LTC Lunch & Learn: Manchester Fire & Rescue - Prevention home checks with Peter O'Rielly, Chief Fire Officer and Geoff Harris, Assistant County Fire Officer

1. WELCOME
Thursday 4 June 2015 Webinar
Manchester Fire & Rescue – Prevention
Home Checks

2. Manchester Fire & Rescue – Prevention
Home Checks
Thursday 4 June 2015
12.30pm – 1.30pm
Peter O’Reilly, Chief Fire Officer
Geoff Harris, Assistant County Fire Office
&
Beverley Matthews
LTC Programme Lead, NHS Improving Quality
@GMFRS_PeteOR @GMFRS_Geoff #firesummit #LTCImp

3. Beverley Matthews
LTC Programme Lead
NHS Improving Quality
Beverley.matthews@nhsiq.nhs.uk
@GMFRS_PeteOR @GMFRS_Geoff #firesummit #LTCImp

4. LTC Year of Care Commissioning
Developing a Year of Care Capitated Budget approach for those
with Complex Care Needs
• 5 Early Implementer sites
• 35 Fast Followers
• Whole Population Datasets
• Implementation Guide
• Simulation Modelling
• Specialist Support Team
@GMFRS_PeteOR @GMFRS_Geoff #firesummit #LTCImp

5. LTC Person Centred Care:
Delivering Person Centred Care for People with LTCs
• 40 Early Adopter sites
• 4 regional learning networks
• Snapshot Survey
• Simulation Modelling
• Specialist Support Team
@GMFRS_PeteOR @GMFRS_Geoff #firesummit #LTCImp

6. LTC Learning Community
Establishing a Virtual Community for All to Share and Learn
• LTC Dashboard
• Case Studies
• Lunch and Learn Series
• The Bulletin
• Specialist Support Team
@NHSIQ @bev_j_matthews #LTCImp #LTCyearofcare
@GMFRS_PeteOR @GMFRS_Geoff #firesummit #LTCImp

7. To request registration details contact LTC@nhsiq.nhs.uk
Date Webinar Hosted by Bev Matthews &
9 June 2015
12 noon – 1pm
Health 1000 Rob Meaker
Barking, Havering & Redbridge
Coming soon… Why Care Planning is not
happening in the NHS?
Angela Coulter
Healthcare analyst/researcher
Nuffield Department of Population
Health, University of Oxford,
Informed Medical Decisions Foundation
Coming soon… Health Pilots – Bromford Lab Paul Taylor
Innovation Coach
Coming soon… Health coaching for people with
long term conditions
Penny Newman
Colchester Hospital University NHS FT
LTC Lunch & Learn E-Seminars
Establishing a Virtual Community for All to Share and Learn
@GMFRS_PeteOR @GMFRS_Geoff #firesummit #LTCImp

8. NHSIQ Long Term Conditions
WebEx, Lunch & Learn
Fire as a Health Asset
4th June 2015
Peter O’Reilly
Chief Fire Officer
CFOA Lead Officer for Health

9. Our Purpose
To protect and improve the quality of life
of the people in Greater Manchester
“A thousand lives a year could be saved if firefighters
responded to cardiac arrests with defibrillators”
Professor Andy Newton
Director of Clinical Operations, South East Coast Ambulance Service
On average 5% of those that suffer a cardiac arrest in
Greater Manchester will survive, when relying on
ambulance attendance alone
NWAS Paramedic Trainer
“250,000 people a year cross the threshold of Accident and
Emergency units as a result of falls”
Simon Stevens, CEO NHS England

10. The Historical Drivers
• 1995 – ‘In The Line Of Fire’
• 1997 – ‘Safe as Houses’
• 1998 – ‘Out Of The Line Of Fire’
• 2002 – ‘IRFS, The Future of the Fire Service: reducing
risk, saving lives’ (Bain Review)
• 2002/03 – ‘Industrial dispute’
• 2004 – ‘Fire and Rescue Services Act’
– Duty to promote Fire Safety
• 2013 – The Knight Review
• 2014 – Five Year Forward View (Simon Stevens,
Chief Executive, NHS)?

11. Performance – Home Safety Check
Activity

12. Impact of Home Safety Checks?
598
26,241
53,892
71,811
96,085
75,989
70,080 67,628
54,459
3,727
2,833
2,664
2,461
2,429 2,331
2,268
2,124 2,080
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
0
20,000
40,000
60,000
80,000
100,000
120,000
2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14
ADFs
HSCs
GMFRS Accidental Dwelling Fires & Completed HSCs
(2005/06 - 2013/14)
HSCs Acc Dwelling Fires

13. Performance - Response Activity

14. What else can GMFRS offer a New Devolved Administration in
Greater Manchester
Strategic
Commitment
Access to
60,000
homes
Referral
pathways
Community
Budgets
Community
Risk
Intervention
Teams
Dedicated
personnel
Use of fire
stations
Information
sharing

15. Demand: Fire V Ambulance

16. 43%
8%
16%
4%
1%
9%
5%
14%
Accidental deaths in the home
Falls
Fire / Burns
Poisoning by drugs
Other poisoning
Natural factors
Drowning / Suffocation
Other accidents
Undetermined
ROSPA (England & Wales) 1999

17. • Medic One/Emergency Medical Services (EMS) serves nearly 2
million people in King County, and
• provides life saving services on average every 3 minutes.
• Each year, approximately 1 out of 10 residents will use Medic
One/EMS system.
• Every year the Medic One/EMS System saves thousands of lives:
• In 2013 firefighters responded to more than 172,000 calls in King
County.
• In 2013, paramedics responded to more than 46,000 calls for
advanced life support in King County.
• Compared to other US cities, cardiac arrest victims are 4 to 5
times more likely to survive.
• In 2013, Seattle & King County achieved a 62% survival rate for
cardiac arrest.
• This is currently among the highest reported survival rates.
Seattle Life Support Service

18. Supporting Health and Social Care
across Greater Manchester
• Wigan: Firefighters trained as Public
Health Champions
• Bolton: Firefighters preventing sudden
infant death syndrome
• Salford & Bury: Firefighters completing
Falls risk assessments and referring to
Falls Teams
• 10 Community Risk Intervention Teams
(CRITs) working across all of GM!!!

19. Community Risk Intervention Teams

20. • Multi-agency/Multi-disciplinary Prevention
and Response Teams
• Targeted work based on agreed risk
profiles
• Objectives set by
GMFRS/NWAS/GMP/LAs
• Falls Prevention & Rescue, Cardiac
Rescue, Crime Prevention, Fire & CO
Prevention, Health & Well-being advice
• Recruitment from NWAS, GMP & GMFRS
Volunteers & returning military personnel

21. • Vehicle design includes capacity for
specialist equipment stowage e.g. lifting
equipment for bariatric patients.
• Vehicles have facility to convey patients to
GP Surgeries & Urgent Care Facilities
• Vehicles available for community
resilience e.g. Doctor or care worker
conveyance in adverse weather
• Pilot project taking place in Salford, Wigan
& Manchester MBC areas, evaluated by
Salford University

22. Challenges to new ideas designed
to reduce risk and demand

23. Activity to 25 May 2015
Community Risk Intervention Team Attendance Data
Borough
Response Activity
Total
Response
Activity
Prevention
Activity
Total Combined
Activity
North West Ambulance Service Greater Manchester Police
Home Safety
CheckCardiac Arrests
Community First
Responder/other Falls Mental Health
Welfare
Concern
Bolton 5 11 12 0 2 30 2 32
Bury 2 17 3 0 2 24 1 25
Manchester 25 128 67 13 241 474 263 737
Rochdale 0 2 5 0 0 7 1 8
Salford 24 235 29 5 142 435 53 488
Stockport 5 16 14 0 0 35 6 41
Tameside 2 3 6 0 0 11 0 11
Trafford 5 48 12 1 5 71 35 106
Wigan 29 86 52 11 276 454 136 590
Oldham 2 0 2 0 0 4 1 5
Total 99 546 202 30 668 1545 498 2043

24. Does it really matter who the First
Responder is?

26. Fire as a ‘Health Asset’
• FBU now considering a future role as part of the
wider Public Health workforce
• GM Firefighters asking to be medical First
Responders - Responding to Cardiac Arrests
• Fire Crews to deliver basic CPR and Health &
Well-being awareness and training in schools?
• Firefighters & Community Risk Reduction Teams
to complete Health, Falls, Crime and Fire risk
assessments in the home – Safe & Well
• Innoculations?

27. The Future – One Greater
Manchester Emergency Service?

28. Thank you
Peter O'Reilly
Chief Fire Officer
‘To protect and improve the quality of
life of the people in Greater
Manchester’

29. @GMFRS_PeteOR @GMFRS_Geoff #firesummit #LTCImp

30. To request registration details contact LTC@nhsiq.nhs.uk
Date Webinar Hosted by Bev Matthews &
9 June 2015
12 noon – 1pm
Health 1000 Rob Meaker
Barking, Havering & Redbridge
Coming soon… Why Care Planning is not
happening in the NHS?
Angela Coulter
Healthcare analyst/researcher
Nuffield Department of Population
Health, University of Oxford,
Informed Medical Decisions Foundation
Coming soon… Health Pilots – Bromford Lab Paul Taylor
Innovation Coach
Coming soon… Health coaching for people with
long term conditions
Penny Newman
Colchester Hospital University NHS FT
LTC Lunch & Learn E-Seminars
Establishing a Virtual Community for All to Share and Learn
@GMFRS_PeteOR @GMFRS_Geoff #firesummit #LTCImp