integrated community support teams n.
Skip this Video
Download Presentation
Integrated Community Support Teams

Loading in 2 Seconds...

play fullscreen
1 / 17

Integrated Community Support Teams - PowerPoint PPT Presentation

  • Uploaded on

Integrated Community Support Teams. Pilot Evaluation June 2013. Don Berwick - 2008. Address at 60th Anniversary of NHS Celebrations

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
Download Presentation

PowerPoint Slideshow about 'Integrated Community Support Teams' - indira-trevino

Download Now An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
integrated community support teams

Integrated Community Support Teams

Pilot Evaluation

June 2013

don berwick 2008
Don Berwick - 2008

Address at 60th Anniversary of NHS Celebrations

“These, not hospital are the soul of proper community orientated, health preserving care system. General Practice, not the hospital, is the jewel in the crown of the NHS”

icst principles
ICST Principles
  • To provide safe, effective, person centred support to enable people to remain safely at home for as long as possible
  • When someone admitted to hospital support the person to return home as soon as possible
  • To support older people with complex health and social care needs to have their community care assessments carried out in their own home if possible
consultation told us
Consultation told us…
  • We needed to join people up into one team
  • That we should not create a bolt on team
  • Needs to be a neighbourhood model
  • To enhance existing knowledge, skills and practice, building confidence and resilience of the local workforce
  • To make the model sustainable
  • GP’s wanted to remain responsible medical officer for patients


Social work resources inc. Community Occupational therapists

Physiotherapists and occupational therapists

Home care and Supporting your Independence staff

District nurses 24 hr service

Other services or support from the wider community e.g. family, 3rd sector, specialist teams and independent providers

  • Existing LTC Community Nursing Teams
  • CARS physios and OTs who provided support to older people from EK & Strathaven who are discharged from hospital
  • Existing social work staff
  • Existing homecarers and homecare coordinators
  • PLUS some additional resources from change fund
  • Role of Generic Support Workers
icst operational arrangements
ICST Operational arrangements
  • Locality Coordination Group
  • Resource Allocation Group
  • Local Practitioner Forums
  • Lead Professional Role

ICST Operational arrangements aim to:

  • Ensure effective delivery of care and support to older people and their carers.
  • They provide an initial operational framework for Health and Social Work staff working in the community.
  • They will be subject to regular update and review in the light of experience and developments in other work streams
the future the next steps in the journey
The Future; The next steps in the Journey
  • I.T. & Performance management information
  • Continued development of structure and systems to support practice
  • Local management arrangements
  • Co-location of Staff/Teams
  • Resource management
  • Community Capacity Building
  • Role out of ICST – Hamilton Locality


Hunter Base


Greenhills Base











791>75 yr

199>85 yr



key elements of success
Key elements of success
  • Face-to-face primary care collaboration
  • Open criteria – “at risk of admission”
  • Single point of contact
  • Early access to advice and alternatives
  • Proactive identification and early targeted CGA
  • Strong relationships with community services

At admission and discharge!