1 / 11

County Durham and Darlington Local Health and Social Care Economy

County Durham and Darlington Local Health and Social Care Economy . County Durham & Darlington profile. Population base served – @610,000 CD&D Patient group engagement 3 Clinical Commissioning Groups North Durham, DDES &Darlington 82 GP practices

essien
Download Presentation

County Durham and Darlington Local Health and Social Care Economy

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. County Durham and Darlington Local Health and Social Care Economy

  2. County Durham & Darlington profile • Population base served – • @610,000 CD&D • Patient group engagement • 3 Clinical Commissioning Groups • North Durham, DDES &Darlington • 82 GP practices • County Durham and Darlington NHS Foundation Trust – integrated acute / community health care provider • 2 Acute hospitals • Access to six community hospitals • Cross patch Community Service portfolio • Tees, Esk and Wear Valley NHS Foundation Trust • Provides inpatient and community services including mental health • Two local authorities • Darlington Borough Council • Durham County Council • Key areas of 7 day development • Urgent care • Frail elderly / LTC • Diagnostics

  3. Baseline assessment against the Standards

  4. Bridging the Gap……….

  5. Work commenced to date…. • (Standard 2) • NEWS SCORE – to be implemented by September 14 • 14hr assessment after admission – Qtr1 audit undertaken • (Standard 3) • MDT Pilot on 1 Acute site – looking at a PWC method called “Perform” – August 14 • IT Portal • (Standard 5) • 7 day diagnostics – Pilot over winter • (Standard 9) • Additional Community staff 7 days – Pilot over winter

  6. Progressing the Baseline Assessment Support for CD&D initiatives e.g. Frail Elderly MDTs 1. Inform Resilience Planning 2. Inform 7DS future priorities CDDFT Assessment Outcomes

  7. Drivers for Change • Frail elderly and over 75s identified as a priority in Darlington and increasing demographic shift • Unscheduled care pressures • Better Care Fund • Prime Ministers Challenge Fund • ‘Avoidable Admissions DES’ in Primary Care • CCGs to identify £5 per head of population transform care/invest in additional services and prevent unplanned admissions

  8. MDT development • Mandate to proceed from all organisations (health, social care and voluntary sector) • A detailed process flow is being developed • Identifying links to ‘Primary Care Enhanced Service – Avoiding Unplanned Admissions’ • Ensure MDT is complimentary • Developing ‘enabling’ functions (estates, IM&T, information governance, workforce)

  9. All in locality and managed by primary / community care Co-ordinator – Community Matron Practice MDT (phase 1) GP Practice Nurses Community Nurses Social worker Specialist Nurses Third Sector (Monthly) 111, NEAS , A&E Escalation MDT (Phase 2) Geriatrician RIACT Social care Mental health SPA (Daily) • Rapid Access Clinic • 7day Diagnostics • Front of House

  10. Problems • GP practice DES – ensuring linkages and avoiding duplication • Information Governance – sharing of information • Data Analysis to inform design • Service sharing of patient information • Workforce • Geriatricians • Radiography • Community Matrons

  11. Resilience Planning – Current Priorities (ongoing) • Emergency Inpatient MDT operating 7 days (standard 3) • Further diagnostics over 7 days (standard 5) • Additional Community staff to support 7 days (standard 9) • Community Matrons • Specialist Nurses

More Related