The aim of establishing ICASS in Fife was to transform community services by bringing together uni-disciplinary teams to utilise fully resources available in line with demand, and to coordinate care through a single point of access (SPOA). It contributes to our commitment to ensure the closer integration of the range of community services under one system.
It aims to improve quality of care and outcomes for older people whilst allowing them to remain independent within their own homes or communities, provides alternatives to hospital admission, reduces the number requiring long term institutional care, reduces length of stay for those who require a hospital admission. It aims to address the following:
Moving from an inpatient model of care to a robust community based model of care involving older people and their carers and families in care planning
Bringing together teams to make more efficient use of resources to meet the needs/demands of the increasingly elderly population
To provide a single point of access
To provide alternatives to hospital admission
To reduce length of stay if an admission is necessary
To provide assessment and care in the person’s own home or a homely setting
To achieve and sustain maximum potential and independence; and
To reduce numbers going into long term institutional care.
The management of frail Angus patients was reliant on hospital admission and prolonged stay to assess and manage acute or often non-acute de compensation to a frail person’s health. This resulted in high occupancy rates in community hospitals and adverse outcomes for patients such as hospital acquired infection.
The initiative was supported by the Partnership which wished to reduce levels of delayed discharge from hospital by eliminating or minimising waiting times for telecare installation to support older people living at home with a care package.