Keiro: A Success Story

1. Keiro: A Success Story

2. Keiro: A Success Story… Alistair McDonald Business relationships Director, Keiro Keiro: A Success Story

3. About Keiro The Gateway The future and AHSN Keiro: A Success Story

4. What do we do? A social context for rehabilitation Who are Keiro? “An opportunity for people to Regain and Retain Independence” Our Core values Trust, Impacts, Collaboration, Passion, Innovation Keiro ‘s current services Keiro: A Success Story

5. The Keiro Team • Specialist Nurses • Medical Consultants • Personal Assistants • Physiotherapists • Clinical Neuropsychologists • Occupational Therapists • Speech and Language Therapists • Therapy Assistants • Holistic & Beauty Therapist • Activities Coordinator's • Holistic Care Coordinators • Housekeepers & Maintenance Keiro: A Success Story

6. Why change? Keiro: A Success Story

7. Internal drivers for change… Keiro: A Success Story

8. External drivers for change Neuro Numbers: National Estimates Keiro: A Success Story

9. External drivers for change A period of Change • Clinical Commissioning Groups • Public health services to public health England (with directors of public health located in local authorities) • QIPP agenda • Acute hospital healthcare to NHS foundation trusts • The personalisation agenda • The impact of the current economic crisis Keiro: A Success Story

10. Removing blocks on the road to independence Keiro: A Success Story

11. Real partnerships matter • The Big Win-Win • Better outcomes, more aligned to personal life goals for clients and families • Lower cost packages of care/support that genuinely meet client outcomes • Less funding required in the long term and less requirement for accessing primary care services • Fewer admissions to hospital No single organisation can achieve this, transformation can only happen with genuine partnerships and co-production, Keiro: A Success Story

12. The Gateway Keiro: A Success Story

13. Why Teesside? North East Public Health Observatory (NEPHO)Health Needs Assessment for Long Term Neurological Conditions in North East England North East Neuro Science Network Report from internal Network Lead: Summary Neuro Rehabilitation Review • 30% less time is spent in services with access to rehabilitation in the North of Region • Patients admitted to James Cook hospital with an acquired brain injury have no or very little neuro support in the community after discharge. • There is little access to vocational rehabilitation on Teesside • Appropriate environment: Whilst the configuration of a service that replicates Walkergate Park will not be necessarily appropriate, facilities that promote a positive psychological response are desirable and part of the rehabilitative process e.g. Walkergate Park, North of England Traumatic spinal injury centre, Chase Park/Health Club. North of region specialised commissioners (NORSCORE)In 2009 NORSCORE issued a tender for the provision of complex specialised neuro and spinal rehabilitation services to be provided from a number of potential services across the north east strategic health authority region. Keiro: A Success Story

14. The Impact of Neurological Conditions: In Teesside Regional Rankings for Inpatient and Day Case Elective Admissions (2009/10) Tees Need/Demand Teesside has the highest prevalence per 100k population for acquired brain injury, compared with regional and national levels 314 per 100k – Tees 179 per 100k - Nationally Keiro: A Success Story

15. Why Middlesbrough? Keiro: A Success Story

16. Why Middlesbrough? Ray Mallon (elected Mayor of Middlesbrough) visited Keiro’s existing rehabilitation facility ‘Chase Park Rehabilitation Centre’ in 2009 and has been a strong advocate for the development of the Gateway ever since. James Cook University Hospital James Cook University Hospital is a designated as a National Trauma Centre. The Gateway is purposefully located within ½ a mile of James Cook University Hospital Keiro: A Success Story

17. The Gateway: Project Timeline The Gateway: Public Consultation Event Middlesbrough College 2/11/12 - 14/11/12 Meet Ray Mallon (Mayor of Middlesbrough) Middlesbrough Health & Scrutiny Panel - Oct and Nov 2011 1/1/09 Meet Chris Smith (MD Erimus) 1/10/11 1/2/10 Multi Stakeholder Conference Multi Stakeholder Project Development Team established June 2010 1/2/13 Meet Glenys Marriott (Chair South Tees NHS Trust) TVDNY – Conference 1/6/10 1/4/08 8/3/13 TVDNY Appreciative Enquiry Workshop Initial Council Project Development Team established 1/6/11 Gateway Build is Completed 1/6/09 Multi Stakeholder Commissioning Event Multi Stakeholder Scoping Event Dec 2013 1/3/10 2/11/11 Gateway Opened 6/1/14 ' 08 Apr 2008 Nov Jun 2009 Jan 2010 Aug Mar 2011 Oct May 2012 Dec Jul 2013 ' 14 Keiro: A Success Story

18. Community Wellbeing Hub Keiro: A Success Story

19. Partnership efficiencies • A pathway towards independence • Reducing delayed discharge from acute services • Early intervention and on-going rehabilitation • ‘Step up’ services to reduce unnecessary acute admissions and readmissions • Joint-working between Health, Social Care, Education, The Third Sector/Social Enterprise & Independent Specialists Services • Step forward housing • Reducing long term costs through Quality, Innovation, Productivity and Prevention Joining the dot’s Keiro: A Success Story

20. AHSN: How have Keiro benefitted? • Input: • We are looking to start develop transitional housing in Gateshead the AHSN carried out a piece of research to • support this • Working with local CCG’s to understand the benefits of working with us at Chase Park Neuro Centre • Networks: Helping us get in front of the right people to support The Gateway. Very important for a small organisation! • Ongoing advice, support, research and partnership working Keiro: A Success Story

21. The Gateway Regaining and Retaining Independence • Summary • Keiro have an ambitious plan to grow. • The AHSN will be a key partner in supporting us to: • Expand the organisation • Improve health outcomes • Generate wealth • Create new jobs Keiro: A Success Story