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Lesley Brewer, Project Manager, Community Intermediate Care Service/Short Term Intervention Team

Planning for a co-ordinated intermediate intervention team in Sheffield SHARING GOOD PRACTICE Sheffield Teaching Hospitals NHS Trust July 2013. Lesley Brewer, Project Manager, Community Intermediate Care Service/Short Term Intervention Team Sarah Wright, Specialist Pharmacy Technician.

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Lesley Brewer, Project Manager, Community Intermediate Care Service/Short Term Intervention Team

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  1. Planning for a co-ordinated intermediate intervention team in SheffieldSHARING GOOD PRACTICESheffield Teaching Hospitals NHS Trust July 2013 Lesley Brewer, Project Manager, Community Intermediate Care Service/Short Term Intervention Team Sarah Wright, Specialist Pharmacy Technician

  2. The Challenge We have good health and social care services in “Our City” and…. • Rising expectations and quality standards • Increasing number of older people and people with long term conditions who need care • Evidence that older people, are best managed in the own home or a community setting rather than hospital • Services are not sufficiently joined up to support people in Sheffield • More cost effective Present us with us with many opportunities Admission avoidance Effective Discharge To help people stay at home and remain as independent as possible

  3. Leaders aren’t born they are made…and they are made just like anything else, through hard work.” Inspired. “people are Joined up” tools for transformation High Hearts & Minds Hearts Emotional Intelligence Minds Logically right. Mental Intelligence Low High

  4. The Solution - Right Care, Right Time Right Place • Enhance the Integration of Health and Social Care Teams by developing the capacity of intermediate care services. • Aligned Services 2012/13 • Developing Implementation Plan • Putting Effective Governance Structures in Place Key work streams • Communications • Training and Development • Service Operational Management • Medicine Management Pilot (funded by CLAHRC)

  5. Communicate to motivate Getting Buy-in Key Messages Extensive communication Empower the teams • Repeated messages • Multiple sources • Local champions with clear accountability • Treated people as Individuals • Listened to all views • Encouraged input, participation and Involvement • Willing to believe, trust and respect • Explaining the purpose • Reinforce confidentiality • Emphasize the importance of hearing everyone’s opinion • Pledge that results will be used • Show Leadership commitment Used existing vehicles as much as possible • Staff meetings (all levels) • Newsletters • Internal web sites • Bulletin boards • Leadership days

  6. Benefits

  7. Medicines Re-ablement Pilot Project Project outline • Align health & social care to provide a high quality equitable service • Develop and deliver a competency training package • Monitor new provision of care service with health & social care • Outcome measures CLAHRC SY • Scoping literature review to provide an evidence base for medication re-ablement • Small evaluation of the first cohort: training package, stakeholder perspectives on the change in practice • Support for a second cohort informed by the evidence gained from the first • Evaluation of the second cohort • Support to analyse data throughout • Recommendations for roll out across Sheffield CLAHRC for South Yorkshire

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