University of Worcester Worcester Research and Publications
 
  USER PANEL:
  ABOUT THE COLLECTION:
  CONTACT DETAILS:

A Service Model For Delivering Care Closer to Home.

Dodd, Joanna and Taylor, Charlotte and Bunyan, Paul and White, Philippa and Thomas, Siân and Upton, Dominic (2011) A Service Model For Delivering Care Closer to Home. Primary Health Care Research & Development, 12 (2). pp. 95-111. ISSN 1463-4236

Full text not available from this repository. (Request a copy)

Abstract

Upton Surgery (Worcestershire) has developed a flexible and responsive service model that facilitates multi-agency support for adult patients with complex care needs experiencing an acute health crisis. The purpose of this service is to provide appropriate interventions that avoid unnecessary hospital admissions or, alternatively, provide support to facilitate early discharge from secondary care. Key aspects of this service are the collaborative and proactive identification of patients at risk, rapid creation and deployment of a reactive multi-agency team and follow-up of patients with an appropriate long-term care plan. A small team of dedicated staff (the Complex Care Team) are pivotal to coordinating and delivering this service. Key skills are sophisticated leadership and project management skills, and these have been used sensitively to challenge some traditional roles and boundaries in the interests of providing effective, holistic care for the patient. This is a practical example of early implementation of the principles underlying the Department of Health’s (DH) recent Best Practice Guidance, ‘Delivering Care Closer to Home’ (DH, July 2008) and may provide useful learning points for other general practice surgeries considering implementing similar models. This integrated case management approach has had enthusiastic endorsement from patients and carers. In addition to the enhanced quality of care and experience for the patient, this approach has delivered value for money. Secondary care costs have been reduced by preventing admissions and also by reducing excess bed-days. The savings achieved have justified the ongoing commitment to the service and the staff employed in the Complex Care Team. The success of this service model has been endorsed recently by the ‘Customer Care’ award by ‘Management in Practice’. The Surgery was also awarded the ‘Practice of the Year’ award for this and a number of other customer-focussed projects.

Item Type: Article
Additional Information:

University of Worcester staff and students can access the full-text as a FirstView article via the Official URL. External users should check availability with their local library or Interlibrary Requests Service.

Uncontrolled Keywords: case management, collaborative working, complex care, general practice, health-care crisis, multi-agency
Subjects: R Medicine > R Medicine (General)
B Philosophy. Psychology. Religion > BF Psychology
Divisions: Academic Departments > Institute of Health and Society
Depositing User: Laura Scurlock-Evans
Date Deposited: 08 Oct 2010 14:15
Last Modified: 27 Jun 2011 10:07
URI: https://eprints.worc.ac.uk/id/eprint/982

Actions (login required)

View Item View Item
 
     
Worcester Research and Publications is powered by EPrints 3 which is developed by the School of Electronics and Computer Science at the University of Southampton. More information and software credits.