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Integrated Intermediate Care - improving the service for patients in Winchester

Integrated Intermediate Care - improving the service for patients in Winchester

IIC RPIW group Dec 2018.jpg

To support improved flow from the acute care system in Winchester, through alignment of integrated intermediate care practice, focusing on; home first principles, proportionate assessment of needs, strength based approaches to support and shared competency of staff to deliver the above.

"Working to support improved flow from the acute care system in Winchester, through alignment of integrated intermediate care practice, focusing on; home first principles, proportionate assessment of needs, strength based approaches to support and shared competency of staff to deliver the above."

This group was a new mix for quality improvement at Southern Health, because it involved colleagues from Hampshire County Council. The service is one that is delivered in partnership between our two organisations, so the work to transform it should do the same!

The group wanted to identify differences in the approach to the triage, assessment and review of people who require support to leave an acute care setting, and see what impact this could be having. By monitoring and collecting reams of data measuring length of stay, the process of discharge, reporting, engagement with staff and patients and their experiences, the group were able to see their opportunities for improvement and make a plan for the future.

The analysis of all data showed that over the half the time staff were spending could be classified as waste; for example in waiting for things to happen or for someone else to complete their part of a process, repeating processes, travelling times, or producing more of something that is actually required. This represented a great opportunity for change!

The team are now working through a list of actions that will create greater consistency of referrals, assessments, processes and improved communications between teams, as well as addressing challenges with technology and governance.
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