To improve entire patient pathways in the areas of Medicine of the Elderly, orthopaedic rehabilitation, stroke services and management of acute patients with dementia and delirium. Specifically to use lean methodology to:
Improve flow to ensure that patients get timely access to the appropriate services
Reduce lengths of stay for older people
Improve health and social care interfaces
Support the rebalancing of care towards care in the community
Improve the management of patients in acute settings with dementia and delirium.
 (Care Homes not in scope for the programme. MoE encompassed community & social care services (except Stroke, GORU & Dementia).
Investment in the implementation and ongoing development of a web-based IT system to support the effective provision of the Equipu Community equipment Partnership across 6 local authorities and NHSGGC.
Development of a traditional care home environment towards a more reablement model of care which can be accessed by all professionals in the community and including hospital staff for rehab discharges prior to patients returning home.
To provide a client focused One Stop Shop for a range of services to social and private housing tenants. To be a centre point for design, specification and provision of adaptations and one point of contact for clients, carers and landlords. The provision of a client focused service which endeavours to ensure that the client’s needs are met and adaptation failure is minimised. A central client focused service encourages innovation to provide best value for money whilst maintaining quality. Similarly, clients are offered good advice and guidance on repairs, improvements and adaptations to their homes all of which guards against potential exploitation.
An integrated housing and social care plan across local authority, health, third and independent sector providers was implemented to promote service improvement and cost efficiencies whilst improving outcomes for individuals and their carers. Specifically:
To provide services designed to promote independence and wellbeing through flexible and integrated onsite personal care and housing support teams within sheltered and very sheltered housing.
To address recruitment difficulties
To reduce in-house service costs, maximise capacity, reduce duplication and reduce travel time.
To reduce the number of admissions to hospital and facilitate a speedy return home following an illness/crisis.