A whole system strategy
A people-centred approach to designing change
A partnership involving teams from across the system came together to establish an evidence-based, frontline-led plan. During this stage, interviews and patient case reviews were carried out with hundreds of frontline staff. 28 practitioners from all system partners then spent time developing a set of recommendations about what needed to change and where these changes needed to happen. This was the first-time teams from across the system had come together in this way and so breaking down cultural and organisational barriers, myth busting and building trust formed an important part of these sessions. Together, the partnership came up with a set of guiding principles. To have one integrated model across the entire system. The person must be at the centre of everything (with family and carer input also valued). Aim to support life not simply deliver a service.
Make sure each person receives the right care, at the right time, in the right place, by the right professional, at the right cost. People should have to tell their story as few times as possible. Staff across organisations will work together to champion the ‘home first’ ethos. And the result - more people will be living more independently in later life. These principles were the foundation of a new model of care which began to take shape within the Early Intervention programme, centred around five core components of the service: system front door; discharge hubs; intermediate bedded care, integrated community teams; and mental health wards.
Big challenges like these need bold responses.And so, in a first for Birmingham, the system setout to solve the issues together. Under the Birmingham Older People’s Programme, the whole Birmingham health and social care system, comprising over six different organisations, worked to create a single coherent vision that each of them could stand behind and believe in. Newton’s role was to work with the system to design and implement a programme of work that would help them deliver that vision, navigating the very different practical ramifications for each of the different health and social care partners involved.
Strategy: To provide an integrated approach to intermediate care services that is person and carer-centred and encompasses physical, mental health and social care needs. Early intervention: Interventions that promote faster recovery Ongoing personalised support: Ongoing support to help older people remain in their own homes and communities Prevention: A universal wellbeing offer enabling older people to manage their own health and wellbeing
ONGOING PERSONALISED SUPPORT
EARLY INTEVENTION
PREVENTION
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