keiro: a success story. keiro: a success story… alistair mcdonald business relationships director,...
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Keiro:A Success Story
Keiro:A Success Story…
Alistair McDonald
Business relationships Director, Keiro
Keiro:A Success Story
About Keiro The Gateway
The future and AHSN
Keiro:A Success Story
Who are Keiro?
Keiro ‘s current services
What do we do?
“An opportunity for people to
Regain and Retain Independence”
A social context for rehabilitation
Our Core values
Trust, Impacts, Collaboration,
Passion, Innovation
Keiro:A Success Story
The Keiro Team Specialist Nurses Medical Consultants Personal Assistants Physiotherapists
Clinical Neuropsychologists
Occupational Therapists Speech and Language
Therapists Therapy Assistants Holistic & Beauty
Therapist Activities Coordinator's
Holistic Care Coordinators
Housekeepers & MaintenanceKeiro:
A Success Story
Why change?
Keiro:A Success Story
Keiro:A Success Story
Internal drivers for change…
Learning Curve
Client experience and feedback
Overcoming site limitations
Overcoming identified blocks in the pathway
Outcomes & impacts
Neuro Numbers: National Estimates
External drivers for change
Approximately 10 million people across the UK have a long term neurological condition
They account for 20% of all acute hospital admissions
350,000 people estimated to need help with the activities of daily living because of a neurological condition
850,000 people care for someone with a neurological condition
10% of visits to A&E Departments, and 19% of hospital admissions are for neurological issues. 17% of GP consultations are for neurological symptoms
Keiro:A Success Story
• Clinical Commissioning
Groups
• Public health services to
public health England
(with directors of public
health located in local
authorities)
• QIPP agenda
• Acute hospital healthcare
to NHS foundation trusts
• The personalisation
agenda
• The impact of the current
economic crisis
A period of ChangeExternal
drivers for change
Keiro:A Success Story
PATHWAYS FOLLOWING DISCHARGE?
BOTTLENECKS
COST OF LONG TERM
CARE
LACK OF APPROPRIATE
HOUSING
AWARENESS OF THE
POTENTIAL FOR BETTER OUTCOMES/
SAVINGS
EDUCATION
VOCATIONAL OPPORTUNITIE
SINFORMATION
Removing blocks on the road to independence
Keiro:A Success Story
Real partnerships matter
The Big Win-Win• Better outcomes, more aligned to personal life goals
for clients and families
• Lower cost packages of care/support that genuinely meet client outcomes
• Less funding required in the long term and less requirement for accessing primary care services
• Fewer admissions to hospital
A joined-up pathway
Personalisation of services
Early intervention to
prevent deterioration in
long term conditions
Reducing unnecessary
acute admissions and readmissions
Joint-working
Reducing long term costs
through Quality,
Innovation, Productivity
and Prevention
No single organisation can
achieve this, transformation
can only happen with genuine
partnerships and co-production,
Keiro:A Success Story
The GatewayKeiro:A Success Story
North of region specialised commissioners (NORSCORE)In 2009 NORSCORE issued a tender for the provision of complex specialised neuro and spinal rehabilitation services to be provided from a number of potential services across the north east strategic health authority region.
Why Teesside?
North East Neuro Science NetworkReport from internal Network Lead: Summary Neuro Rehabilitation Review
• 30% less time is spent in services with access to
rehabilitation in the North of Region
• Patients admitted to James Cook hospital with an acquired brain injury have no or very little neuro support in the community after discharge.
• There is little access to vocational rehabilitation on Teesside
• Appropriate environment: Whilst the configuration of a service that replicates Walkergate Park will not be necessarily appropriate, facilities that promote a positive psychological response are desirable and part of the rehabilitative process e.g. Walkergate Park, North of England Traumatic spinal injury centre, Chase Park/Health Club.
