Intermediate Care Summary of Patient/ Citizen Engagement and Experience activities. – Phase 1: Review Stakeholder Purpose of What did we do? Status What did we find out? How was this fed back What has been the impact? to stakeholders? What, if anything, has changed as a engagement result? People who To understand The feedback from Information from all Impact: COMPLETE have used the experiences patients and carers these activities was When all the feedback was combined with Partnered with (also current of people who suggested a number of included in . findings from other review activities it funded by Doncaster intermediate use current areas ; This was made available created a compelling case for change. The Better Care Fund but lead care services. intermediate Difficult to navigate/ publically and circulated timelines produced by the hospital by Sheffield University) Carers of care services. unaware of how to widely. discharge pathway study participants In-depth qualitative people who get support, especially Two feedback events were particularly powerful in study, following 22 client have used To identify what before an admission. were arranged at demonstrating the potential impact a journeys from hospital intermediate works well for Repetition of Doncaster Racecourse different service offer could have in the discharge to track the care services. people who use assessments. and a variety of future. clients and carers services and Information at the stakeholders were A series of recommendations were made experiences along this what they feel right time. invited as well as a series including the need to develop a different pathway. needs to change Loneliness- social of presentations at for intermediate care and the findings Consent obtained from in the future. support very multiple forums across strongly influenced the design principles 30 patients for in depth important. partner organisations. developed for the next phase of work (see reviews of their case Complex mix of health below). notes lead by GPs. and social care needs. A series of design More flexibility in workshops were then Change: responses offered. arranged to take the The development of a new integrated detail from the review model for commissioning, contracting and and design a new model delivery of intermediate care services was for intermediate care. initiated. The feedback from patients and carers was Future engagement: presented at the start of It was acknowledged that there was a each workshop. need to engage further with those from BME groups as their voice had not been captured specifically in the review. The need to engage patients in co designing the future model. 2: Redesign
Intermediate Care – Summary of Patient/ Citizen Engagement and Experience activities. Phase 1: Review Stakeholder Purpose of engagement What did we do? Status What did we find out? How was this fed back to stakeholders? What has been the impact? What, if anything, has changed as a result? People who have used current intermediate care services. Carers of people who have used intermediate care services. To understand the experiences of people who use current intermediate care services. To identify what works well for people who use services and what they feel needs to change in the future. Partnered with (also funded by Doncaster Better Care Fund but lead by Sheffield University) In-depth qualitative study, following 22 client journeys from hospital discharge to track the clients and carers experiences along this pathway. Consent obtained from 30 patients for in depth reviews of their case notes lead by GPs. COMPLETE The feedback from patients and carers suggested a number of areas ; Difficult to navigate/ unaware of how to get support, especially before an admission. Repetition of assessments. Information at the right time. Loneliness- social support very important. Complex mix of health and social care needs. More flexibility in responses offered. Information from all these activities was included in . This was made available publically and circulated widely. Two feedback events were arranged at Doncaster Racecourse and a variety of stakeholders were invited as well as a series of presentations at multiple forums across partner organisations. A series of design workshops were then arranged to take the detail from the review and design a new model for intermediate care. The feedback from patients and carers was presented at the start of each workshop. Impact: When all the feedback was combined with findings from other review activities it created a compelling case for change. The timelines produced by the hospital discharge pathway study participants were particularly powerful in demonstrating the potential impact a different service offer could have in the future. A series of recommendations were made including the need to develop a different for intermediate care and the findings strongly influenced the design principles developed for the next phase of work (see below). Change: The development of a new integrated model for commissioning, contracting and delivery of intermediate care services was initiated. Future engagement: It was acknowledged that there was a need to engage further with those from BME groups as their voice had not been captured specifically in the review. The need to engage patients in co designing the future model. 2: Redesign
Enc-D2-Patient-Engagement-in-Intermediate-Care-Delivery-Plan-EEC-Nov-2017.docx