Social care if LA spent all budget on social care still a deficit by 2021 – – Educate the kids about all the different organisations Key messages; national default (of £5b?) over 5 is represented by 1p on income tax Comms between organisations is key to working together If we want public to invest in us we need to make sure they are informed Savings to be made in 5 Discussion suggests is no timeline for this plan so why mention 5 – years? There needs to be a date/deadline Some aspects of plan will be delivered before the 5 years, but training etc. may take longer Plan to be refreshed annually Health action zones provided freedoms do we have freedoms under – – STP? LTCs how will the services work around these people? These people – will end up using hospital/health services more if not supported the right way need a holistic approach – How do we manage people with complex needs to make the service more efficient? Integration is key for those with complex conditions Repeating the health history over and over again One example provided of one procedure carried out twice because health professionals don’t trust one another Transferring patients unnecessarily waste and cost – Consultant to consultant referrals stopped, referred back to GP as usually being managed by GP who may action a review What do you think about the scale of the challenge facing us in making significant improvements to health and wellbeing, services and efficiencies? Are there any other actions we could take to make these changes or speed up the rate of improvement? Gateshead Vanguard work hospital beds are being taken by the elderly – without a care plan who are unable to remain in the community so being kept in hospital. Hospitals to work with nursing/residential homes to take their empty beds to reduce pressures of A&E Care Home Vanguard 90% of residential homes to pull out of – programme funding – Issues: some nurses required in some, not all Identify elderly person’s needs carer/nurse/bed place appropriately to – – get the care they need We will only achieve these ambitions for our area by engaging local populations, the people who use our service, and the staff that provide
Social care – if LA spent all budget on social care – still a deficit by 2021 Educate the kids about all the different organisations Key messages; national default (of £5b?) over 5 is represented by 1p on income tax Comms between organisations is key to working together If we want public to invest in us we need to make sure they are informed Savings to be made in 5 Discussion suggests is no timeline for this plan – so why mention 5 years? There needs to be a date/deadline Some aspects of plan will be delivered before the 5 years, but training etc. may take longer Plan to be refreshed annually Health action zones – provided freedoms – do we have freedoms under STP? LTCs – how will the services work around these people? These people will end up using hospital/health services more if not supported the right way – need a holistic approach How do we manage people with complex needs to make the service more efficient? Integration is key for those with complex conditions Repeating the health history over and over again One example provided of one procedure carried out twice because health professionals don’t trust one another Transferring patients unnecessarily – waste and cost Consultant to consultant referrals stopped, referred back to GP as usually being managed by GP who may action a review What do you think about the scale of the challenge facing us in making significant improvements to health and wellbeing, services and efficiencies? Are there any other actions we could take to make these changes or speed up the rate of improvement? Gateshead Vanguard work – hospital beds are being taken by the elderly without a care plan who are unable to remain in the community so being kept in hospital. Hospitals to work with nursing/residential homes to take their empty beds to reduce pressures of A&E Care Home Vanguard – 90% of residential homes to pull out of programme – funding Issues: some nurses required in some, not all Identify elderly person’s needs – carer/nurse/bed – place appropriately to get the care they need We will only achieve these ambitions for our area by engaging local populations, the people who use our service, and the staff that provide
Appendix-2a.docx