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Lesley Brewer, Project Manager, Community Intermediate Care Service/Short Term Intervention Team

Planning for a co-ordinated intermediate intervention team in Sheffield SHARING GOOD PRACTICE Sheffield Teaching Hospitals NHS Trust July 2013. Lesley Brewer, Project Manager, Community Intermediate Care Service/Short Term Intervention Team Sarah Wright, Specialist Pharmacy Technician.

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Lesley Brewer, Project Manager, Community Intermediate Care Service/Short Term Intervention Team

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  1. Planning for a co-ordinated intermediate intervention team in SheffieldSHARING GOOD PRACTICESheffield Teaching Hospitals NHS Trust July 2013 Lesley Brewer, Project Manager, Community Intermediate Care Service/Short Term Intervention Team Sarah Wright, Specialist Pharmacy Technician

  2. The Challenge We have good health and social care services in “Our City” and…. • Rising expectations and quality standards • Increasing number of older people and people with long term conditions who need care • Evidence that older people, are best managed in the own home or a community setting rather than hospital • Services are not sufficiently joined up to support people in Sheffield • More cost effective Present us with us with many opportunities Admission avoidance Effective Discharge To help people stay at home and remain as independent as possible

  3. “ Leaders aren’t born they are made…and they are made just like anything else, through hard work.” Inspired. “people are Joined up” tools for transformation High Hearts & Minds Hearts Emotional Intelligence Minds Logically right. Mental Intelligence Low High

  4. The Solution - Right Care, Right Time Right Place • Enhance the Integration of Health and Social Care Teams by developing the capacity of intermediate care services. • Aligned Services 2012/13 • Developing Implementation Plan • Putting Effective Governance Structures in Place Key work streams • Communications • Training and Development • Service Operational Management • Medicine Management Pilot (funded by CLAHRC)

  5. Communicate to motivate Getting Buy-in Key Messages Extensive communication Empower the teams • Repeated messages • Multiple sources • Local champions with clear accountability • Treated people as Individuals • Listened to all views • Encouraged input, participation and Involvement • Willing to believe, trust and respect • Explaining the purpose • Reinforce confidentiality • Emphasize the importance of hearing everyone’s opinion • Pledge that results will be used • Show Leadership commitment Used existing vehicles as much as possible • Staff meetings (all levels) • Newsletters • Internal web sites • Bulletin boards • Leadership days

  6. Benefits

  7. Medicines Re-ablement Pilot Project Project outline • Align health & social care to provide a high quality equitable service • Develop and deliver a competency training package • Monitor new provision of care service with health & social care • Outcome measures CLAHRC SY • Scoping literature review to provide an evidence base for medication re-ablement • Small evaluation of the first cohort: training package, stakeholder perspectives on the change in practice • Support for a second cohort informed by the evidence gained from the first • Evaluation of the second cohort • Support to analyse data throughout • Recommendations for roll out across Sheffield CLAHRC for South Yorkshire

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