downsmail.co.uk Early deaths
THE figure for potential years of life lost to conditions amenable to NHS care in West Kent is “markedly lower” than the Eng- land average. But the downward national gradient suggests progress in stemming premature deaths is outpacing the rate of change in West Kent.
Skin service
THENHSWest Kent Clinical Com- missioning Group is planning to commission an integrated consult- ant-led dermatology service for children and adults.
Help to go home
AGEUKis to assist in a “take home and settle” service for patients dis- charged from Maidstone Hospital. The service can provide trans-
port; home safety assessment; help with cleaning and shopping and medication and social support.
Dementia care
THE commissioning group now has a dementia strategy and imple- mentation group to establish an in- tegrated approach to ensure early diagnosis and patient support.
Formore local news
www.downsmail.co.uk
Health | News
‘Radical’ new look for out-of-hours services
By Dennis Fowle
A COMPREHENSIVE NHS out- of-hours and hospital-at-home service for Maidstone and the rest ofWest Kent will start to operate from September 2015. This “radical service design”
will be introduced in two phases. The GP-led West Kent Clinical Commissioning Group has agreed to commission by tender the serv- ice and says the key elements are: Primary care help for patients with urgent care needs, often ini- tiated by an NHS 111 phone call. Integration of out-of-hospital provision with ambulance, primary care and community services working together as potentially a single urgent-care service. The group currently commis-
sions three core primary care serv- ices to deliver urgent and emergency care. They are an out- of-hours service; an enhanced rapid response health and social care service to support people at
NHS 111 improves
TheNHS111 phone service has op- erated for 18 months. After a poor start inWest Kent it now routinely achieves national standards. About 100,000 calls are made every month.
home; GPs working in hospital A&E to see and treat primary care type patients. The first phase of the service will
see these three services combined in one contract to improve integra- tion and reduce fragmentation. This contract will run for two
years (from 2015 to 2017) “to allow the group more time for the devel- opment of phase two, in which the group will procure a more com- plex and comprehensive urgent care service that would engage all key providers locally”. The group sees the main strate-
gic objectives of the new service as: Reducing A&E attendances
and emergency admissions. Developing more community services to avoid transfers to hos- pital. The hospital-at-home service
will provide responsive short- term, clinical care and acute reha- bilitation to patients in crisis, with ongoing assessment and, where needed, referral for longer term treatment or community support. It will provide medical, nursing and social input to patients at home and also work closely with hospitals’ discharge teams and GP practices to facili- tate early discharges. Making best use of the enhanced rapid response service to provide health and social care support for people at home. Supporting the wider intro- duction of NHS 111 locally that does not lead to increased A&E attendances. Working with the ambulance service to care for more people in the community, decreasing de- mand for hospital services.
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