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TLAP – Personalisation in Health and Care Conference

TLAP – Personalisation in Health and Care Conference. Trudy Reynolds Oxford Health NHS Foundation Trust. Oxfordshire . Community MH Foundation Trust 5 community Hospitals In-depth PHB site – offering people eligible for NHS Continuing Healthcare a PHB

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TLAP – Personalisation in Health and Care Conference

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  1. TLAP – Personalisation in Health and Care Conference Trudy Reynolds Oxford Health NHS Foundation Trust

  2. Oxfordshire • Community MH Foundation Trust • 5 community Hospitals • In-depth PHB site – offering people eligible for NHS Continuing Healthcare a PHB • Number of joint health and social care funded packages

  3. Background to Joint Funded Health and Social Care • Section 75 for more than 10 years • Pooled budgets for mental health, physical disability LD, and older people • Approximately 450 people receiving joint funded packages of care • Processes can be complicated and not easy for people to understand.

  4. Joint Funded Packages • Primary social care need but some health needs • Self-funded care plus healthcare funding • Social care funding plus healthcare funding • 5 levels of delegated healthcare tasks • Health funding only available for level 3 & 4 delegated healthcare tasks

  5. What have we done so far ? • 50 PHBs for people eligible for CHC funding • Joint external provider contracts • Review Delegated Healthcare Task list • Piloting a new model for training PAs • Simplification of budget setting tools towards a more holistic offer • Piloting model for support planning

  6. What Next ? • Joined up more holistic ‘offer’ • Workforce – internal/external • Simplified budget setting • Accessible/timely training for PAs • Joined up approach to reviewing the framework • Information and data

  7. Conclusion • Strong Government and local commitment to this agenda • Great opportunities to improve outcomes for individuals and achieve better value for money • Next challenge is how to roll out at scale in a sustainable way without large scale organisational change.

  8. Delegated Healthcare Tasks • NHS funding available • Assessment by HCP / SW identifies the healthcare tasks • Tasks are allocated a specific number of hours / minutes of time per day / week • Funding is applied based on the hourly rate for care agency / personal assistant and given as part of the personal budget • Health funding can increase or decrease depending on individual’s needs

  9. Training Protocols Level 1 & 2 • Carer / PA receives theoretical and practical training from their employer (i.e. care agency), Support with Confidence programme or an appropriate healthcare professional • Examples of Level 1 & 2 Tasks include: - emptying and changing catheter bags - basic moving & handling, including use of hoists - assistance of getting up and putting to bed - application of prescribed creams / lotions

  10. Training Protocols Level 3 & 4 • Carer / PA receives training from an appropriate Healthcare Professional i.e. DN, Staff nurse/ hospital clinician, Community Physiotherapist, Shared care nurse trainer • Where possible, training should be part of the discharge process when clients are in hospital • Under no circumstances may these procedures be carried out without the appropriate training and signing off by a Healthcare Professional • Examples include: Complex moving and handling, Administration of oxygen, suction via tracheostomy

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