Our improvement offer to
those providing care and
support to people at home
12 May 2017
Plan for the session
 Overview of iHub
 Look at some of the work the ihub does under
the following themes:
• Conversations
• Different models of care
• Strategic commissioning
 Your thoughts and questions
A national improvement
resource for Health and
Social Care Partnerships
and NHS boards
Support health and social care
partnerships help older people and
people with complex needs to live well
at home or a homely setting.
We work with health and social are partnerships to…
Developing a better understanding of local health and social
care systems to find opportunities for improvement.
Identifying people who could benefit from preventative
support before they have a crisis.
Increasing the uptake and quality of meaning
anticipatory care planning conversations.
Designing and testing approaches to delivering
community-based preventative support to help people
live well at home.
Developing the workforce to deliver community-based
preventative support.
Conversations
Jean’s experience
Hospital
admission
for 32 days
Social Care
Assessment
Outpatient
Clinic
May
June
Social Care
assessment
Care
package
provided
Hospital
admission
for 16 days
July
August
September
October
July
August
September
October
Social Care
assessment
Moved to
care home
for 73 days
Hospital
admission
for 3 days
Moved to
care home
for 39 days
November
Death in
hospital
December
Death in
Care home
Hospital
admission
for 4 days
Margaret’s experience
Data provided by Information Services Division at
NHS National Support Services
Search for
Jack’s story ACP
Different models
of care
Neighbourhood care – applying the principles of
Buurtzorg
• Buurtzorg is a model for delivering care in the
community developed in the Netherlands
• Places individual at the centre of their care and is
focussed on allowing staff to build good relationships
with those they are providing care and support to.
• Staff are enabled to do this by working in small selfmanaging teams
Neighbourhood care (cont)
• We are supporting partnerships and a third sector
provider in Scotland to develop models of
neighbourhood care based on the principles of
Buurtzorg
• Important that these models reflect the local need
as well as the wider context of health and social
care in Scotland
Intermediate Care
The LWiC team are supporting health and social care
partnerships to maximise the impact and effectiveness of
intermediate care and reablement services.
These services offer alternatives to hospital admission, support
timely discharge from acute care and help people to regain
their independence.
Intermediate care and reablement can be provided in:
• individuals’ own homes,
• sheltered and very sheltered housing complexes,
• designated beds in local authority or independent
provider care homes,
• designated beds in community hospitals.
Intermediate Care at home
Step down beds in care homes
Step down beds in community
hospitals
Step up beds in care homes
Step up beds in community
hospitals
Hospital at Home
An episode of specialist care delivered at home as an
alternative to being treated in an acute hospital environment
and where the care is overseen by a consultant.
Care is usually at home but could be in a care home if the
individual is usually resident there .
09:00 Ward Round
•Consultant
•Advanced Practitioners
H@H service
08:00 – 18:00
7 days/ week
•Support staff
•Admin support
Visit 1
Visit 2
Strategic
Commissioning
Strategic partners group
What do you need them to know?
Independent
Housing
sector
organisations Consider how they use the
providers
NHS board
budget
(for delegated
services)
evidence about your
service and the purpose for them having the
evidence.
Third sector
providers
How do you communicate with them?
Digitally, face to face, using a template, etc.
How often?
Local authority
social care
budget
How often do you need to keep
them
Strategic
People
and up to date to
their carers
influence them?
Plan
Build a story
Build a plausible
story
Find out more…
Visit the ihub stand or:
Website: ihub.scot
Blog: www.livingwellincommunities.com
Newsletter: [email protected]
Twitter: @LWiC_QI
Thank you…….now over to you!
At your tables please discuss your thoughts to what
you have heard, in particular:
1. If you could change one thing about your service
what would it be? (5mins)
2. What could the ihub do to support you? (5mins)
Feedback / Any
questions?
Find out more…
Visit the ihub stand or:
Website: ihub.scot
Blog: www.livingwellincommunities.com
Newsletter: [email protected]
Twitter: @LWiC_QI