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Integrated Community Support Team (ICST)

Integrated Community Support Team (ICST). East Kilbride and Strathaven. Liz Swan and Morag Hearty. Key facts:. Population 88,000 approx. Above Scottish average older age group Scotland's first “New Town” in 1947 Both urban and rural areas Mixed social strata

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Integrated Community Support Team (ICST)

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  1. Integrated Community Support Team (ICST) East Kilbride and Strathaven Liz Swan and Morag Hearty

  2. Key facts: • Population 88,000 approx. • Above Scottish average older age group • Scotland's first “New Town” in 1947 • Both urban and rural areas • Mixed social strata • Large acute hospital –Hairmyres • Known locally for its traffic roundabouts, snow and Strathaven “toffee”.

  3. GP Social work OTs Physiotherapists Re enablement Discharge therapists District Nurses Home carers Evening nurses Night nurses Social workers Family Other specialist services Older Person

  4. Consultation told us… • We needed to join people up into one team • That we should not create a bolt on team • Needs to be a neighbourhood model • To enhance existing knowledge, skills and practice, building confidence and resilience of the local workforce • To make the model sustainable • GP’s wanted to remain responsible medical officer for patients

  5. ICST Principles • To provide safe, effective, person centred support to enable people to remain safely at home for as long as possible • When someone admitted to hospital support the person to return home as soon as possible • To support older people with complex health and social care needs to have their community care assessments carried out in their own home if possible

  6. ICST 24 hour Nursing and Home Care Physiotherapists Occupational Therapists Social workers Re enablement staff Carers Support 3rd Sector agencies Hospital discharge Independent Providers GP Family Other specialist services Older Person

  7. Delivered with a smile and a sense of humour! No way can we go back Even during the night-amazing much better continuity of care It came at the right time A huge weight off my mind I was really impressed how everybody got together to do things We thought this was a fob off – how wrong could we have been It was no effort for me He is getting back to being independent Makes such a difference to work with the physiotherapist I was terrified to go to sleep – that has been a lifeline for me She listened to me-she understood it This is the future

  8. In progress: • Adopted across NHS Lanarkshire • “Shared Care “ for tier 3 patients • Improve use of 3rd sector • Direct links with A&E and Scottish Ambulance service • Step down beds in Care homes • Co Location • Scottish Health and Social care integration • Continue to listen to older people and their carers!

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