NHS Blackburn with Darwen CCG

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Integrated Care

Integrated Care

Our intention is:

  • A reduction in hospital bed use and the number of people admitted to hospital
  • A reduction in emergency hospital admissions
  • A reduction in the numbers of people in long term residential care
  • More effective and quicker transfers of care

This is intended to benefit patients and to impact the demand for and use of hospital care. Our aim is to reduce hospital use, providing a better alternative care experience for people in their own homes and better co-ordinated health and social are with one point of contact for people, their families or carers.

Health and social care services in Blackburn with Darwen are already working more closely together to meet the needs of patients and carers.

The CCG and Blackburn with Darwen Borough Council are committed to putting the patients, their carers and families first and making sure that it is more straightforward to access support and co-ordinate that support.

We are working to introduce multi-disciplinary integrated neighbourhood teams to make sure that support is ‘joined up’. Where people have a number of health and social care needs, the aim is to provide one contact person to make things easier for them.  That person will help to plan and co-ordinate services on their behalf and based on their needs.

This is a major change for the ‘system’ and will take some time to implement fully.  We will first focus on older people who are frail, people with long-term conditions and those who are vulnerable.

The timescales for other areas are:

  • 2013–15 Long term conditions/frail elderly/end of life/ high intensity users
  • 2014–16 Mental health, substance misuse and learning disabilities
  • 2015–17 Children and young people – including complex needs, early help and universal service provision

Although we have been working on this for some time and have some examples, such as that below, the money from the Better Care Fund — £12.3m for Blackburn with Darwen – will be used to accelerate this work in the run up to and during 2015/16.

The Enhanced Integrated Community Service Pilot Scheme is the result of a health and social care partnership between Blackburn with Darwen Clinical Commissioning Group, Lancashire Commissioning Support Unit (CSU), Blackburn with Darwen Borough Council, Lancashire Mind, East Lancashire Hospitals NHS Trust and Lancashire Care NHS Foundation Trust.

The scheme is founded on international evidence of service delivery that has shown to have improved clinical outcomes for patients and reduced unplanned admissions to hospital, particularly for those living with more than one condition or illness. The project focuses on putting the patient first and designing and co-ordinating services around the needs of them and their carers and family members.