Calderdale Health and Social Care Economy

The vanguard and the people it serves

The vanguard in Calderdale will deliver care that is personalised, co-ordinated and helps people better manage their own health and wellbeing. It will be created in partnership with carers, citizens and communities and its delivery will be supported through increased volunteering and social action.

The vanguard is made up of seven equal partners including:

Calderdale currently has a population of over 210,000 people, which is set to increase with the largest increases being in people aged over 65 and children.

With a diverse mix of rural and urban areas, different communities and ethnic groups there are variations in the health and social care needs of people across the district.

What is changing?

Through working with partners in the vanguard and with support of their community panel members’, fundamental change will take place to improve outcomes and the experiences people have of services and the quality of care received.

Underpinned by and based on a strong ethos of collaborative working with professionals in practice and the public, developed over a number of years, the vanguard aims to achieve a person centred, personalised, empowering and co-ordinated model of care delivered in communities, at the right time, in the right place.

At the heart of a wider system of care will be General Practice supported by multi-disciplinary teams of professionals working within a newly devised localities model developed to create flexible, responsive, local services which ensures equal access to services for people across Calderdale.

The vanguard will develop seamless service provision across the social care and health system which is tailor made for communities and based on robust insight gained from many years of working with the people of Calderdale to understand their views of services, needs, wants and aspirations for the future.

Key benefits

  • Improved access through a redesigned first point of contact where care co-ordinators are supported by community based volunteers and professionals in a range of disciplines
  • Provision of enhanced levels of care for people with complex needs
  • More care delivered in community and primary care settings to reduce unnecessary hospital admissions
  • Placing people at the centre of their own care, enabling them to access the right care, at the right time, in the right place

Contact Calderdale Health and Social Care Economy

Email: amanda.jenkinson@nhs.net or rosemary.cowgill@nhs.net

Case studies

1.    Care closer to home makes a real difference for Alice

The vanguard has helped turn life around for Alice, who at nine years old developed irritable bowel syndrome after suffering from food poisoning

Between the ages of nine and 13, Alice was bullied at school due to her condition and this led to her self-harming. At 14 she had a breakdown and took an overdose of paracetamol.

Alice’s doctor referred her to Child and Adolescent Mental Health Services (CAMHS) and she was given anti-depressant medication and a weekly hour-long session with a counsellor. However, this didn’t offer the type of assistance that she needed; the bullying continued, she fell behind at school and continued self-harming.

Alice was then admitted to a specialist mental health unit for children and adolescents where she was placed on suicide watch. The mental health unit was more than two hours’ drive away for Alice’s parents and she was not able to keep in touch with them as her phone and laptop were taken away.

Thanks to the changes brought about by the vanguard, Alice now has a dedicated key worker, Carol, and she says things have changed for the better.

Together with Alice and her mum, Carol developed a plan centred on Alice, which included moving to another school which offered a more supportive environment, enabling her to take advantage of catch-up classes in science. Alice enjoys art and Carol helped her to find community groups, giving her the confidence to make new friends and explore support networks, both online and in person.

Alice’s parents have also benefited from the changes – they have been able to access online support networks where they can talk about the issues and challenges they have faced as a family.

Alice is now leaving school and has gained the confidence to continue to study her A-levels and is learning how to enjoy life.

2.    ‘Keeping an eye’ on Andrew helps reduce hospital visits

Andrew, 82, has also benefitted from the new care closer to home programme that sits at the heart of the vanguard programme.

He suffers from chronic obstructive pulmonary disease (COPD) and visited hospital 16 times last year, staying for up to four days at a time. Because of this, Andrew says he felt like a nuisance and his wife was worried about him.

Andrew is now being supported at home by Chris, a respiratory nurse specialist. Together they looked into Andrew’s health and he was given ‘telehealth’ monitoring equipment to use at home.

Andrew uses the equipment to record his lung function and the measurements are sent to the monitoring team using secure online technology. This enables Chris to monitor Andrew’s COPD from the GP practice. Andrew is reassured that if there any problems he’ll hear from Chris within an hour of sending his results.