vs. Consumer

25. The Current Situation: NHS QIPP AGENDA • Quality • Improvement • Productivity • Prevention

26. The Current Market: OPPORTUNTITES • North East Neurosciences Network • Unique Organisation • Joint Commissioning • Workforce Development • Dataset and Intelligence • Pathways Task Group • Information and Communication (Forums) • Evidenced Based Practice Sub Group • Leadership • Commissioning • Clinical Commissioning Groups • Regional Specialised Commissioning • Blue Sky Thinking

27. The Way Ahead

28. The Way Ahead: Where should we go from here? • Equity of Access • Regional Trauma Centre in Middlesbrough • Out of Area Placements Review • Investment in Neuro-rehabilitation • Regional Specialised Commissioning Review • Collaboration • Joint Commissioning & Whole Life Cost • Seamless Service Pathway – Whole Systems Approach! • Link Person (Social Work Neuro Specialist / 3rd Sector Advocate) • Neuro Representation on the Local Health and Wellbeing Board

29. The Current Market: Where should we go from here? • Personalisation – who drives the market? • Raising Expectations and Building Communities • Community Investment • Self Management • Community Multidisciplinary Rehabilitation • Tele-Care & Assistive Technologies • Vocational and Education support • Housing • Ensure the ongoing viability of NENP (NENN & NA’s)

30. IOur Future

31. Our Future: The Gateway Project - Middlehaven • Multi Agency Stakeholder Team – (Co-Production) • The Gateway • Step Forward Rehabilitation • Step Up Wellbeing Centre & Community/Resource Hub • Transitional Housing & Long Term Housing • Collaboration • South Tees NHS Trust Middlesbrough Council Middlesbrough PCT • Housing (Erimus/Fabrick) Middlesbrough College Teesside University • Vocational Rehab Social Enterprise TVDNY & 3rd Sector • Community Rehab Team Teesside LA’s Telecare and Technology • ONE HCA Tees Valley Unlimited • Equity of Access for people in Teesside • Outcomes and Impacts – The ‘Win – Win’ • Regeneration and Investment in Local Services & Local People

38. Our Future: The Gateway Project - Middlehaven • Commissioning Event - 2nd November 2011 • Public & Service User Consultation Event • - w/c 31st Oct 2011 @ Middlesbrough College • Planning Submission - December 2011 • Opening Summer 2013

39. Our Future: HOW CAN WE HELP YOU? ? Any Questions:

40. THANK YOU FOR YOUR TIME