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376 The Story of Parliament


Using joined-up thinking


to help an ageing population NHS Eastern Cheshire Clinical Commissioning Group leads the way in integrated care systems


“The single highest cost element of the NHS is the point at which someone is admitted to hospital”


—by empowering them to manage their own health and supporting them when they need to access services.” One example of this new joined-up approach to care


is Working Together, a service piloted across four practices to help patients return home quickly and safely after a hospital stay. Administrative care coordinators arrange home visits by district nurses, occupational therapists and physiotherapists, to provide patients with the services they would expect in hospital, at home. Snow White, an urgent-care reporting system created


the UK’s ageing population and its attendant health challenges. “Te existing system isn’t sustainable,” says Dr Paul Bowen, Chair of NHS Eastern Cheshire Clinical Commissioning Group (CCG). “Older people have increasingly complex health needs and there are significant costs associated with embracing new treatments and technologies. At the same time, people’s expectations of healthcare have never been higher.” Transforming the local health and care system to meet


W


the current and future needs of Eastern Cheshire is a huge challenge. However, the CCG has ensured that its patients, providers and partners have been involved every step of the way in co-designing a five-year strategic approach to radically reshape the delivery of care by 2018. Called Caring Together, the approach will develop a new care system that joins up the area’s health and care support services to look after people at home and in the community, shifting the focus from hospital care when it is safe to do so.


Empowerment and care Jerry Hawker, Chief Officer of the CCG, says: “In the past, the health service has treated the disease, as opposed to treating or supporting the individual. We now know that the best way we can improve the health of our population is to care for the person


ith the highest percentage of over-85s in England’s North West, Eastern Cheshire offers a window into


by the CCG and partners, is another example of the joined-up approach in action. Te system provides decision-makers with a comprehensive overview of the local health system—including available hospital and care home beds, GP appointments and ambulance turnaround times—to show in real time which parts of the system are under pressure and where there is spare capacity. “Te single highest cost element of the NHS is the point


at which someone is admitted to hospital,” says Hawker. “Te more you can proactively manage care in the community, the less you’re defaulting to the most expensive part of the system.” Between April and October 2014, there were 86 fewer hospital readmissions than in the previous comparable period, suggesting that—even at this early stage—the Caring Together approach is achieving excellent results.


Innovation and excellence Notwithstanding this period of transition, Eastern Cheshire remains an exemplar NHS organisation. Dr Andrew Maurice, an Eastern Cheshire-based GP was shortlisted for Practitioner of the Year at the 2014 General Practice Awards, for his work helping the CCG to transform care in local nursing homes. “Te pilot saw a significant drop in hospital admissions,” says Dr Bowen. “Now the CCG is funding each of its 23 general practices to provide weekly visits to care homes in their catchment area.” By embracing alternative care settings and making better


use of community assets and technology, Caring Together will support the people of Eastern Cheshire to live well and stay well. — www.easterncheshireccg.nhs.uk


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