when 5 became 7 - the story of seven day working in surrey
DESCRIPTION
When 5 became 7 - the story of seven day working in Surrey Claire Hubble Adult Social Care Services Surrey County Council November 2013 Presentation from the 'NHS services open seven days a week: every day counts' event on Saturday 16 November at The Metropole Hotel, Birmingham. This event was hosted by NHS Improving Quality and NHS England to share the views and ideas of public, patients, carers, NHS England and health and social care staff on how to improve access to services for patients across the seven day week. More information at http://www.nhsiq.nhs.uk/improvement-programmes/acute-care/seven-day-services.aspx or #7DayServicesTRANSCRIPT
Claire HubbleAdult Social Care Services
Surrey County CouncilNovember 2013
WHEN 5 BECAME 7The story of 7 day working in
Surrey
WHEN 5 BECAME 7The story of 7 day working in
Surrey
Why Is 7 day working important to us?
Why Is 7 day working important to us?
Increasing pressure on acute beds
Inconsistent quality of
care
Growing demand for responsive
services
•“Winter pressures” all year
•Shared commitment to tackling discharge delays and avoidable admissions
•Varying hospital service opening times
•National concern about the quality of care at evenings and weekends
•Feedback from patients and relatives
•Shared commitment to offer more personalised care to maintain people’s independence
2011A Whole New Approach
2011A Whole New Approach
The introduction of a new Acute Medical Unit at Epsom – A 44 bedded unit with a dedicated multi
disciplinary team providing 7 day services.
4
What Difference
Did It Make
Faster Discharges
Reduced Delays
Visual Services
Revolutionised Partnership
Working
5
What Happened
Next?
Response to Public
Demand
Co-design Approach
Development of a Staff
Bank
6
On 1st October 2012...
ALL 5 ACUTE ADULT SOCIAL SERVICES IN
SURREY IMPLEMENTED
THE NEW 7 DAY WORKING MODEL
Results support the whole system
Results support the whole system
7
Between October 2012 and March 2013, over 360
avoidable admissions were
prevented at a weekend or
weekday evening, 43% of the total number at any
time
Since October 2012, the
number of days where patients
have been delayed in
hospital because they were
waiting for adult social care support has
fallen by over 50%
Since April 2013, complaints relating to supported hospital
discharges have fallen by over 80% compared
to the same period last year
Improved working relationships
Improved working relationships
8
“The Health and Social Care partnership working at Epsom has been revolutionised by this
new way of working”
Clinical Lead Consultant
“Your team, in association with hospital colleagues, have clearly broken through to a new joined up working culture that sounds exactly like what people want
and need”
Deputy Director for Social Care and Local Partnerships,
Department of Health
Improved health and social care outcomes for Surrey
patients
Improved health and social care outcomes for Surrey
patients
9
“My 89 year-old mother was discharged from the acute medical
unit and I was particularly impressed with the way the hospital and
community services worked together. The discharge was well planned and her needs fully assessed. There was
full consultation with us and no assumptions were made.”
A Surrey resident
“My highlight was being able to say to a patient on a
Saturday ‘Yes, you’ll be able to see your granddaughter’s
christening tomorrow’, because I knew we’d be able
to discharge her in time.”
Hospital team social worker
National RecognitionNational Recognition
10
Won the Guardian newspaper’s “Star Team” award, World Social Work
Day (2012)
Shortlisted for the Municipal Journal’s “Workforce
Transformation” Award (2013)
Redefining Quality in Adult Services