Clinics (“Safe and upon the multi-factorial screening process. Each Steady Clinic”) patient will be offered a follow up session and at both sessions their fear of falling will be measured to monitor the service. Pembrokeshire Older Older Adults, Frail The Pembrokeshire Older Peoples Service will build £50,000 £19,953.98 Peoples Service Elderly and those on the success of the 2016/2017 Community with complex needs Frailty Service in Pembrokeshire and improve collaborative and integrated working across all health and social care services as well as 3rd Sector agencies and services. Developing Integrated Older Adults, Frail Integrated community teams are a core £24,800 Community Teams Elderly and those recommendation of setting the direction and are – Programme Manager with Complex needs identified across the region as being a model of (Pembrokeshire) delivery for health and social care. The approach represented by development of community resource teams within localities aims to provide timely coordinated community services to older persons, people identified within the frailty spectrum of need and people with complex needs that require an integrated approach to support them within their community Community Resource Older Adults, Frail The Care at Home Team is an exciting new £200,000 £94,143.05 Team / Care at Home Elderly and those service which is providing county-wide coverage (Pembrokeshire) with Complex needs to enable complex care to be provided in the patient’s own home by support staff working within the four community resource teams. Reablement Older Adults, Frail Assessors to ensure that transfers of care and £247,563 £204,325.83 (Pembrokeshire) Elderly and those exits with no long term care are facilitated in a with Complex needs timely manner to ensure reablement capacity is focussed on the core intervention.
Clinics (“Safe and Steady Clinic”) upon the multi-factorial screening process. Each patient will be offered a follow up session and at both sessions their fear of falling will be measured to monitor the service. Pembrokeshire Older Peoples Service Older Adults, Frail Elderly and those with complex needs The Pembrokeshire Older Peoples Service will build on the success of the 2016/2017 Community Frailty Service in Pembrokeshire and improve collaborative and integrated working across all health and social care services as well as 3rd Sector agencies and services. £50,000 £19,953.98 Developing Integrated Community Teams – Programme Manager (Pembrokeshire) Older Adults, Frail Elderly and those with Complex needs Integrated community teams are a core recommendation of setting the direction and are identified across the region as being a model of delivery for health and social care. The approach represented by development of community resource teams within localities aims to provide timely coordinated community services to older persons, people identified within the frailty spectrum of need and people with complex needs that require an integrated approach to support them within their community £24,800 Community Resource Team / Care at Home (Pembrokeshire) Older Adults, Frail Elderly and those with Complex needs The Care at Home Team is an exciting new service which is providing county-wide coverage to enable complex care to be provided in the patient’s own home by support staff working within the four community resource teams. £200,000 £94,143.05 Reablement (Pembrokeshire) Older Adults, Frail Elderly and those with Complex needs Assessors to ensure that transfers of care and exits with no long term care are facilitated in a timely manner to ensure reablement capacity is focussed on the core intervention. £247,563 £204,325.83