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Lean Network NHS Lanarkshire & North Lanarkshire Council.

Lean Network NHS Lanarkshire & North Lanarkshire Council. Reshaping Older Peoples Rehabilitation. Background. Priority. Programme Charter. How did we arrive here ?. Pressures – Demand / Financial. Experience of joint working. Policy Drivers – Rehabilitation Framework.

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Lean Network NHS Lanarkshire & North Lanarkshire Council.

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  1. Lean NetworkNHS Lanarkshire & North Lanarkshire Council. • Reshaping Older Peoples Rehabilitation. • Background. • Priority. • Programme Charter.

  2. How did we arrive here ? • Pressures – Demand / Financial. • Experience of joint working. • Policy Drivers – Rehabilitation Framework. • Appetite & recognition of the need for whole system redesign. • Value base – service user. • Issue with access/waits/repeat assessments.

  3. Priority.Older Peoples Services. • The Tsunami of growth ! • Associated economic costs – care home placements/ home care/ acute beds • Interdependence. • Complex Care.

  4. Goals. • Redesign pathway from point of crisis, that promotes recovery, reduces disability, & independence and avoids unnecessary institutionalisation ( hospital/ care home ). • Through redesign of community rehabilitation teams ( ESD/RR/Falls/Domi ) & older peoples (SW &PC) teams & diagnostic services (DHs,ACE)

  5. Metrics • Throughput/turnover • Reduction acute admissions>65yrs = 20% reduction(breakdown per age band) • Reduction A/E attendances >65 yrs = 20% reduction(breakdown per age band) • Patient Safety = 90% D/C home 90 days. • Service User Experience = Improve. • Increase Community Rehabilitation = 40%

  6. Metrics • Effective delivery of reablement = 30% reduction packages of care. • Care Home Admission = 0% direct from acute. • Bed Capacity Reduction = 20% • Access to Speciality Psychiatry = ? • Increase clients managed at home = 40% • Costs = 10% reduction.

  7. Continuum Of CareMaximising Independence Re-ablement Short Stay Care Integrated community rehab teams Hospital Community Facilities Diagnostic Services

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