The need for change

 What services are we talking about? 

We are focussing on community based services for older people and adults with identified needs which impact on their health and wellbeing.  A number of discussions have taken place, in partnership, to determine exactly what services will be in scope (i.e. included in any new contract from April 2017) and those which are out of scope for this particular work (but are linked in some way).

The range of services includes:

  • Community beds
  • Community therapy (e.g. occupational, physiotherapy, speech and language, etc)
  • GP out of hours
  • Intermediate care
  • Minor injury services
  • Neighbourhood care services (eg district nursing, specialist community nursing, McMillan nursing, etc)
  • Palliative care
  • Older peoples’ community mental health (for a future phase)
                                     

      Community         Health Services

Definition:

Treatment provided to people outside of hospitals, for example at the GP practice or via community nurses
and therapists, together with preventative services such as immunisation, screening or health promotion.

              

The services that we have deemed to be ‘out of scope’- such as children’s services and musculoskeletal services - will be reviewed separately in the future.

 Why are we doing this? 

We are exploring opportunities for the future model of community services which may result in a change of provider from 1 April 2017. Community based services are currently delivered by a number of providers; Humber NHS Foundation Trust, GP practices, voluntary sector providers; and some of the contracts we hold with these providers are due to expire in March 2017.

The commissioning and contractual process is complex.  In order for us to be in a strong position and ready for implementation of the new arrangements, we have already started discussions with existing and potential providers about future ways of working.

This is a normal part of the commissioning process, and allows us to focus on improving community services in the area. It is not a reflection on any staff currently providing these services who we know work extremely hard in the interests of local people. Nor does it mean we want to cut services. We want to focus conversations on how we can better deliver outcomes for local patients and ensure services are fit for the future.

 What are we trying to achieve? 

We have considered outcomes from the engagement we have already carried out, gained the perspective of local GPs and other clinicians and have looked at best practice. This has led us to being able to identify four things that we want our services to deliver in the future:

  • Community services to work better together across health and social care
  • (seamless handover between staff and providers).
  • Care to be provided in a community setting that is closer to, or at, peoples’ own
  • homes.
  • Reduce the need for admission to hospital, or speed up the discharge process for those who do require a hospital stay.
  • People to be more informed to help them better manage their own condition and avoid going into crisis.