Community health services: shifting the focus to out-of-hospital care

The NHS needs a different approach to reform. People need to be empowered to make choices about their care, including type of care and location, with home and community - rather than hospital - being the starting point. 

Join a panel of experts, including: 

• Sir William Wells, non-executive director in the NHS for 40 years
• Mike Bell, Chair, Croydon Health Services NHS Trust
• Liz Sargeant OBE, Clinical Lead (Integration), NHS Improvement

The panel will talk through and give practical examples of a new approach to care that moves the focus away from hospitals and GPs, and turns it towards community-based interventions and services to meet the needs of local populations. 

Focusing on three key values – person-centred care; joy in the work place; and creating a culture of innovation – the panel will explore how this approach can work in the first and last 1,000 days of life. 

This session is sponsored by Healthcare at Home.

Lord Carter of Coles is leading a review into community and mental health trusts – with the findings expected to be published at the end of the year.

Andrew Edmunds will share the latest updates about the review, in particular:

• how organisations in mental health and community trusts operate and what ‘good’ looks like
• what approaches to improving productivity and efficiency are already in place and what opportunities are there are to drive these further? 
• what metrics and indicators are required to support the development of the model for these sectors?
• developing criteria for an ‘optimal model’ NHS community or mental health care trust.

• What is good when it comes to community services? 
• How can we benchmark and share good practice? 

Pannellists include:

• Dr Crystal Oldman, Chief Executive, Queen’s Nursing Institute
• Matthew Winn, Chief Executive, Cambridgeshire Community Services NHS Trust and Chair, NHS Confederation Community Health Services Forum
• Tom Gentry, ‎Head of Health Influencing, Age UK
• John Pope, Chief Executive, National Association of Primacy Care.

• See how Mersey Care NHS Foundation Trust has set up a centre for people with mental health problems that acts as a hub for different NHS and other local government services, that work in partnership to support the local community. 
• You will also hear about some of the key lessons from five pilot sites that have embedded the Life Rooms model into discharge planning to integrate the patient pathway of care from inpatient to community services.  

Speakers include:

• Jane Holland, Head of Participation and Inclusion Development, Social Inclusion and Participation Team, The Life Rooms, Mersey Care NHS Foundation Trust
• Gary Thorpe, Head of Recovery Development, Mersey Care NHS Foundation Trust.

• Hear how the Mosaic Clubhouse in Brixton has been working with NHS and local government partners in Lambeth to support people with mental health problems in the community. 

Speakers include:

• Maresa Ness, Chief Executive, Mosaic Clubhouse 
• Paul Davies, Clubhouse member and service user.

• Hear how Bradford Teaching Hospitals NHS Foundation Trust along with NHS Bradford City and NHS Bradford Districts Clinical Commissioning Groups and Bradford Council’s Adult Services have worked together to develop a way for GPs, staff in the community and other health and social care professionals to refer people from the Bradford district into intermediate care that supports people to stay in their own homes, rather than being admitted to hospital.

Speakers include:

• Dr Maj Pushpangadan, Lead Consultant Geriatrician and Director of Elderly Care, Bradford Teaching Hospitals NHS Trust
• Dr Alison McMurtry, Consultant Geriatrician, Bradford Teaching Hospitals NHS Trust.

• Hear how the hospital and community services in Torbay have created a model to enhance the care for heart failure patients, using specialist heart failure nurses. 

• Hear about case studies and models of care focused on providing See & Treat care, being able to make direct referrals to community services, and working in multidisciplinary teams – all with an emphasis on keeping people out of hospital.  

• Hear about the Compassionate Communities project, which aims to involve communities in supporting people who are dying, and their carers; redress the balance of care from professionals; and re-ignite a culture where communities support people through dying and loss.

• Hear how Buckinghamshire is focusing on building its integrated community teams, community hubs and GP clusters and piloting new ways of joining up health and social care closer to home, as it develops its accountable care system.

Speakers include:

• Lou Patten, Chief Officer Aylesbury and Chiltern CCGs and Lead, Buckinghamshire Accountable Care System 
• Carolyn Morrice, Chief Nurse, Buckinghamshire Healthcare NHS Trust.