The integrated care system is making a number of changes that will help deliver its vision. They include:
- Integrated care community (ICC) hubs: Eight new ICC coordination hubs were launched in July 2018, with each providing a single point of contact for any professional referring into ICC services. The hubs will be fully operational between 8am and 8pm, seven days a week by autumn 2018 (increased from initial hours of Monday to Friday 8am to 6.30pm). Watch a film about the integrated care communities or find out more information.
- Delirium: The new Delirium REACH service (developed by Cumbria Partnership and North Cumbria University Hospitals) was launched at the Cumberland Infirmary in January 2018. The service has been designed to screen all over 65s, and anyone known to the memory services, when they are admitted to hospital and to recommend treatment for those who develop delirium while in hospital. After the first six months the service was averaging 49 contacts a day and it is helping reduce the length of time those patients stay in hospital by an average of two days. The support is also enabling nursing staff to concentrate on other patients, reassured that they are being given advice, equipment and interventions to support patients who develop delirium.
- Maternity and paediatrics: Midwifery-led care is now in place at West Cumberland Hospital in Whitehaven and the Cumberland Infirmary in Carlisle, offering more choice for women. Short stay paediatric assessment units including rapid access clinics are now operating at both hospital sites. All paediatric patients are now assessed as short stay patients and will only be admitted as an inpatient if they are unable to go home. The introduction of a second consultant at Cumberland Infirmary and a new resident on-call rota is enabling children to be discharged home as soon as they are well enough, as a senior decision maker is available 24/7.