Wayne Felton, Managing Director, MITIE Healthcare Solutions

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The Role of Homecare in an Integrated Health System

The Role of Homecare in an Integrated Health System

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  • 1. Slide 1 The Role of Homecare in an Integrated Health System Wayne Felton Managing Director MITIE Healthcare Solutions
  • 2. MITIE – a short commercial breakStrategic outsourcing businessHistorically focus on facilities management & energy services£2 billion revenuesFTSE 250 companySignificant presence in IrelandValues • People • Passion • Fresh thinking • Exciting futures
  • 3. MITIE experience in health
  • 4. MITIE in Homecare• Oct 2012 MITIE acquire Enara Group• 4th largest homecare provider UK• Platform for integrated care business 6,000 CARERS 125,000 HOURS/WEEK 15M VISITS PER ANNUM
  • 5. MITIE in Homecare
  • 6. English health landscapeNHS annual budget £130 bn paIncreasing demand – 4% paCCGs – greater patient choiceHealth & Well-Being BoardsDifferent approaches – degree of integration 9.5m people > 65 1.35m care places (and falling) Residential care range £28k - £40k pa
  • 7. Homecare Avoid or defer admission Safe early release Re-ablement
  • 8. Rapid response mobile care teams• Pilot scheme• 24/7 mobile teams – commissioned by GP, paramedic, community health, social services• Strict SLA – answering times call, care team on-site within 60 minutes• Avoid admission – particularly winter pressures• End of life expertise
  • 9. Health & Wellbeing Telehealth Millions of touchpoints – home visits Capture health data Identify issues – avoid eventsUp-skill carersPhlebotomy exampleAvoid costly & inconvenient process‘Win-win’ scenario
  • 10. Re-ablementPersonal social care Positive outcomesOccupational therapy Greater independenceFocus on ‘doing with not for’ Improved confidenceUser defined goals 63% - no further homecareFlexible visits 26% - reduced homecareContinuity care 15% - in year saving6-10 weeks
  • 11. Managing early release Bed blockers – cost £800/day Step down facilities Care at home Virtual ward technology
  • 12. The Future? HEALTH SOCIAL Combination budgets removes barriers to change Inclusion of all aspects – inc social housing – cost fall £29k (100 x cost handrails) Homecare has a pivotal role to play