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Keiro: A Success Story. Keiro: A Success Story…. Alistair McDonald Business relationships Director, Keiro. Keiro: A Success Story. About Keiro. The Gateway. The future and AHSN. Keiro: A Success Story. What do we do?. A social context for rehabilitation. Who are K eiro?.

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Presentation Transcript
slide1

Keiro:

A Success Story

slide2

Keiro:

A Success Story…

Alistair McDonald

Business relationships Director, Keiro

Keiro:

A Success Story

slide3

About Keiro

The Gateway

The future and AHSN

Keiro:

A Success Story

slide4

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

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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

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Why change?

Keiro:

A Success Story

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Internal drivers for change…

Keiro:

A Success Story

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External drivers for change

Neuro Numbers: National Estimates

Keiro:

A Success Story

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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

real partnerships matter
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

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The Gateway

Keiro:

A Success Story

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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

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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

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Why Middlesbrough?

Keiro:

A Success Story

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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

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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

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Community Wellbeing Hub

Keiro:

A Success Story

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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

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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

slide21

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