AN INNOVATIVE MODEL OF INTEGRATED CARE WARWICKSHIRE & COVENTRY David Widdas MBE, Consultant Nurse, South Warwickshire NHS Foundation Trust Coventry & Warwickshire Partnership Trust
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AN INNOVATIVE MODEL OF INTEGRATED CARE
WARWICKSHIRE & COVENTRY
David Widdas MBE, Consultant Nurse,
South Warwickshire NHS Foundation Trust
Coventry & Warwickshire Partnership Trust
INFORMED
COMMISSIONING
SINGLE
APPROACH
SAY IT
ONCE
SOCIAL
OPPORTUNITIES
JOINED UP
APROACH
HELP MY CHILD
RETURN TO
SCHOOL
SOMEONE
TO CALL
SEE MY
CHILD NOT
JUST
PROBLEMS TRUST
INTEGRATION.
COMMONLY A DIVIDED & INFLEXIBLE SYSTEM
Training
CC
Care
Packages CCNs
Palliative
Care
Housing
Adaption
A
Fragmented
System
Social
Care Education
Voluntary
Providers
Social
Support
Respite
“I don’t know where
to go, its always
someone else's
responsibility”
“Do we make it
more complex
than it needs to
be?”
“Does a lack of
integration prevent
holistic decisions?”
WARWICKSHIRE
Zoe’s
Place
Acorns
SEND,
CCG,
CC Panel,
Social
Care
Physio
Speech &
Language
Acute
Care
OT
Equipment
Paediatrician
Wheelchair
Services
CCNs
Palliative
Care
Specialist
Services
Play
Volunteers CC
Assessment
CC Provision
Training SEND
School A One
Stop Shop
COVENTRY
Zoe’s
Place
Acorns
SEND,
CCG, CC,
Social
Care
Physio
Speech &
Language
CHAMHS
OT
SEND
Paediatrician
Wheelchair
Services
CCNs Palliative
Care
Specialist
Nurses
Play
Special
School Nurses
CC
Assessment
CC Provision
Training SEND
Residential
Respite A One
Stop Shop Respiratory
Physio
Palliative Care
CCNs
CC
Rehabilitation
Housing
Adaption
Care Package
School Housing Delay
until June 2020
Volunteers
Rented home
December 2019
School
January 2020
Home June
2020
CHILD A
CATASTROPHIC
BRAIN INJURY
Point of Change
CCN TEAM
Child who is highly
problematic to care for
CCNs
Palliative Care
CC Assessment
CC Provision
Care to follow child from home to respite
Ongoing mixed
provision Home / Respite
Acorn’s Shared Care Agreement
MDT, Specialist
Centre, YP, Family,
Palliative Care
CCN meets
family
Initial planning
for home
CC Assessment
CC Decision
Care Package
Housing
Best interests
discussion Planning for
home
Housing
Care Package
UHCW
Home Leave
THE PALLIATIVE
VENTILATED
CHILD
Home
May 2020
Significant
Change Significant
Change
LEARNING POINTS
• Integration matches CYP & family aims.
• Palliative care is part of good care.
• Providers have a unique & valuable role in good commissioning.
• Integration supports workfrce3 better in complex emotive and challenging cases.
• Systems have to be able to cope with rapid changes.
• Integrated services are more holistic, responsive and reactive.
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