The vanguard and the people it serves
Wakefield district has an estimated population of around 333,759. 12% of the population are aged over 70 years, and it is predicted that by 2021 over 22% of people will be aged over 65 years.
Under the national New Care Models Programme, Wakefield was chosen as the only district nationally to take forward two vanguard programmes which operate under the partnership-led Connecting Care programme and deliver the Five Year Forward View locally.
Connecting Care delivers one of six Enhanced Care Home Vanguard sites in the country and aims to tackle loneliness and fragmented care, by joining up services for older people in supported living schemes and care homes.
The vanguard is led by NHS Wakefield Clinical Commissioning Group and is made up of, and supported by, a range of NHS, voluntary, housing and social care organisations from across the local Wakefield health economy.
The vanguard partners include:
- NHS Wakefield Clinical Commissioning Group
- The Mid Yorkshire Hospitals NHS Trust
- South West Yorkshire Partnership NHS Foundation Trust
- Yorkshire Ambulance Service NHS Trust
- Wakefield Council
- Wakefield and District Housing (WDH)
- Age UK Wakefield District
- Spectrum Community Health CIC
- Carers Wakefield and District
- Turning Point
- Five GP Federations- Brigantes Healthcare, United Health Wakefield Alliance, Trinity Health Group Limited, Five Towns Health and West Wakefield Health & Wellbeing.
There are currently 27 care homes and six extra care facilities within the vanguard.
What is changing?
The vanguard is introducing new ways of supporting staff and residents in care homes and supported living schemes using a number of unique elements which have been developed over the last two years. The different elements include;
- The creation of a multi-disciplinary team (MDT) care home support team, made up of healthcare professionals including a General Nurse, Mental Health Nurse and Physiotherapist. The team meet every Monday where they plan personally tailored care plans that will be offered to the people they are working with. Each team member brings a different specialism to the table, which allows the team to build up a complete picture of how best to help each patient, truly delivering the Connecting Care vision of delivering “person-centred”.
The MDT team have further built confidence in care home staff through ad-hoc training sessions and advice. Such sessions include “Posture, Position and Pressure” training empowering care home staff with the confidence to handle, stretch and mobilise residents, which overall has improve quality of life for residents.
- The use of holistic assessments and tools for the care of residents is a valuable aspect of the Wakefield care home vanguard model and identifies that people’s health and wellbeing depends on a very broad range of factors. Holistic assessments are carried out using a range of ‘listening tools’ and options are considered about the best way to meet resident’s needs. It has been acknowledged that care homes cannot provide everything that someone might need to enhance their health and wellbeing so links and relationships are being made with the local Community Anchors.
The vanguard has also been working at a federation level with the Local Medical Council (LMC), to introduce one GP practice aligned to one care home model, which is due to be in place by the end of 2017.
- An improved general life experience for residents in care homes and tenants in supported living facilities, as well as better health
- A reduction in the need for urgent health care and hospital admissions for people in care homes
- Increase in the proportion of deaths in place of usual residence
- A reduction in the number of ambulance call outs for falls
- A reduction in bed days
- More efficient and effective partnership working to achieve joined-up care