DIR Return Create A Forum - Home
       ---------------------------------------------------------
       Commissioning Forum
  HTML https://commissioningforum.createaforum.com
       ---------------------------------------------------------
       *****************************************************
   DIR Return to: Avoidable Frail and Elderly Conditions and Low Prio...
       *****************************************************
       #Post#: 98--------------------------------------------------
       What actions can we take to improve integrated services?
   DIR By: admini5
       Date: May 11, 2015, 8:35 am
       ---------------------------------------------------------
       Actions
       - Risk Stratification of patients in GP surgeries to proactively
       manage and co-ordinate care of the people at risk outside of
       hospital.
       - Closely aligned health, social care and community teams
       working with acute providers to ensure a seamless admission into
       hospital and discharge from inpatient stay.
       - Some admissions and length of stays will be avoidable with
       more appropriate non-hospital services and workable pathways.
       - Ensuring that all opportunities for joint commissioning of
       integrated services are exploited.
       - Exploring ways to appropriately address the rising admissions
       from residential homes where care is best provided in the
       community.
       - GPs improving quality of care and life for patients and to
       help them to avoid emergency admissions to hospitals where
       possible (Direct Enhanced Service).
       Outcomes
       Increased number patients referred to community care teams as an
       alternative to hospital admission from agreed baseline.
       Agree integrated working model for health and social care teams
       across primary care, secondary care, social care and the
       voluntary sector.
       Increase in the number of people living well in the community
       with long term conditions as a result of the enhanced service in
       primary care.
       For further information:
  HTML http://www.warwickshirenorthccg.nhs.uk/mf.ashx?ID=3234e3a0-ff3c-4e49-9db5-2bbe162b89ad
  HTML http://www.warwickshirenorthccg.nhs.uk/mf.ashx?ID=27aeec71-5834-43e4-b050-99fdd4c940c9
       *****************************************************
       Page 1 of 1