Minutes:
The Board received a report of the Strategic Director, Communities, which set out the local progress in implementing two service developments within the 5BoroughsPartnership NHS Foundation Trust: the Later Life and Memory Service (LLAMS) and the Acute Care Pathway (ACP).
The Board was advised that proposals for a new
approach to delivering services for people with memory loss, and for adults
with mental illnesses, had been presented in detail to the Board in January
2012. The Acute Care Pathway had been developed specifically for people with
significant mental illnesses, and arose because of concerns expressed by
patients and carers that transfers of care between the
complex range of community services, and by GPs who were concerned about the
pathways between their service and the hospital.
The Board was further advised that as a result
of these concerns, the 5Boroughs had taken the opportunity to fully review,
with their partners, the structure and type of service they delivered, with the
ACP as the final outcome.
It was reported that the changes required to
implement the Acute Care Pathway were now in place. New teams had been set up
and all necessary procedures within the 5Boroughs had been developed. It was highlighted that it was too early to
see the full results of the service redesign. Initial analysis had suggested
that there was less use of inpatient beds, as more people were being supported
in the community. The implications for the Council were also similarly unclear
at this stage; if more people were being treated in the community, there was a
potential increase in demand for the kinds of community-based services that the
Council either provided or commissioned, with a risk of additional costs to the
Authority as a result. This was being monitored both through the local Steering
Group and the Mental Health Strategic Partnership Board.
The Board also received a presentation on the
mental health services in Halton; Later Life and
Memory Services (LLAMS) and Adult Acute Services, from Mr Julian Eyre and Mr John Heritage.
The following comments arose from the
presentation:-
·
Clarity was sought on how people were supported
in the community and what treatment they would receive and who would provide
it. In response, it was reported that the
memory service would be the first point of call. The services and interventions ranged from a
cognitive stimulation service, carers support and signposting in order to help
individuals retain their independence.
When an individual deteriorated further, the community health team would
give support and prescribe appropriate drugs;
·
It was noted that care in the community had a
financial impact on the Council and clarity was sought on how this would be
managed if the cost continued to rise with the current budgetary cuts. In response, it was reported that a broader
strategic approach would be taken which would not result in having an adverse
impact on Council services;
·
It was noted that the response time to people
being assessed was; emergencies within 24 hours, an urgent referral 72 hours
and a referral 10 days. A speed care
package was also implemented;
·
It was noted that the hours an individual
received and what was provided in respect of home treatment depended on the individuals needs.
This could range from 20 minutes a day to several visits a day with
varying hours provided;
·
Clarity was sought on who was responsible for
the care package on discharge as it was not always available. In response, it was reported that daily
meetings took place on the wards and the delays in discharge care packages were
reported to the Council.
·
The Members requested that further update
reports be presented to the Board.
RESOLVED: That
(1)
the report, presentation and comments raised be
noted; and
(2)
Mr Eyre and Mr Heritage be
thanked for their informative presentation.
Supporting documents: