- The organization provides healthcare services to 400,000 people across several communities in the UK. They operate two major hospital sites and 38 community sites with over 5,500 staff.
- In 2008, community services were transferred from local Primary Care Trusts to the Foundation Trust to achieve greater integration of acute and community services.
- Key areas of integration that have enhanced patient care include end of life care, intermediate care and rehabilitation services, musculoskeletal services, and a community virtual ward model. Quality of care and staff experience have also improved through measures like peer review and infection control protocols.
The Complexities and Challenges of Health and Aged Care System
The three primary goals of healthcare organisations today are:
• improve the experience of care
• improve the health of the population and
• reduce per capita costs of delivery.
This requires healthcare organisations to engage and impact the health of one person at a time. This can only be achieved with the right people, processes and information systems in place.
This is our Business Plan for the next year; 2017-18.
In health, as in other sectors, innovation and adoption at scale is increasingly driven by interdisciplinary research, synergies between industries, and a step-change in end-user (citizen, consumer, patient) engagement in the process. Seeing the wood from the trees, making connections, spotting opportunities, and understanding how to get traction requires a breadth of perspective and strong roots into, and across, that landscape.
Academic Health Science Networks (AHSNs) connect horizontally across research, industries, commissioners, providers and users; and network vertically between policy formulation, system design, operational coal-face and end-user experience. That role takes us across all parts of the NHS, into industry, local government and other public agencies, into universities, charities, start-ups, and into funders. And up and down the system; from the role of the GP receptionist in improvement and innovation; to dialogue with policy makers and regulators about refining system design to support adoption and spread of innovation.
Networks which are open to, and embrace, the diverse perspectives of these stakeholders will, in turn, help the systems and members which they support be open to the adoption and spread of innovation.
That is what we, Wessex AHSN, aspire to. We hope you find this spirit reflected in our business plan.
The Complexities and Challenges of Health and Aged Care System
The three primary goals of healthcare organisations today are:
• improve the experience of care
• improve the health of the population and
• reduce per capita costs of delivery.
This requires healthcare organisations to engage and impact the health of one person at a time. This can only be achieved with the right people, processes and information systems in place.
This is our Business Plan for the next year; 2017-18.
In health, as in other sectors, innovation and adoption at scale is increasingly driven by interdisciplinary research, synergies between industries, and a step-change in end-user (citizen, consumer, patient) engagement in the process. Seeing the wood from the trees, making connections, spotting opportunities, and understanding how to get traction requires a breadth of perspective and strong roots into, and across, that landscape.
Academic Health Science Networks (AHSNs) connect horizontally across research, industries, commissioners, providers and users; and network vertically between policy formulation, system design, operational coal-face and end-user experience. That role takes us across all parts of the NHS, into industry, local government and other public agencies, into universities, charities, start-ups, and into funders. And up and down the system; from the role of the GP receptionist in improvement and innovation; to dialogue with policy makers and regulators about refining system design to support adoption and spread of innovation.
Networks which are open to, and embrace, the diverse perspectives of these stakeholders will, in turn, help the systems and members which they support be open to the adoption and spread of innovation.
That is what we, Wessex AHSN, aspire to. We hope you find this spirit reflected in our business plan.
Pam Creaven - Bringing integrated care to lifeAge UK
Pam Creaven, Services Director, Age UK - presentation from Age UK For Later Life conference, 25th April.
For more information: www.ageuk.org.uk/forlaterlife
Dr Leon Le Roux - Introducing the framework for community mental health suppo...Innovation Agency
Presentation by Dr Leon Le Roux, Clinical Director/ Consultant Psychiatrist, Lancashire Care NHS Foundation Trust: Introducing the framework for community mental health support, care & treatment on Wednesday 13 March at Haydock Park Racecourse.
Presented by: David Cozadd, Director of Operations with the Burke Center
Thomas Kerss, Sheriff of Nacogdoches County; Current President of the Sheriff’s Association for Texas
Anne Bondesen, Project Director for the Rural East Texas Health Network (RETHN)
This inaugural NYeC | PCIP Learning Series is targeted at DSRIP PPS leads, service providers, and others who would like to learn more about New York State’s current and future programs to increase HIT adoption, usage, and practice transformation.
In this first session, we will focus on two tactical areas. First, how DSRIP PPS leaders can analyze participating provider data to facilitate project planning, outreach, and program success. Second, an industry expert from Primary Care Development Corp will provide a helpful overview of how organizations can prepare for and achieve Patient Centered Medical Home (PCMH) recognition.
There will be more sessions to follow and we welcome your input to help shape future content to assist those working to transform healthcare in New York State.
Agenda:
• 9:00 am - Welcome, Programs Update (REC, EP2, NYS PTN)
• 9:10 am - DSRIP – PPS Provider Analysis Reporting and Outreach
• 9:30 am - PCMH – Overview and Readiness
• 9:50 am - Q&A, Call for future subjects
May 14, 2015
The AHSN and Centre for Implementation Science is working as the independent evaluator for the Happy, Healthy, at Home Vanguard programme in North East Hampshire and Farnham.
This was the second symposium of the independent evaluation and focused on the Farnham Locality. The event included presentations from the Farnham Integrated Care Team and the Farnham Referral Management Service, as well as a series of ‘Evaluation Stations’ where delegates spent time with teams from Farnham, North East Hampshire and Farnham CCG and NHS England.
The event was attended by a wide-range of people who are interested in seeing how the vanguard programme is making changes to the local health system in North East Hampshire and Farnham and who are interested in evaluation approaches. These are the collected slides from the day.
Older and Better: Living Well at Home or in the CommunityNHSScotlandEvent
Every healthcare contact is a health improvement opportunity but how well do we embed lifestyle advice in our day‐to‐day encounters? Gain a greater awareness and understanding of the Health Promoting Health Service and how we can implement this activity in your workplace.
Pam Creaven - Bringing integrated care to lifeAge UK
Pam Creaven, Services Director, Age UK - presentation from Age UK For Later Life conference, 25th April.
For more information: www.ageuk.org.uk/forlaterlife
Dr Leon Le Roux - Introducing the framework for community mental health suppo...Innovation Agency
Presentation by Dr Leon Le Roux, Clinical Director/ Consultant Psychiatrist, Lancashire Care NHS Foundation Trust: Introducing the framework for community mental health support, care & treatment on Wednesday 13 March at Haydock Park Racecourse.
Presented by: David Cozadd, Director of Operations with the Burke Center
Thomas Kerss, Sheriff of Nacogdoches County; Current President of the Sheriff’s Association for Texas
Anne Bondesen, Project Director for the Rural East Texas Health Network (RETHN)
This inaugural NYeC | PCIP Learning Series is targeted at DSRIP PPS leads, service providers, and others who would like to learn more about New York State’s current and future programs to increase HIT adoption, usage, and practice transformation.
In this first session, we will focus on two tactical areas. First, how DSRIP PPS leaders can analyze participating provider data to facilitate project planning, outreach, and program success. Second, an industry expert from Primary Care Development Corp will provide a helpful overview of how organizations can prepare for and achieve Patient Centered Medical Home (PCMH) recognition.
There will be more sessions to follow and we welcome your input to help shape future content to assist those working to transform healthcare in New York State.
Agenda:
• 9:00 am - Welcome, Programs Update (REC, EP2, NYS PTN)
• 9:10 am - DSRIP – PPS Provider Analysis Reporting and Outreach
• 9:30 am - PCMH – Overview and Readiness
• 9:50 am - Q&A, Call for future subjects
May 14, 2015
The AHSN and Centre for Implementation Science is working as the independent evaluator for the Happy, Healthy, at Home Vanguard programme in North East Hampshire and Farnham.
This was the second symposium of the independent evaluation and focused on the Farnham Locality. The event included presentations from the Farnham Integrated Care Team and the Farnham Referral Management Service, as well as a series of ‘Evaluation Stations’ where delegates spent time with teams from Farnham, North East Hampshire and Farnham CCG and NHS England.
The event was attended by a wide-range of people who are interested in seeing how the vanguard programme is making changes to the local health system in North East Hampshire and Farnham and who are interested in evaluation approaches. These are the collected slides from the day.
Older and Better: Living Well at Home or in the CommunityNHSScotlandEvent
Every healthcare contact is a health improvement opportunity but how well do we embed lifestyle advice in our day‐to‐day encounters? Gain a greater awareness and understanding of the Health Promoting Health Service and how we can implement this activity in your workplace.
Health Works: Supporting Health in the Working AgeNHSScotlandEvent
Hear about the innovative practice being developed in Scotland to allow people rapid access to case managed support to help them back to work, using a person‐centred, biopsychosocial model.
This presentation describes the vision of the Vanguard, the issues it is aiming to address, the work programme, the planned impact and the evaluation methodology - Logic Models - to provide a robust basis for testing of new approaches
Jo Partington, AHP Lead at the Department of Health, Transforming Community Services, addresses AHP Leadership Challenges, Referral to Treatment Project, Service Improvement Project and Transforming Community Services. COT Annual Conference 2010 (22-25 June 2010)
Integrated health & social care: service transformation supported by technolo...flanderscare
Wat is de toekomst van zorg op afstand in Vlaanderen? Dat was de centrale vraag van het event van 17 juni. 100 deelnemers dachten hier samen over na. Studiebezoeken aan andere Europese regio's toonden dat daar reeds op grote schaal met telecare en telehealth gewerkt en geëxperimenteerd wordt.
Slides from the workshop 'A modern vision of integrated care and support' led by Dr Martin McShane, Dr Damian Riley (NHS England) and David Pearson (ADASS) - NHS Medical Leaders Conference 2014. - See more at: http://www.icase.org.uk/pg/cv_content/content/view/98680#sthash.45Xs2o9r.dpuf
Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Dr Eileen Pepler, Academic, Researcher and Consultant in the Canadian Healthcare will discuss how NHS England work in chronic disease is being translated into a Canadian context.
Evidencing the quality and productivity of Allied Health Professionals' (AHPs...NHS Improvement
We recently hosted four regional events ‘Evidencing the quality and productivity of AHPs care’ with a target audience of Allied Health Professional leads in NHS provider organisations.
These slides outline sessions from the events and provide an introduction to the Model Hospital, AHP job planning and the early findings of a deployment tracker metric ‘Therapy Hours to Contacts’ that is being implemented.
Creating digital tools for mental health and employment support: the discover...Department of Health
This report maps out the needs of potential users of an online mental health and work assessment and support service, suggests key user groups and presents a set of design principles for any a potential future service.
Creating digital tools for mental wellbeing and employment support: pre-alpha...Department of Health
This slide-deck reports on the second phase user research and testing. It presents refined design briefs that can be used to inform future alpha stages and design of a future service. These are themed according to the three core user groups identified in the first phase:
(i) finding work
(ii) in and out of work
(iii) managing work.
Further information on:
- user testing details
- mock-ups of potential digital tools for people finding work
- mock-ups of potential digital tools for people moving in and out of work
- mock-ups of potential digital tools for people managing work
Global Dementia Legacy Event: Canada & France: Dr Etienne Hirsch & Dr Yves Jo...Department of Health
Session Five: The next goal – towards Canada, France, Japan and the United States.
Canada & France: Dr Etienne Hirsch, Director, Institute for Neurosciences, Cognitive sciences, Neurology and Psychiatry at INSERM and the French alliance for life and health science Aviesan & Dr Yves Joanette CIHR, Scientific Director, Canadian Institutes of Health Research (CIHR), Institute of Aging & World Dementia Council Member
Feature presentation - The economic case for action
Professor Martin Knapp, Director, Health &
Personal Social Services Research Unit, London School of Economics & Kings College London
Session Four: Exploring the financial mechanisms that can be harnessed to increase investment in
dementia.
Professor Andrew Lo, MIT Sloan Professor of Finance
Session Four: Exploring the financial mechanisms that can be harnessed to increase investment in
dementia.
Mr. George Vradenburg, Convenor, The Global CEO Initiative on Alzheimer's and Chairman of USAgainstAlzheimer’s & World Dementia Council Member
Marc Wortman, Executive Director, Alzheimer’s Disease International (ADI) Department of Health
Session Three: To explore ways in which we can increase investment in innovation. Part 2 presents a case study of innovation across the globe and the need to continue global collaboration
Marc Wortman, Executive Director, Alzheimer’s Disease International (ADI)
Session Three: To explore ways in which we can increase investment in innovation. Part 2 presents a case study of innovation across the globe and the need to continue global collaboration
DY Suharya, Executive Director of Alzheimer's Indonesia
Session Three: To explore ways in which we can increase investment in innovation. Part 2 presents a case study of innovation across the globe and the need to continue global collaboration
Dr. Maria C. Carrillo, Vice President, Alzheimer’s Association US
Session 3: To explore ways in which we can increase investment in innovation. In part 1 panellists will highlight ways in which they are seeking to tackle barriers and find solutions, including through big data, patient involvement in clinical trials and social investment.
Mr. Stephen Johnston, Co-Founder, Aging2.0 & Partner, Generator Ventures
Session 3: To explore ways in which we can increase investment in innovation. In part 1 panellists will highlight ways in which they are seeking to tackle barriers and find solutions, including through big data, patient involvement in clinical trials and social investment.
Mr. Tom Wright CBE, Group CEO, Age UK
Session Two: Barriers to investment in research to find a disease modifying therapy or cure for dementia
Dr Neil Buckholtz , Director of Neuroscience, the National Institute on Aging (NIA), National Institutes of Health (NIH)
Global Dementia Legacy Event: Ms Inez Jabalpurwala, President and CEO, Brain ...Department of Health
Session Two: Barriers to investment in research to find a disease modifying therapy or cure for dementia
Ms Inez Jabalpurwala, President and CEO, Brain Canada Foundation
Global Dementia Legacy Event: Raj Long, Senior Regulatory OfficerDepartment of Health
Session Two: Barriers to investment in research to find a disease modifying therapy or cure for dementia.
Raj Long, Senior Regulatory Officer – Integrated Development, Global Health at the Bill & Melinda Gates Foundation & World Dementia Council Member
Session Two: Barriers to investment in research to find a disease modifying therapy or cure for dementia.
Dr. Luc Truyen, MD, PhD, VP Neuroscience External Affairs and Chair, Johnson&Johnson, Global Fight against !lzheimer’s Disease
Session Two: Barriers to investment in research to find a disease modifying therapy or cure for dementia.
Elisabetta Vaudano DVM PhD, Coordinator Scientific Pillar, Principal Scientific Manager, Innovative Medicines Initiative
Session Two: Barriers to investment in research to find a disease modifying therapy or cure for dementia.
John Ryan, Acting Director of the European Commission Public Health Directorate
Session Two: Barriers to investment in research to find a disease modifying therapy or cure for dementia.
Professor Lefkos Middleton, Professor of Neurology, Neuroepidemiology and Ageing Research at School of Public Health, Imperial College London
Global Dementia Legacy Event: Professor Lefkos Middleton
Acute and community services "Integrators of Care"
1. Community Services – Beyond Transfer to Transform Acute and Community Services “Integrators of Care” Linda Watson, Clinical Director of Community Services Carole Langrick, Deputy Chief Executive/Director of Strategic Development
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4. Why did we do it? Community Services – Beyond Transfer to Transform
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8. Service development Service development Service development Service development Clinical supervision Clinical supervision Community Macmillan Nurses x 2, Macmillan Secretary x 1 (P/T) Phoenix Centre Referrals Strategic meetings Consultant in Palliative Care x 1, Macmillan Nurse x 1 Secretary (P/T) UHH Macmillan OT x 1, Macmillan Physiotherapist x 1, Palliative Care OT x 1 Hartlepool Hospice Education Audit Community Macmillan Nurse x 1 Masefield Road Community Macmillan Nurse x 1 Masefield Road Strategic meetings Strategic meetings Strategic meetings Strategic meetings Strategic meetings Referrals Referrals Referrals Referrals Referrals Referrals Audit Audit Audit Education Education Macmillan OT x 1, Macmillan Physiotherapist x 1, Macmillan OT Technician x 1 Lawson Street Stockton Community Macmillan Nurse x 1, Billingham Health Centre Consultant in Palliative Care x 1, Nurse Consultant in Cancer and Palliative Care Macmillan Nurse x 1 Secretary x 1 (P/T) UHNT Community Macmillan Nurse x 1 Eaglescliffe Community Macmillan Nurse x 1, Stockton Community Macmillan Social Worker x 1, Billingham Council Offices Referrals Referrals Strategic meetings Strategic meetings Referrals Audit Audit Education Education Macmillan CNS Referrals Audit Referrals
9. Hartlepool Consultant in Palliative Care x 1, Macmillan Nurse x 1 Secretary (P/T) Community Macmillan Nurses x 3, Macmillan Nurse for care homes x 1 Macmillan OT x 1, Macmillan Physiotherapist x 1, Palliative Care OT x 1 Secretary x 1 (P/T) Strategic meetings Referrals Audit/Research Education North Tees Consultant in Palliative Care x 1, Nurse Consultant in Cancer and Palliative Care x 1 Macmillan Nurse x 1 Secretary x 1 (P/T) Community Macmillan Nurse x 3, Palliative Care Nurse for Care Homes x 1 Macmillan OT x 1, Macmillan Physiotherapist x 1, Macmillan OT Technician x 1 Community Macmillan Social Worker x 1, Referrals Strategic meetings Referrals Education Referrals Service development Clinical supervision Audit/Research Education New SPC team structure
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12. Intermediate Care and Reablement Current State Intermediate Care Rapid Response Community Stroke Falls Team OT’s Physiotherapy Assistants Reablement workers Rapid response Nurse HCA’s OTs Physiotherapy SLT Dietician Psychology Assistants Coordinator OT’s Physiotherapy Assistants Emergency Care Therapy and Acute Teams and RASWS Community Services – Beyond Transfer to Transform
North Tees and Hartlepool NHS Foundation Trust was established in December 2007 and provides healthcare services to a population of approximately 400,000 people in part of the North East of England. (slide with map). It covers an area from Easington in Durham in the North, Stockton in the South, Hartlepool in the East and parts of Sedgefield in Durham to the West. Service provision encompasses a wide range of health services covering some specialist acute services, a wide range of acute general hospital services, outreach services into community settings and, since 1 November 2008, the Foundation Trust has been hosting the full range of community services formerly provided by NHS Hartlepool and NHS Stockton-on-Tees. The organisation employs in excess of 5500 staff including the 800 in the hosted community services and has an income of c£230M.