Community Hospital Initially started with psychiatrist Psychiatrist. Increased capacity in This is into the block and Care Home liaison input into specialist dementia the care home sector to contract arrangements Team leader (SW service care home - a round” manage complex for specialist mental “ward qualified) every 6 weeks with GP clients thereby health services. (providing weekly preventing admission “ward 2 Bd 6 nurses. More support put into rounds” under LES). Supported into or delay in hospital this service by targeted with close relationship with MH beds. Recurring CCG funding. resilience monies (see team leader (LA social worker Prevented older adults action plan) for people as part of integrated MH team). Dementia challenge being admitted to with a secondary money used for training Further development 4 years hospital in crisis. diagnosis of dementia element currently annual. ago to increase support into the with the aim of Enabled more people community sector especially employing RGNs and – to end their lives in the to improve the care of older social workers into the care home. people with dementia in order team. to prevent crisis and hospital Increased awareness in admission. the care home sector of dementia and how to Dementia challenge fund care for people. monies supported programme of training into Care Home Improved discharge sector on dementia and form community dementia care. hospitals. Care Home Local Provision of GP support into Funding provided to GP Improved quality and Funding agreed for three Enhanced Service - GP care homes in order practices by CCG on a continuity of care and years from April 2015. “attached” to support health, manage fixed term basis currently interventions. long-term conditions, prevent Prevented people being Recurrent funding agreed admission to hospital in a crisis admitted to A&E. for three years from April and enable a good death Enabled people to die 2015. in the where ‘home’ they are residing.
Community Hospital and Care Home liaison service Initially started with psychiatrist input into specialist dementia care home - a “ward round” every 6 weeks with GP (providing weekly “ward rounds” under LES). Supported with close relationship with MH team leader (LA social worker as part of integrated MH team). Further development 4 years ago to increase support into the community sector – especially to improve the care of older people with dementia in order to prevent crisis and hospital admission. Dementia challenge fund monies supported programme of training into Care Home sector on dementia and dementia care. Psychiatrist. Team leader (SW qualified) 2 Bd 6 nurses. Recurring CCG funding. Dementia challenge money used for training element currently annual. Increased capacity in the care home sector to manage complex clients thereby preventing admission into or delay in hospital beds. Prevented older adults being admitted to hospital in crisis. Enabled more people to end their lives in the care home. Increased awareness in the care home sector of dementia and how to care for people. Improved discharge form community hospitals. This is into the block contract arrangements for specialist mental health services. More support put into this service by targeted resilience monies (see action plan) for people with a secondary diagnosis of dementia with the aim of employing RGNs and social workers into the team. Care Home Local Enhanced Service - GP Provision of GP support into “attached” care homes in order to support health, manage long-term conditions, prevent admission to hospital in a crisis and enable a good death Funding provided to GP practices by CCG on a fixed term basis currently Recurrent funding agreed for three years from April 2015. Improved quality and continuity of care and interventions. Prevented people being admitted to A&E. Enabled people to die in the ‘home’ where they are residing. Funding agreed for three years from April 2015.
BaNES-MH-Crisis-Concordat-Review-and-Action-Plan-Master-update-10-15.docx