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PRIMARY CARE CONTRACT NURSING & RESIDENTIAL CARE HOMES
Right place, Right time, by the Right person
Shivaun Aveston, Transformation Lead
NHS OUTCOMES FRAMEWORK‘Right place, Right time, Right person’
Domain 1 Preventing people from dying prematurely √
Domain 2 Enhancing quality of life for people with long-term conditions
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Domain 3 Helping people to recover from episodes of ill-health or following injury
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Domain 4 Ensuring people have a positive experience of care
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Domain 5 Treating and caring for people in safe environment and protecting them from avoidable harm
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The CCGs 5 year Clinical Strategy&
Joint Health & Wellbeing Board
• To improve care for frail elderly individuals
• To allow patients to die with dignity and compassion and in their place of choosing
• Older people in Suffolk have a good quality of life.
Investigation into provision of GP services to care homes has shown that most care homes allow residents to choose a GP. This can result in different GP’s visiting a single care home to see different patients This is an inefficient use of GP time and resources, but can also cause problems with communications as nursing homes have to deal simultaneously with several different systems for visits
Chronic disease management and prescription requests many homes would prefer their residents to be registered with just one GP surgery and have a weekly ‘clinic’ to deal with minor problems and chronic illness.
RCGP Report Preparing for the Future (2012) states:
HEADLINE COSTS 2011/2012
• Emergency Admissions 6m
• A&E 2m
• Ambulance Call outs 2m
• Care homes represent 25% Ambulance call outs
• 25% of falls originate from Care homes
TOP 10 REASONS FOR ADMISSION TO HOSPITAL
• Hip Fractures
• UTI’s
• Pneumonia
• Disorientation
• Femur Fractures
• Heart failure
• Respiratory infection
• Falls
• Cerebral infarction
• Senility
KEY ISSUES FOR CARE HOMES
• High level of different GP’s
• Key time for admission are within OOH
• Time waiting for clinical support
• Advance Care plans overridden
• Untrained staff
• Staff competencies
• Lack of specialist provision – Physio,OT
THE STORY SO FAR
• Small Pilot in East Suffolk – 36 Care Homes• Nurse practitioner/GP/Nurse offering additional support• Inequalities in the provision of care across the patch• CCG want to spread good care and equity to this marginalised
group and provide a better patient experience for them
OUTCOMES
• Improved clinical care • Reduced admissions to hospital• Reduced call outs to OOH• Reduced ambulance call outs
KEY COMPONENTS OF THE CONTRACT
• October – March initially• 29 practices aligned to Care homes• Weekly ward rounds- proactive management • Protocol• Screening- Dementia & Falls• Care Planning, Advance Care Planning (Yellow Folders)• Medication Review• Follow up after admission/OOH • Multi- Disciplinary approach• Support Care homes through training
NOT IN SCOPE
• EMI Units
• Sheltered Housing
• Private Retirement Schemes
• Learning Disability
IMPACT EVALUATION
• Questionnaire- Pre & Post
• Activity Report (GP’s)
• Clinical Audit
• Care Homes Dashboard
CONTACT DETAILS
Shivaun Aveston
Transformation Lead, Redesign Team
Rushbrook House
Ipswich
01473 770131
Mobile: 07944212642
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