What’s Changing, What’s New in Leeds?

Mike Evans - Chief Officer Adults

Zoë Thomas - New Type of Worker Project Manager

Workforce Change Programme

Wednesday 2nd March 05

• Who we are?

• Where do we fit in?

• Overview of Leeds/West Leeds PCT

• An example of New Type of Worker

Introductions

• Over-hospitalised population and under resourced primary and community care

• Rebalance the health care system and reconfigure services

• Local patient and user events highlighted good processes for discharge but gaps in managing crises in community settings

• National strategies on long term conditions and targets to reduce emergency bed days

Setting the Context

• No more pilots

• Funding from changing existing services

• Systematic programme of change “West Care Plus”

• Clinical engagement a key priority

• Bring in expertise when required

Making it Happen

•Case Management

•Community Respiratory Team

•Community Rapid Response Service

•Community Beds within Leeds West•£1 million investment

Phase One - West Care Plus Programme

• From a Chief Executive perspective• Impact analysis to create confidence that targets can be met• Use payment by results to reduce admissions

• From a GP Champion perspective• Build service changes through primary care• Opportunities from practice based commissioning

Lessons Learned

• Components to include• Intelligence• Service framework

• Admissions prevention• Admissions diversion• Reducing bed days

• Investment plan • Workforce plan - Inc. New Type of

Worker• Technology plan

The Next Few Years . . . . .

New Type of Worker Project in Leeds

• Re-designing the role of our Community Support Assistants to enable them to do:-

• Low Level Nursing Tasks

• Therapy Tasks

• Rehabilitation Tasks

What Will be ‘New’ About Our New Way of Working?

• An improved more seamless service user experience

• Staff’s increased confidence and motivation

• A service that encourages re-gaining and/or maintaining independence

• A workforce with a clear and positive career pathway that can cross sectors

• A programme that workers can obtain NVQ 2 or 3 in 12 weeks

• Jointly agreed strategies and clinical governances

• The potential to change how social care is delivered in all sectors in Leeds

• A model for inter agency working that can be shared and transferred

More . . . .

“Strength does not come from physical capacity. It comes from an indomitable will.” Mahatma Gandhi

Questions . . . .