In Barnsley, Bassetlaw, Doncaster, Rotherham and Sheffield ‘place-based’ care partnerships are in place with local plans developed by doctors, hospital managers, clinical commissioners, council officers, and patient and voluntary sector groups.
Examples of South Yorkshire and Bassetlaw initiatives at both system and place include:
- ‘Social prescribing’ schemes are supporting people’s social, emotional or practical needs where a prescription for medication isn’t the best solution or isn’t enough on its own. Around a fifth of GP visits are linked to problems such as loneliness, debt, housing, work, relationships and unemployment, which can be better addressed in this way.
- Hospital doctors, nurses and other healthcare professionals are starting to agree a single way of working across some services, such as hyper acute stroke and lower gastrointestinal services. This includes the development of managed clinical networks, where teams work to the same standards and share staff.
- Investment of more than £1 million into the Local Maternity System to improve care for all mothers and babies. 85% of women now have a Personalised Care Plan, offered to 100% of women and an established Continuity of Carer pathway that is being rolled out through a continuity of carer team based model. Find out more in this video.
- The Sheffield, Rotherham and Doncaster Perinatal Mental Health Service is a specialist mental health service for women with mental health problems who are planning a pregnancy, are already pregnant or have given birth in the last 12 months. The service is run in partnership between Sheffield Health and Social Care NHS Foundation Trust, Rotherham Doncaster and South Humber NHS Foundation Trust and Light, a local perinatal peer support charity. The service is commissioned by NHS Sheffield Clinical Commissioning Group (CCG) and supported by a memorandum of understanding with NHS Rotherham CCG and NHS Doncaster CCG.
- In Doncaster The Complex Lives Alliance sees teams of professionals from Doncaster Council, South Yorkshire Police, St Leger Homes, Community and Acute NHS Trusts, Rotherham Doncaster and South Humber NHS Foundation Trust, which includes Aspire, the drug and alcohol service, Primary Care Doncaster, NHS Doncaster CCG, Criminal Justice Department for Work and Pensions (DWP) and community, voluntary and faith organisations all work together to identify and support people off the streets and into the help they need to improve their lives. Rough sleeping in Doncaster town centre dropped by 70% thanks to an intensive action plan from all the partners, with some of the most entrenched rough sleepers in the town now living in accommodation and receiving rehabilitation for physical and mental health issues.
- In Rotherham the health and social care discharge teams have been brought together with 27 discharge destinations streamlined into three pathways. The approach means that delays are minimalised and getting patients fit, well and home, with the support they need, is a top priority. The Integrated Discharge Team based at Rotherham Hospital is made up of colleagues from Rotherham Council as well as the hospital trust and brings a personal approach to the process of leaving hospital and short stay care homes; ensuring patients and their families are supported and have suitable, sustainable care packages in place.