convalescence/reablement without translates to a cost saving of ongoing services. £395.13 per day/night and therefore, over the course of a year, would mean a cost saving of Reduce level of support needed £1.89 million to the NHS. following residential convalescence/reablement intervention. £96,000 Additional nursing bed Maintenance of wellbeing and Q4: Realisation of flow through the Q4: £96,000.00 • capacity (spot purchase - independence system from acute to community. admissions avoidance) Decreased requirement for formal social The integrated assessment nurses • (Carmarthenshire HDUHB) care and admission avoidance are now in reaching into the acute areas to facilitate the spot purchase of these beds. During 2016/17 20 beds were spot purchased in Nursing homes in Carmarthenshire to support individuals to be assessed in an appropriate environment. 3 of these were deceased before the MDT 5 of these were deemed to have needs that could be met by CHC and 12 met the eligibility for FNC. A report of outcomes achieved is available £26,250 Enhanced Acute Response Q4: Recruitment complete & Q4: £5,962.59 £20,287 under spent due to Avoidance of admission which Team appointments have been made and inability to recruit majority of posts promotes independence (Carmarthenshire HDUHB) commenced in post during March. during financial year. Decreased requirement for formal Outcomes will begin to be evidenced social care in Q1 17/18. £35,000 Positive Behaviour service - Q4: Q4 £35,543.77 Case Study: A young lady in her early 20s, was placed in a rightsizing capacity (LD / Two post have been complex needs) residential setting in a crisis appointed to look at scenario and unfortunately (Carmarthenshire HDUHB) rightsizing care packages to remained there for 2 years. With ensure they are fit for the support of the team she is purpose for the individual now being stepped down to a and to also look at realising supported living arrangement cost efficiencies.
convalescence/reablement without ongoing services. Reduce level of support needed following residential convalescence/reablement intervention. translates to a cost saving of £395.13 per day/night and therefore, over the course of a year, would mean a cost saving of £1.89 million to the NHS. £96,000 Additional nursing bed capacity (spot purchase - admissions avoidance) (Carmarthenshire HDUHB) • Maintenance of wellbeing and independence • Decreased requirement for formal social care and admission avoidance Q4: Realisation of flow through the system from acute to community. The integrated assessment nurses are now in reaching into the acute areas to facilitate the spot purchase of these beds. During 2016/17 20 beds were spot purchased in Nursing homes in Carmarthenshire to support individuals to be assessed in an appropriate environment. 3 of these were deceased before the MDT 5 of these were deemed to have needs that could be met by CHC and 12 met the eligibility for FNC. A report of outcomes achieved is available Q4: £96,000.00 £26,250 Enhanced Acute Response Team (Carmarthenshire HDUHB) Avoidance of admission which promotes independence Decreased requirement for formal social care Q4: Recruitment complete & appointments have been made and commenced in post during March. Outcomes will begin to be evidenced in Q1 17/18. Q4: £5,962.59 £20,287 under spent due to inability to recruit majority of posts during financial year. £35,000 Positive Behaviour service - rightsizing capacity (LD / complex needs) (Carmarthenshire HDUHB) Q4: Two post have been appointed to look at rightsizing care packages to ensure they are fit for purpose for the individual and to also look at realising cost efficiencies. Q4 £35,543.77 Case Study: A young lady in her early 20s, was placed in a residential setting in a crisis scenario and unfortunately remained there for 2 years. With the support of the team she is now being stepped down to a supported living arrangement
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