North East Public Health Observatory (NEPHO)Health Needs Assessment for Long Term Neurological Conditions in North East England
Keiro:A Success Story
Regional Rankings for Inpatient and Day CaseElective Admissions (2009/10)
1. Hartlepool2. Middlesbrough
3. Stockton on Tees4. Redcar
5. County Durham 6. Newcastle
7. North Tyneside8. Sunderland 9. Darlington
10. Northumberland11. South Tyneside
12. Gateshead
Tees Need/Demand
Teesside has the highest prevalence per 100k
population for acquired brain injury, compared with
regional and national levels
314 per 100k – Tees179 per 100k -
Nationally
The Impact of Neurological Conditions: In Teesside
Keiro:A Success Story
Why Middlesbroug
h?
Keiro:A Success Story
Why Middlesbrough?
James Cook University HospitalJames Cook University Hospital is a designated as a
National Trauma Centre. The Gateway is purposefully located within ½ a mile of
James Cook University Hospital
Ray Mallon (elected Mayor of Middlesbrough) visited Keiro’s existing rehabilitation facility ‘Chase Park Rehabilitation Centre’ in 2009 and has been a strong advocate for the development of the Gateway ever since.
Keiro:A Success Story
The Gateway: Project Timeline
The Gateway: Public Consultation Event Middlesbrough College
' 08
Apr2008
NovJun2009
Jan2010
AugMar2011
OctMay2012
DecJul2013
' 14
Gateway Opened6/1/14
Gateway Build is CompletedDec 2013
TVDNY – Conference 8/3/13
Multi Stakeholder Conference 1/2/13
Multi Stakeholder Commissioning Event 2/11/11
Middlesbrough Health & Scrutiny Panel - Oct and Nov 2011
1/10/11
TVDNY Appreciative Enquiry Workshop 1/6/11
Multi Stakeholder Project Development Team established June 2010
1/6/10
Multi Stakeholder Scoping Event 1/3/10
Meet Chris Smith (MD Erimus) 1/2/10
Initial Council Project Development Team established 1/6/09
Meet Ray Mallon (Mayor of Middlesbrough) 1/1/09
Meet Glenys Marriott (Chair South Tees NHS Trust) 1/4/08
2/11/12 - 14/11/12
Keiro:A Success Story
SUPPORT NETWORKS
Social Groups
Events
SELF MANAGEMENT
Long Term Conditions
Expert Patient Programmes
KNOWLEDGE CENTRE
Advice
Signposting
Accessing Information
EDUCATI0NAL AND
VOCATIONAL
Partnerships with
Colleges and Universities
Vocational Rehabilitatio
n Opportunitie
s
ADVOCACY
Supporting Clients
Supporting Families
3RD SECTOR PARTNERSHIPS
Working with Partners on
Site
Working with Community
Groups
HEALTH PROMOTION
Outstanding Accessible,
Exercise and Facilities
Alternative and Holistic Therapies
Community Wellbeing Hub
Keiro:A Success Story
• A pathway towards independence
• Reducing delayed discharge from acute services
• Early intervention and on-going rehabilitation
• ‘Step up’ services to reduce unnecessary acute admissions and readmissions
• Joint-working between Health, Social Care, Education, The Third Sector/Social Enterprise & Independent Specialists Services
• Step forward housing
• Reducing long term costs through Quality, Innovation, Productivity and Prevention
Partnership efficiencies
Joining the dot’s
Keiro:A Success Story
AHSN: How have Keiro benefitted?
Input:
• We are looking to start develop transitional housing in
Gateshead the AHSN carried out a piece of research to
support this
• Working with local CCG’s to understand the benefits of
working with us at Chase Park Neuro Centre
• Networks: Helping us get in front of the right people to
support The Gateway. Very important for a small
organisation!
• Ongoing advice, support, research and partnership
working
Keiro:A Success Story
The GatewayRegaining and
Retaining Independence
SummaryKeiro have an ambitious plan to grow.
The AHSN will be a key partner in supporting us
to:
• Expand the organisation
• Improve health outcomes
• Generate wealth
• Create new jobs
Keiro:A Success Story