A whole system vision
For older people to be as happy and healthy as possible, living self-sufficient, independent lives, able to have choice and control over what they do and what happens to them.”
An evidenced-based approach The system began by carrying out an assessment of health and care services provided to older people across Birmingham before, during and following a crisis. The purpose of the assessment was to provide a single version of the truth about system performance which would unite all partners across the health and care system. The assessment identified some significant opportunities for improvement: 23% 51%
19% The proportion of people who could benefit from a different pathway out of hospital, one better suited to their needs
The proportion of people admitted into hospital who could have been better looked after elsewhere 36% The proportion of people who could achieve greater independence, following a stay in a short-term bed, with support
The proportion of people on older people’s wards and longer stay wards who are medically fit but delayed, waiting to leave hospital
Having somebody like Newton who were able to work with us, almost as a sort of independent broker… to come up with some very robust, clear opportunities for us to work on and to bring all of those different organisations together in an impartial way was very effective.” Director of Partnerships, University Hospitals Birmingham NHS Foundation Trust
37%
50%
The proportion of people currently with a long- term care package who could benefit from better enablement
The proportion of people whose mental health reached crisis point (and went into hospital) that could have been avoided
4
5
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