central norfolk health & social care central norfolk health and social care better care for...

Central Norfolk Health & Social Care

Central Norfolk Health and Social Care

Better Care for Norfolk

Key Partners:Key Partners:Norfolk & Norwich University Hospital NHS Trust Norfolk & Norwich University Hospital NHS Trust Norfolk & Waveney Mental Health Partnership NHS Trust Norfolk & Waveney Mental Health Partnership NHS Trust Norfolk County Council Social ServicesNorfolk County Council Social ServicesFour Central Norfolk Primary Care Trusts – Broadland, North Norfolk, Four Central Norfolk Primary Care Trusts – Broadland, North Norfolk, Norwich and Southern NorfolkNorwich and Southern NorfolkSupported by the East Anglian Ambulance NHS Trust and Norfolk Suffolk & Supported by the East Anglian Ambulance NHS Trust and Norfolk Suffolk & Cambridgeshire Strategic Health AuthorityCambridgeshire Strategic Health Authority


Background to Better Care for Norfolk

Where we were.. A system in trouble…Where we were.. A system in trouble… Missing Performance TargetsMissing Performance Targets Financial ImbalanceFinancial Imbalance Limited Partnership workingLimited Partnership working Confidence lowConfidence low


Background to Better Care for Norfolk Aim of Performance Improvement and Aim of Performance Improvement and

Transformation Strategy:Transformation Strategy: Joint VisionJoint Vision New Model of CareNew Model of Care Improve Performance Improve Performance Enhance Communications & Enhance Communications &

Involvement Involvement New Culture and Organisational Devt.New Culture and Organisational Devt.


The public can have confidence that care The public can have confidence that care will be delivered at the right time, in the will be delivered at the right time, in the right place by the right person with the right place by the right person with the right information and the right skills. And right information and the right skills. And that care will be delivered with warmth, that care will be delivered with warmth, humanity and dignity.humanity and dignity.

Better Care for Norfolk – The Vision for Central Norfolk is a service where…


Better Care for Norfolk …New Model of Care Aims of new model of care:Aims of new model of care:

Reduce unnecessary emergency Reduce unnecessary emergency admissionsadmissions

Improve care and independence for Improve care and independence for people with chronic diseasepeople with chronic disease

Improve access to elective servicesImprove access to elective services Move care closer to homeMove care closer to home


Better Care for Norfolk - Changes… Improved emergency servicesImproved emergency services Fewer delays on leaving hospital and care at homeFewer delays on leaving hospital and care at home Improved diabetes, COPD careImproved diabetes, COPD care Fewer complications & improved prevention Fewer complications & improved prevention Local diagnostics & improved support services Local diagnostics & improved support services Improved palliative careImproved palliative care Better care for childrenBetter care for children Better access to specialist mental health servicesBetter access to specialist mental health services Better use of facilitiesBetter use of facilities New coaching service for patientsNew coaching service for patients


Better Care for Norfolk - Involving Users and the Public OSC working groupOSC working group Patient Surveys and focus groupsPatient Surveys and focus groups Linkages with the Voluntary Sector and patient Linkages with the Voluntary Sector and patient

groups to collect people’s viewsgroups to collect people’s views Seeking views from patient panels and other Seeking views from patient panels and other

groups linked to PCTs and PPI For agroups linked to PCTs and PPI For a Media collaborationMedia collaboration Public Events Public Events Formal consultation Formal consultation


Better Care for Norfolk – Involving Users and the Public, Eg..

Children’s Parents actively involved in the stream work.

Elective Views gathered through stakeholder workshop and patient involved in design of Referral Management Service.

Complications

Patient and carer involved in stream work for tracheotomy care.

Emergency Views gathered through stakeholder workshop and from patients using next day clinics

HealthImprovement

Survey of 200 older people with Age Concern Norwich and patient surveys of those using the new outreach services. Very positive feedback re the Harnser Outreach service – 95% of patients surveyed said their overall impression of the service was excellent or very good and 97% would be happy to use the service again.

Mental Health

On-going programme of public involvement run by N&WMHP including service user groups.

Non Clinical Proposals will be part of the consultation on the local transport plan run by the Planning and Transport Unit, after County Council Cabinet approves proposals.

PalliativeCare

Plans for carers to be part of workstream as new model of care is developed.

Therapies Before embarking on the development of any plans, therapists will be actively involving current patients to obtain their views on preferred location of treatment, transport difficulties, availability of appointments, waiting times.


Better Care for Norfolk – Formal Consultation Broadland PCTBroadland PCT – Health at Home Team – Health at Home Team Norwich PCTNorwich PCT – Home Care Team for Older – Home Care Team for Older

Patients; Expansion of Harnser Outreach; Step Patients; Expansion of Harnser Outreach; Step Down Beds; Bed changesDown Beds; Bed changes

Southern Norfolk PCTSouthern Norfolk PCT – Rapid Response Team; – Rapid Response Team; less private nursing home beds; closure of Ashill less private nursing home beds; closure of Ashill Unit and more use of Dereham Hospital.Unit and more use of Dereham Hospital.

Model of CareModel of Care


Better Care for NorfolkCommunications Timetable

April – Nov. 2004April – Nov. 2004 Briefings for key organisationsBriefings for key organisations Sharing ideas, raising awareness of draft emerging plansSharing ideas, raising awareness of draft emerging plans Gathering more views – surveys and focus groupsGathering more views – surveys and focus groups

Nov. 15 2004 – Feb. 15 2005Nov. 15 2004 – Feb. 15 2005 Formal consultation –on proposed plans for health and social Formal consultation –on proposed plans for health and social

carecare Publicising proposals, seeking viewsPublicising proposals, seeking views

End Feb. – April 2005End Feb. – April 2005 Feedback results of consultationFeedback results of consultation Agree the way forward with OSC and key stakeholders.Agree the way forward with OSC and key stakeholders.


Sustainable Transformation ….

…. Better Care for Norfolk

central norfolk health & social care central norfolk health and social care better care for...

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