DIR Return Create A Forum - Home
       ---------------------------------------------------------
       Commissioning Forum
  HTML https://commissioningforum.createaforum.com
       ---------------------------------------------------------
       *****************************************************
   DIR Return to: Community Care
       *****************************************************
       #Post#: 133--------------------------------------------------
       What are the implementation details for Crisis response falls te
       am initiative?
       By: admini5 Date: May 13, 2015, 4:59 am
       ---------------------------------------------------------
       The CRFT was created to meet a demand for better falls services
       and to integrate with support services provided by
       Northamptonshire County Council private providers.
       Discussions over the make-up of the CRFT were initiated between
       several stakeholder organisations in order to ensure a
       multidisciplinary team that spanned health and social care.
       Participants included EMAS, Northamptonshire County Council,
       Northamptonshire Healthcare Foundation NHS Trust, Olympus
       Healthcare and Shaw Healthcare, reflecting the mix of
       organisations involved in health and social care delivery in the
       area.
       It was decided that there would be an EMAS lead provision of 2
       second-hand bariatric-capable vehicles, in order to support a
       greater range of people than normal ambulances can. Each vehicle
       is crewed by a qualified paramedic and an emergency care
       assistant, and carries a range of lifting equipment.
       Teams were trained through the University of Northampton in
       enhanced patient diagnosis. This education involved paramedics
       and social care staff training together, providing each sector
       with a unique insight into each-others’ roles. The main aims of
       the education were to improve quality of care and the patient
       experience, and to reduce unnecessary conveyance to hospital.
       The creation of the ambulance teams was relatively
       straightforward. The nature of the deployment by the ambulance
       service and the systems that are used means that falls are
       easily identifiable and the deployment of the specialist team is
       equally easy to manage.
       To support the CRFT ambulance crews, it was agreed that Olympus
       Health Services would provide a social care team to assess and
       support people who have fallen. The team receives referrals from
       ambulance crews and either visits the person in their home or
       follows the ambulance team to hospital, depending on whether the
       person has been conveyed to hospital.
       The social care team assesses people who have fallen and
       provides advice and support to avoid admission or facilitate
       discharge where possible. The team has involvement for up to 72
       hours post-referral, during which they visit people in their
       homes to assess risk factors, remove trip hazards and install
       aids to help prevent repeat falls. Further support is added
       through access to consultant geriatricians and intermediate care
       community nursing staff as appropriate. To date the social care
       team has supported over 1,000 people in Northamptonshire.
       The CRFT went live in November 2011 and had an immediate impact,
       improving the quality of care for people who fall and helping to
       avoid admissions and repeat falls.
       Due to its success the initiative is planned to be expanded both
       in terms of availability and scope.
       For further information, please go to:
  HTML https://arms.evidence.nhs.uk/resources/qipp/1037477/attachment
       *****************************************************