Happy, Healthy, at Home · Happy and Healthy at Home We are taking targeted action to prevent ill...
Transcript of Happy, Healthy, at Home · Happy and Healthy at Home We are taking targeted action to prevent ill...
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Happy, Healthy, at Home North East Hampshire & Farnham Vanguard
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Serving our population of 220,000
Local third sector partners
(23 GP Practices)
The people of North East Hampshire and Farnham
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North East Hampshire & Farnham
Complicated geography
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Happy and Healthy at Home
We are taking targeted action to prevent ill health and promote self care:
Social Prescribing
Recovery College Courses
Crisis Café
Support to carers and staff
We are strengthening local primary and community care:
Practices working together
Separation of on-the-day urgent primary care from planned primary care
Community Ambassadors
Integrated Care Teams
Proactively managing the health and social care needs of the population
Expanding the capacity of community and social care response services, and extending their working hours to 8am-9pm
We are improving services for patients in a crisis and those who need specialist care:
Improved support to stay well
Joined up, accessible local care
Specialist care when
needed
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Safe Haven at the Time Out Cafe
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The Safe Haven at the Time out Cafe
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Before Safe Haven
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Health and Care System Benefits continued..
• A&E attendances for NEH&F CCG where diagnosis is in the psychiatric category show a rising trend from April 2013 through to February 2015; since this point numbers appear to have plateaued. A forecast of activity for this latter period based on previous trends indicates that the attendances since this time are less than would have been expected (figure1)
• This plateau in A&E attendance numbers coincides with a rapid increase in the number of attendances at the Safe Haven service (figure 2).
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Health and Care System Benefits continued..
Figure 1
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Health and Care System Benefits continued..
Figure 2
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Health and Care System Benefits continued..
• Comparison with other CCGs support this assertion; figure 3 clearly shows a A&E attendances with psychiatric diagnosis per 1,000 population continuing to rise for Portsmouth City and Southampton City CCGs
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Health and Care System Benefits continued..
Figure 3
Figure 3: A&E attendances with psychiatric diagnosis per 1,000 for NEH&F and comparison CCGs, April 2012 to June 2016. Source: SUS, ONS
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Health and Care System Benefits continued..
• Most critically, Safe Haven service users have increasingly self-reported their attendance at the service as an alternative to A&E.
Figure 4 illustrates the proportion of Safe Haven attendances which have been identified by service users as being an alternative to an A&E visit ; on average 17% (with a monthly high of 29% and a monthly low of 9.8%) of all Safe Haven visits would have resulted in an A&E attendance if the service was not available, 1,450 attendances over the lifetime of the service.
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Health and Care System Benefits continued..
Figure 4
Figure 4: Proportion of Safe Haven attendances identified as an alternative to A&E visit, shown against the overall number of attendances at the service, April 2014 to March 2016. Source: NEH&F CCG.