powerpoint presentation · ppt file · web view2017-02-02 · the team: alison connolly. andrew...
Post on 18-Mar-2019
215 Views
Preview:
TRANSCRIPT
PowerPoint Presentation
@eoeleadership #eoeleadimp
Mid Essex Care Collaborative:
Brid Boraks
Karen Brazier
Andrew Brown
Alison Connolly
Kristina Galatiltyte
Kerry Hooper
Ros Wilson
The Team:
Alison Connolly
Andrew Brown
Brid Boraks
Karen Brazier
Kerry Hooper
Kristina Galatiltyte
Ros Wilson
Mid Essex Collaborative
Bringing personalised care closer to home for older people
As you will have seen from the initial booklet, our project idea was to .
During our residential course we realised that in order to be here today and be able to tell you about our success, we needed to narrow down our project.
Our initial session (certainly for us) provided most of our learning about how teams work and the issues to be overcome agreeing our new more narrowly defined project plan.
After lots of discussion we narrowed down the potential areas where we could make the most impact. Thats how we arrived at post-Stroke care. The organisations represented within in the room all had involvement in the care of Stroke patients and we quickly realised that this was an area we could make a positive impact on.
Leading to optimised person-centred outcomes for stroke survivors and their carers.
Explain how we moved from frailty to stroke.
Formed/stormed/normed aligned our shared values
Carried out research with existing services including stroke association
3
Life after Stroke
4
Frightened
agitated
vulnerable
angry
unsettled
worried
bewildered
thrown off balance
in pain
Unable to talk
Kristina see Kerry for a format
Audio runs 20-30 seconds and concludes with 4 main clear
Key messages coming through:
Why am I repeating myself
No one is talking to each other
What happens to me now
I dont know how to help my partner
5
Why am I repeating myself?
No one is talking to each other?
What happens to me now?
I dont know how to help my partner?
Kristina see Kerry for a format
Audio runs 20-30 seconds and concludes with 4 main clear
Key messages coming through:
Why am I repeating myself
No one is talking to each other
What happens to me now
I dont know how to help my partner
6
What we set out to achieve - Optimising person centred outcomes for stroke survivors and their carers
Project Aims:
Empower stroke survivors, their families and their networks to help themselves
Wrap health, social ,voluntary and their personal communities around them
Adopt a holistic, targeted, coordinated and integrated approach to their recovery and maximise their independence.
Objectives
To provide support for all Mid Essex stroke survivors and their carers
To work in an integrated way across the stroke pathway with all providers of health and social care
To enhance the individuals understanding of stroke and its impact
To maximise independent living for stroke survivors and their carers/family
To support working age stroke survivors to return to work
To enable carers to be confident in their role
7
Personal Learning
Greater awareness
Stay with difficult conversations
Not being prescriptive
Maximizing talent
Greater personal awareness
Awareness of how each of us likes to think (detail vs big picture) . To be aware that we need the creativity and energy as much as the process and detail.
Scratching the service using questions to understand the other persons view.
Enabling people to speak up and empowering people to help themselves / equality of voice
Listen, challenge and stay with difficult conversations
Expect conflict its is not a failure of process but a normal reaction and in fact can lead to greater engagement and potentially better outcomes.
Very practical example on our project the what we were doing took us a long time and much wine! But key was allowing enough time to drill into issues/topics/feelings to allow a true sense of clarity.
Staying with difficult conversations Roz
Staying engaged Brid too easy to disengage. Aware that this can happen and adopting strategies
Ability to flex ourselves and the project (Not being prescriptive),
For me this was the penny dropping on the social care input and people helping themselves not having a prescriptive pathway driven / one size fits all solution whereby they get what they are due.
Maximizing talent generosity of knowledge/ sometimes just do it
8
How things were
9
Stroke Inpatient
(Mid Essex Hospital)
Early Supported Discharge
(Provide CIC)
Generic rebab services
(Provide CIC)
Primary Care
Social Services
(Essex County Council)
Stroke Association
Stroke Psychology
(NEPFT)
OoA acute providers
Stroke Rehab Beds
(Provide CIC)
Speaking outline:
- Deliberately messy shows how fragmented
- Different providers with separate contracts and distinct requirements
- Different commissioners/partners with potentially different objectives
- Not necessarily lending itself to joined up working
- Not clear what core offer should be at each stage, e.g. six month reviews, stroke assoc input or when/where ECC are involved
- Nonsensical exclusions, e.g. stroke psychology represents how services were bolted on or piloted
- Overlap of requirements e.g. patient assessment forms
- Inadvertently failing to see pt as a whole
- Confusing for health professionals, let alone patients!
Not blame, as all working for the best intentions and evolved as reflection of environment at the time, but ILC gave us an opportunity to change..
9
What we have achieved so far
Greater understanding
Effective partnership relationships
Redesigned pathways
Joint development and implementation of Life after Stroke specification
Stroke Association contract transferred from CCG to community provider
Dedicated Stroke Social Worker.
Kerry, do we want pics on here or happy with narrative? As we have the pic type slide on the earlier one, Ive gone for narrative with a bit of interest with pics, but feel free to change
Speaking outline
To follow slide unless ditch narrative
10
Next steps
Consistent core offer
Integrated collaborative partnership work
Continue to push forward project within existing workstreams
Continue to work on Stroke Psychology
Implement Lead Provider across community pathway
11
12
Thank you
d Effects - Crowd,100,React,Skeptical,Angry,Some distinct voices
Download Sound Effects - SoundDogs - Rob Nokes _SDC
http://www.Sounddogs.com, track 0
2007
SFX - Crowds; Reacting
19547.635
eng - Royalty Free Sound Effects - Sounddogs.com
top related