West Lothian

Community Health and Care Partnership

Frail Elderly Programme

Supporting health and care in the community

Alan Bell

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The problem

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Current provision• Reablement service• Crisis care service• Rapid Elderly Assessment and Care Team

(REACT)• Complex Care Service• Palliative Care Service• Independent sector (Framework contract)

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The solution

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Project objectives

• Review arrangements and performance of current in-house services

• Advise on the sustainability of current and proposed investments at the end of the Integration Fund

• Develop options on increasing capacity of independent sector provision

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Project approach• Data analysis of existing care at home services

– activity budget details– outputs for the given period– staffing resource– key performance indicators including targets– profile of service users, packages including geographical information– current system pressures / known issues or constraints

• Review of current processes• Stakeholder interviews

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Key recommendations

• Amalgamate teams that support discharge• Review structure within SMU• Single point of contact for initial client contact• Partnership approach to care planning,

including providers• Major changes to care at home contract

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New care at home contract• Requirement to accept business• Geographical lots – minimised travel times– guaranteed volumes– improved employment contracts

• More flexibility in care planning• More robust performance management

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Ongoing developments

• Collaborative approach to training• Training passport• 15 minute visits – link to TEC• Living Wage• Interagency Information Exchange (eHealth

Portal)

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Breakout Groups – discussion topics

1. Do you feel that there are any areas that are not being covered within the West Lothian Frail Elderly Programme that should be covered?

2. Where do you feel the main connections/overlaps occur between the different areas within the programme?

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