fire service as an asset: providing telecare support in the community webinar 11th march 2016
TRANSCRIPT
www.england.nhs.uk
Long Term Conditions Lunch & Learn
Fire service as an asset: providing telecare support in the community
With Professor Simon Brake, Director of Primary Care, Sustainability & Integration – Coventry City Council and Steve Vincent from WM Fire and Rescue Service
11 March 2016
www.england.nhs.uk
LTC Framework
Commitment to Carers
Frailty
Health AgeingGuide
Fire Service as an asset
Care Homes Quick Guides
Care & Support Planning
Navigating Health& Social Care
Self Care
Ambitions for End of Life Care
Our Declaration
Delivery Models
Planning for Change:• Capitated Budget• Contracting• Simulation Modelling
Patient and Service Selection
Planning for Change:Workforce
Whole Population Analysis;Understanding your population
LTC Dashboard LTC Toolkit
www.england.nhs.uk
Long term conditions resources
Simulation modelUnbundling recovery simulation model
www.england.nhs.uk
7
Using behavioural change to open
minds
#A4PCC – Action for Person-Centred Care
Person with long term
condition
o Make a declaration at www.engage.england.nhs.uk/survey/ltc-declaration
o Tell your teams about our worko Encourage them to make a declarationo Ask them to feed back thoughts and
ideaso Use our hashtag – #A4PCC – when
you see work that is relevant to person-centred care for people with LTCs
o Let us know of any events, activities or social media opportunities that we can join forces with you
www.england.nhs.uk
Date Topic Led by Venue
22 March Self-management in the community
As pain is the most daily health problem reported to a GP:• Developing a national pain strategy- reviews from around the world• Learn about pain management in the UK• Discover how the Pain Toolkit has become a national resource (here
in the UK and around the world)
Peter Moore, The Pain Toolkit
Via WebEx
31 March Frailty: building understanding, empathy and the skills to support self-care
An opportunity to learn about some innovative approaches to making the health and care workforce ‘Fit for Frailty’* (*British Geriatrics Society 2015). Learning outcomes:• To explore the Frailty Fulcrum as a tool for holistic assessment
and management of frailty• To hear how Virtual Reality is being used to build empathy for
older people living with frailty• To learn about the impact of a county-wide, multi-agency, multi-
professional training an toolkit for care professionals working with older people
Dr Dawn Moody, Director – Fusion48
Via WebEx
LTC Virtual Learning Community Lunch & Learn webinars: Sharing and Learning …
www.england.nhs.uk
Long Term Conditions Lunch & Learn
Fire service as an asset: providing telecare support in the community
With Professor Simon Brake, Director of Primary Care, Sustainability & Integration – Coventry City Council and Steve Vincent from WM Fire and Rescue Service
11 March 2016
The Fire Service as a Health Asset
Simon Brake – Director of Primary Care10th March 2016
Coventry & Rugby…• 480,000 people – and growing• Relatively Deprived Population• Very pressured health and social care system• Limited resources and growing demand• DTOC, 4HW and ALOS pressures within the hospital and across the system• We’ve tried lots of clever and innovative things which haven’t really worked…• Need to try something *else*
Chaos, Opportunity & Beauty…
How the system works…
So we thought about Fire Fighters…• Respected professional presence in the city• Mostly non-operational (93%-97%)• Already commissioned for some services in the city - working with partners• Long history of joint working• A story of good personal contacts & relationship•Made us an offer we couldn't refuse!
Offer to get people out of hospital…• Frail elderly focus• Offered 5 minute response time (5 minutes!!!)• Meet people at home and make sure their home’s safe• 24/7/365• Working in conjunction with partners• What’s to not like!
Some Questions of Governance…• Indemnity and CQC registration• Clinical oversight• Is this a health or social care service• Working with other blue light services• Limited resources and growing demand• We’ve tried lots of clever and innovative things which haven’t really worked…• Need to try something *else*
Lots going on & it’s all quite busy
Where it’s going• Pilot over this winter – A National first…• Joint SOPs and protocols with partners• Think about and figure CQC registration issues through and clinical governance• Establish a clear service specification• Data and Evaluation – success criteria• An astonishing opportunity • “nothing to lose but your chains…”
Fire as a Health Asset
Steve VincentWest Midlands Fire Service
8500 discharges/day
£900 Million/year
Lack of social care in community
Recommendation:“…early and
proactive transfer with partners”
Service Delivery Model
Availability 24/7/365
Trust & Reassurance
Proven track record “We get
prevention”
Fire Prevention to…Safe & Well
Health & Wellbeing
Social IsolationEnvironment
Complex NeedsPartner
Referrals
The Work of VPOs
Video clipAndy HobdayIan Sturmey4.34 min
Perfect Week
Proof of concept…… Fall & minor
injuriesNo family contact
Safe & Well VisitExtra mile.......Reassurance
LTC inc. dementia
Safe & Well Visit
No responseFollow up visitIndependent
living
Proof of concept……
Questions?