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Rapid Access Integrated Support (RAIS) Service
In July 2022, NNPC co-ordinated the formation of a provider alliance for the purpose of improvements in three key aspects of NHS England guidance for the Winter pressures. These were:
• Reducing crowding in emergency departments (ED). • Reduce hospital occupancy. • Better support for people at home.
This led to the development of a formal collaboration with Primary and Community Care focussed organisations with the aim of supporting better care for patients in their own homes, which also supported reducing attendances to ED and hospital occupancy. The initial membership of the alliance included:
• The 19 general practices in North Norfolk • Norfolk Community Health & Care (NCHC) / Norfolk County Council (NCC) • Norfolk & Suffolk Foundation Trust (NSFT) • East of England Ambulance Service (EEAST) • Integrated Care 24 (IC24)
This then led to the formation of plans in the development of the Rapid Access Integrated Support (RAIS) service. The service delivery pathway was designed to support the system to cope with the daily demand on urgent and emergency care for the frail, housebound patient. This would change unplanned to planned care which would provide the patient with the best possible outcomes in dealing with their healthcare needs.
The initial key expected outcomes of the service were:
• Reduction in conveyance to ED (in conjunction with EEAST) • Reduction in the walk ins/conveyances from North Norfolk patients to ED • Increased capacity for urgent Primary and Community care • Better management of the frail and elderly in the community – development of a cross provider model to support people in the Community. • Development of an integrated service across the Alliance with provider commitment to improve healthcare delivery. • Sharing of resources across organisations i.e.: o Paramedics, o Community clinical teams, o Supporting complex discharges to avoid readmission. The RAIS service was operationally launched on the 1 st February 2023, and was contracted by the Norfolk & Waveney ICB until 30 th April 2023. It was modelled on the management of the housebound patient, which encompassed an integrated approach to urgent and emergency care which created more responsive capacity for Primary and Community Care for other demands.
NNPC Quality Account 2022/23
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