Our purpose

Excellent care at the heart of the

community

AGMThursday,

25 September 14

Excellent care at the heart of the community

Main provider of community healthcare across West Sussex and Brighton & Hove.

Who we are, what we do

4,400 staff: community & specialist nurses; doctors; therapists; healthcare assistants; support staff.Plus more than 500 volunteers.

We’ll spend around £200m in 2014/15.

Provide high quality medical, nursing and therapeutic care to more than 8,000 people a day:• With care and compassion.• With quality as our top priority.

Where we work

East SurreyHospital (SASH)

Brighton and Sussex Hospitals (BSUH)

WorthingChichester

Western Sussex Hospitals (WSHFT)

Clinical Care

Strategy

People Strategy

Informatics Strategy

Engagement

StrategyCommercial

Strategy

Estates Strategy

IN FIVE YEARS

Care will be combined around each individual, linked to natural communities such as towns drawing on the resources within the community to reinforce wellbeing and independence.

Our children and their families will be at the heart of all choices about their care with everyone involved, joined around the needs of the child.

More care will be provided in the community. Our specialist clinical teams will deliver comprehensive services in the community without the need for people to go to hospital, so improving wellbeing.

We will have the right people, governance, technology and processes in place to achieve our vision of excellent care at the heart of the community.

Our 5 year plan

Our values

Workingtogether

in oururgent

treatmentcentre

in Crawley

Delivering excellence in our children & families service

Achieving ambitions at the Kleinwort centre

Compassionate care by our community teams

The care we provide

Most improved community provider, Kent, Surrey & Sussex Awards 2015

Proactive care team (North) highly commended, NHS England excellence participation awards

B&H community neurorehab team, Proud to Care communication award

Safe, effective, caring, responsive, well-led

Bognor proactive care team caresfor two sisters both aged over 100 in their own home

Children’s community nursing annual awayday includes achievement awards to recognise colleagues reflecting our values

Enhancing Innovation Award for our Coastal West Sussex DocoboWeb Pilot

Coastal West Sussex

To avoid unnecessary admissions to hospital/A&E:

• Bognor MIU.• Rapid assessment and intervention team – presence in A&E to redirect patients.• Night sitting service (West Sussex) – extra capacity to support patients at

home at risk of admission and to enable discharge.• Assertive In-reach. • Intermediate care service – doubled resources to facilitate hospital

discharges. • OneCall (single point of access for urgent care referrals) to divert patients

from A&E via telephone conference.• A stay at our community hospitals – Arundel, Bognor Regis, Midhurst,

Rustington and Worthing.

Our support to winter pressures

Adults

• Carers Health Team • Chronic Fatigue Syndrome / ME Service• Chronic Pain Service • Community Neurological Rehabilitation Team• Community Nursing• Dementia - Specialist Dementia Care Service • Diabetes - Community Diabetes Team• Diabetes (Desmond) Courses • Emergency Dental Service & Special Care Dental• End of Life Care Co-ordinator Team• Expert Patients Programme • Falls and Fracture Prevention Service• HIV - Community HIV Specialist Service • Intravenous (IV) Therapy Service• Learning Disabilities Health Facilitation Team• Lymphoedema Service • Motor Neurone Disease Nurse (MND) • MSK (Musculoskeletal) Service • Multiple Sclerosis (MS) Specialist Nurse Service • Occupational Therapy for Adults • OneCall / OneTeam (Coastal) • Outpatient Physiotherapy Service • Parkinsons Disease Nurse Specialist• Physiotherapy for Adults • Podiatry Service • Prevention Assessment Team

Other key services

• Proactive Care• Respiratory Service for Chronic Obstructive Pulmonary

Disease (COPD)• Safeguarding Adults at Risk • Speech and Language Therapy• Time to Talk – talking therapies service in West Sussex • Tissue Viability Service • West Sussex Community Equipment Service• Wheelchair Service

Children

• Breastfeeding - MILK! Infant Feeding Team • Children's Community Nursing• Children's Continence Team• Children's Continuing Care and Health led Short Breaks • Family Nurse Partnership • Health Visiting• Looked After Children Nurse Specialist Team • Occupational Therapy for Children• Physiotherapy for Children Service• Safeguarding Children School Nursing• Snowdrop Care at Home Team (Community Nursing)

Specialist HV - children with complex/additional needs• Speech and Language Therapy for Children

CQC said:• We demonstrated compassionate care.• Commented on the enthusiasm of our staff.• We were well-organised for the inspection.• “I would be happy for my mother to be looked after on this ward”.

Our CQC inspection

Highlighted three main areas for improvement/consistency:• Better management of patients’ medical records.• Care for people with dementia.• Do not resuscitate forms.

• “Crawley is the cleanest hospital I have visited since I started the inspections”.• “Staff saw the inspection as part of a journey of quality improvement and not a tick box exercise”.

Our patients issues

Context• Caring for more people with complex health

and social care needs/higher levels of acuity/frail with dementia.

• Better ways of working across health and social care, and with families.

• Improve admission and discharge criteria and process.

• Support the system by increasing flow.• Safe and effective staffing – registered

nurses and medical cover.• Pressures on nursing and residential care

homes.• Quality of care is our top priority.

Best use of our community hospitals

Questions

www.sussexcommunity.nhs.uktwitter.com/nhs_sct

facebook.com/sussexcommunitynhs