This week’s #OTalk is the 2nd of a series of three looking at how to meet the challenge of providing care and support to increasing numbers of people living with long term conditions, requiring both planned and unplanned care.
We’ll be exploring the Department of Health’s recommendations to implement the Long Term Conditions model of care. There are 3 components – which MUST all be done together at the same time:
Risk stratification – predicting who is at risk of hospital admission
Integrated health and social care neighbourhood care teams
Self care – supporting people to understand and manage their own conditions better themselves
The first #OTalk in this series, last month, looked at how to case find people at risk of hospital admission using risk stratification tools. The Grabchat can be found at: https://otalkocchats.wordpress.com/2013/02/09/otalk-5th-february-2013-long-term-conditions-risk-stratification-grabchat/
This week’s #OTalk is on the topic of integrated health and social care neighbourhood care teams.
There is some national background info on neighbourhood care teams at: http://networks.nhs.uk/nhs-networks/commissioning-for-long-term-conditions/integrated-neighbourhood-care-teams/
A presentation by the co-host, @uk_james, on a model being developed in Kent by can be found at https://shareweb.kent.gov.uk/Documents/adult-Social-Services/professionals-and-projects/conference-2012/integration.pdf
A recent case study, demonstrating some of the outcomes which can be achieved through integrated community team working can be found in this Health Services Journal article, which describes some of the work that has been going on in Kent:
During the #OTalk we’ll be covering:
The benefits of integrated community neighbourhood care teams
Exploring participants’ experiences of integrated care teams and multidisciplinary working.
Looking at the barriers and enablers to integrated working in the community.
Thinking about who the members of an integrated community neighbourhood care team should be.
What are the workforce and professional development issues associated with this way of working?
The final #OTalk in this series about LTCs on the topic of self care / self management will be Tuesday 16th April at 8pm.