Assessment of quality of care pathway and outcome for older patients

Examples of Practice

The project is targeting older people recently discharged from hospital to obtain feedback on their experiences of hospital care, discharge planning and accessing community support services.  In addition it has looked at the experiences of older people currently in receipt of home care and community services.  The research has focussed on quality of care, patient satisfaction and whether the service needs of older people and their carers are being met.

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Medicines Management – Polypharmacy

Examples of Practice

The aim was to support clinicians in making person centred decisions, to assess and balance the risks associated with Polypharmacy in the elderly. This evidenced improvements in terms of reduced numbers of repeat medications, high levels of staff and patient satisfaction and increased efficiency within the prescribing budgets.

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Strategic Commissioning

Examples of Practice

The purpose of the strategic commissioning plan is to set out the Highland approach to commissioning services for older people between 2014-2019 in terms of quantified quality, volume, value and location, and to set out how this is to be achieved.

NHS Highland currently spends around £500m per annum on providing or delivering adult care services, with around half of this on older people. The challenge for this plan is to ensure that this resource is used to achieve the outcomes based on what people have told us they need and our understanding of what would meet these needs. The plan also needs to move us away from traditional ways of thinking about meeting people’s needs in terms of beds and buildings and towards a greater emphasis on early intervention and anticipatory support. In achieving this shift, it is intended that a more vibrant and energised care market will be created; maximising potential for self directed support and creating opportunities for greater choice and innovation for how people’s needs can be met.

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Integrated Specialist Adult Services

Examples of Practice

In 2011 the CHCP set out its intention to have an integrated specialist adult service planning mental health, addictions and homelessness. This integrated arrangement is in place in ICHCP, including inpatient mental health services.  A paper describing this is available here.

Achieving integration and modernisation of services for adults with mental health issues, addictions and/or who were homeless – forming a one stop response for people with these commonly linked issues. Modernisation of specialist services in our locality to bring about the full close of Ravenscraig Hospital and greater partnership working with the third sector and other partners such as Registered Social Landlords.

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Integrated Financial Management

Examples of Practice

The creation of the Community Health & Care Partnership (CHCP) Finance Manager post allows dedicated support and advice to the CHCP Corporate Director and Senior Management Team from one professional covering both parent organisations. The applies to all financial planning, modelling, budget setting, monitoring and reporting processes; included fully integrated financial reporting the CHCP Sub Committee.

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