South Warwickshire CCG launched its plans to review Out of Hospital care in November 2014 in response to the changing demands upon the NHS. During 2016 this developed into a programme to change the way in which out of hospital care is delivered across the whole of Coventry and Warwickshire both in hospitals and within the community. Similar approaches are also being seen across the country because of new challenges that are being faced by the NHS:
Out of Hospital Programme
To meet these challenges, we are developing a new way of providing care to people in Coventry and Warwickshire which brings together out of hospital services to work in a new and more effective way. This is known as our Out of Hospital Programme.
Out of hospital services are those provided by GP practices; some community services such as occupational therapy, district nursing, and physiotherapy; some mental health services; and social care services. It is our belief that some specialist services that are currently provided in hospital could also be provided in the community.
Through the Out of Hospital Programme, we want to:
- Have a healthier population who feel able to care for themselves where they can and who receive the right treatment, in the right place, when they need it.
- Reduce demand on health and care services by planning the way we work and how patients access our services in a better way.
- Improve care and quality of services.
- Provide excellent health and care services over the long term within the limits of the funding we currently have.
How will we do this?
The organisations that buy health and care services in Coventry and Warwickshire are coming together to commission (or buy) one service for out of hospital care. The organisation that is commissioned to provide the service will be given a budget and a number of specific health and care outcomes that they will need to achieve for the local population.
These outcomes are things like: people having an excellent experience of care; increasing the number of people making healthy lifestyle choices; keeping people independent as long as possible at the end of their life; and personalising care for the patient to meet their specific needs.
The organisation providing health and care services needs to work in a different way to achieve these outcomes. Doctors, nurses, therapists and social workers will work together to deliver different types of care in the community:
Who will this affect?
This is the type of care that will affect everyone at some point in their lives. To start with we are going to prioritise making changes that will benefit those who need it most: people with long term conditions e.g. diabetes and COPD; young adults with disabilities; people with complex health problems; people in the last year of their lives; those who use health and care services a lot; and people who are housebound.
Keeping You Involved
Understanding what matters most to people is a vital part of this programme and we started a process of public engagement in South Warwickshire during November 2014 with a series of public events and other opportunities for people to have their say (click here for the list of activities).
During 2016 the Out of Hospital Care programme developed further to include Coventry and North Warwickshire and the three local CCGs are working collaboratively to take this work forward. The next phase will include a procurement programme which will include an outcomes based approach.
Over the coming months we will be working to ensure that you have the opportunity to share your views on our proposals and we will be promoting these on our website and other channels to ensure that as many as people as possible can contribute.
Our commitment to our population
Over the next five years, local people will see changes in their day-to-day care. It will not take place overnight, and we will ensure that no patient’s treatment is interrupted.
- You will experience services working more closely together to smooth your journey through the health and care system.
- You will be able to decide what type of care you receive and where you receive it, tailoring your treatment to you.
- You will receive support you to make even just little changes to your lifestyle for long-term health benefits.
- You will be able to see the relevant clinician faster, and both waiting times and the current strain on hospitals will decrease.
The latest Out of Hospital update is available here
Download the Future of Out of Hospital Care in Coventry and Warwickshire
Download the Future of Out of Hospital Care in Coventry and Warwickshire (summary)