TEC Programme – Overview of Year One Activity

Resource

This short paper provides an overview of investment released in 2015/16, grouped where possible into investment themes, and sets out some of the key areas of national activity, including that progressed under the Improvement Programme. TEC Programme – Overview of Year One Activity (July 2015)  

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Long Term Respite requirements

Examples of Practice

Support for carers where the continual disturbance of sleep is placing an intolerable pressure on family carers, placing the carers health at risk and affects their capacity to continue with caring tasks safely and adequately, and may result in the breakdown of care at home arrangements.

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Modernising Community Nursing

Examples of Practice

The Western Isles has a changing demographic with a higher population of older people than the Scottish average, this coupled with an ageing workforce and outward migration of young people has brought into focus the need  to continue with the modernisation of our acute services and deliver more services closer to communities.

In conducting a review of unscheduled care the National Dashboard summarises NHS Western Isles performance as:

  • A&E attendances -7% WI v.+ 1%  Scotland
  • A&E admissions : -6% WI v. +10% Scotland
  • A&E admissions as % of non-routine discharges: 65% WI v. 71% Scotland
  • Ave. Stay Emergency stay (WIH ) : 5 days less than Q4 2011
  • Acute beds: down 12% WI v. 2% Scotland
  • Acute Beds per 1,000 acute discharges: 66 WI v. 44 Scotland
  • Acute emergency discharges: -2.5% WI v. +2% Scotland
  • Acute non-emergency discharges: -2.5% WI v. +2.6% Scotland
  • Beds lost to DDs: 7 WI

In summary for latest period WI has reducing lengths of stay reflecting reduced bed numbers and reduced acute admissions (both emergency and elective) in turn reflecting reduced A&E attendances and onward admissions from A&E.  Some of this contrary to Scottish trend (See above list) but remain above average in comparison to Scottish levels for few areas eg. ALoS and Number of beds relative to number of patients. 

NHS Western Isles approach is integrating all of our Unscheduled Care activity under a single work stream, taking a whole system approach and working closely with service users, Local Authority partners and Third Sector providers. This work is ongoing.

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DALLAS / Living it Up Project Manager

Examples of Practice

Effective engagement with the target population across the Western Isles is crucial for the project’s success, enabling the local team to:

  • gauge the current level of interest in use of technology
  • capture information on concerns, fears and issues contributing towards reluctance to use technology that will inform the design and delivery models of services
  • establish a dialogue on the use of technology in relation to health and quality of life
  • identify and understand opportunities for future use
  • identify how LiU can support local service improvements & ensure that these are informed by local needs and issues

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Future of Care at Home Career

Examples of Practice

Provide a workforce capable of meeting the demands of increased anticipatory care activity within homes or homely settings by addressing the key priorities of the workforce development agenda.  These priorities are:

  • Career Pathways and training
  • Workforce integration
  • Asset and infrastructure development
  • Service planning

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