Examples of Practice

Embedding Personal Outcomes in Practice

Examples of Practice

Embedding Personal Outcomes workshops using the sound slides from Sliding Doors that were developed by SSSC and NES.  The sessions used real life actors from Strange Theatre using the scripts that were written by Forum Interactive for SSSC and NES.  The main objective of the workshops has been to give staff time and space to consider the effect of their actions at ‘turning points’ in peoples’ lives and to consider how they may step back and avoid ‘fixing’ and really listen to the outcomes that individuals want to achieve.

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Developing a Reablement approach within day services for older people

Examples of Practice

Work towards policy objectives and strategies, such as:

  • Reshaping Care for Older People (2010)
  • Live Well in Later Life, Edinburgh’s Joint Commissioning Plan (2012-2022)
  • Integration of Health and Social Care
  • Market Shaping Strategy(2013)
  • Personalisation Agenda

to meet the challenge of increasing numbers of older people.  Key objectives of the service are to:

  • Facilitate early discharge from hospital and prevent admission
  • Maximise people’s independence to remain in the community for longer
  • Supporting people to achieve better outcomes
  • Reduce carer stress.

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Delivering Choice Programme

Examples of Practice

To identify palliative and end of life care needs in Argyll and Bute –

  1. To understand the gaps in the delivery of palliative and end of life care
  2. To develop and support cross partnership working in the area of palliative and end of life care.
  3. To develop new services and initiatives to improve palliative and end of life care

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Connect Online – Volunteer Centre

Examples of Practice

  • Deliver one-to-one IT tuition to elderly housebound individuals throughout Midlothian
  • Deliver IT tuition sessions to groups of elderly people in various community settings throughout Midlothian
  • Work in partnership with other organisations throughout Midlothian to encourage and assist older people to access computers/the internet
  • Deliver IT tuition in online research and online shopping
  • Encourage and help learners to find and access other local services through the internet
  • Identify particular skills/knowledge of all volunteers through regular one-to-one support and supervision with volunteers and use these skills to full potential
  • Provide initial induction and training for volunteers, plus on-going training where possible.
  • Carry out regular volunteer evaluations to allow volunteers to shape the future of the project.

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COMPASS

Examples of Practice

The objectives of COMPASS include:

  • To improve the identification of older people in the community at risk of escalation / hospital admission
  • To facilitate and provide proactive case management for those at risk of admission by the most appropriate service
  • To prevent the emergency admission of patients to hospital by facilitating and providing timely access to alternatives within domiciliary, outpatient, Day Hospital and inpatient settings
  • To facilitate the discharge and prevent later readmission of patients from hospital following a planned or emergency admission
  • To provide a point of contact for GPs to seek advice/ discussion with a Medicine of the Elderly (MoE) consultant, with the aim of reducing emergency hospital admissions where possible and appropriate
  • To conduct comprehensive assessment for patients in a range of settings
  • To improve understanding of, and communication between primary, secondary and social care services, leading to better outcomes for individual patients/ service users
  • To identify areas for further improvement, collaboration and joint working and to develop a vision for future ways of working, including a ‘virtual ward’ ‘hospital at home’ model

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