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Rachael Forbister - ECO 20: Empowering care homes through innovation and improvement

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Presentation by Rachael Forbister, TECS Programme Manager, NHS Sunderland CCG at ECO 20: Empowering care homes through innovation and improvement on Wednesday 25 September at Liverpool Hotel Hilton.

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Rachael Forbister - ECO 20: Empowering care homes through innovation and improvement

  1. 1. Health and care partners working together. 25th September 2019 Rachael Forbister, TECS Programme Manager Sunderland’s Care Home Digital NEWS tablet
  2. 2. Health and care partners working together. Contents • Gran • Care Model • How we did it • What we did • Outcomes • The digital future
  3. 3. Health and care partners working together.
  4. 4. Health and care partners working together. Complex healthcare needs, multiple long term conditions Skills within residential care homes not necessarily sufficient Communication challenges between providers Residents currently do not have equitable access to healthcare which can lead to hospital admissions The need to improve early detection of acute illness in residents Provides care closer to home to improve patient experience Why?
  5. 5. Health and care partners working together.
  6. 6. Health and care partners working together. How we did it! How
  7. 7. Health and care partners working together. What is NEWS2 “Standardised assessment”
  8. 8. Health and care partners working together. What NEWS means to care homes  Aids recognition of clinical deterioration  Standardises acute illness assessment in the community care setting  Enables communication to other HCP’s using a common language and empowers staff  Informs appropriate clinical response and pre-alert which defines appropriate level of on-going care required.  Upskills the staff members  Objective clinical information to support requests for home visits  Family and friends ‘confidence’
  9. 9. Health and care partners working together.
  10. 10. Health and care partners working together.
  11. 11. Health and care partners working together.
  12. 12. Health and care partners working together.
  13. 13. Health and care partners working together.
  14. 14. Health and care partners working together. Contents
  15. 15. Health and care partners working together. Outcomes – 8 care homes  192 less no elective admissions  336 less A&E attendances  49.2% reduction in bed days  18,000 NEWS scores recorded  Staff feedback:  88% see the value  83% saw it as a normal part of their work  100% felt it would become part of their normal work  Variable models to determine cost savings. First model £700k, second model £180k
  16. 16. Health and care partners working together. What we learnt  It takes time to embed  Not all the staff in care homes were on-board  More support was needed than we first thought  Wi-Fi not great in many care homes  Staff turnover  Measuring the data is really challenging  IG Considerations  Doing too much at one time. A slower roll out may have been better
  17. 17. Health and care partners working together. Training
  18. 18. Health and care partners working together.  NEWS scores increasing month on month  Training/Briefing:  131 people attended Melissa Bus  Briefings to 29 NHS nurses  12 LD staff trained  274 care home staff  35 care homes now ‘ON’  4 care homes ‘ON/OFF’  10 more to go  Proactive monitoring  Linking with specialist nurses  Sustaining for the future Adam’s progress
  19. 19. Health and care partners working together. Digital Future  NHS email being rolled out  Video consultations with community nursing and GP practices  Development of react to red  Supporting new builds
  20. 20. Health and care partners working together. Any questions? ?
  21. 21. Health and care partners working together. All Together Better is an alliance of health and care partners in Sunderland working together: • NHS Sunderland Clinical Commissioning Group (CCG) • South Tyneside and Sunderland NHS Foundation Trust • Sunderland Care and Support • Sunderland GP Alliance • Sunderland City Council • Northumberland, Tyne and Wear NHS Foundation Trust • Voluntary and community sector organisations including Age UK Sunderland, Sunderland MIND and Sunderland Carers Centre • Other providers NHS contracted services.

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