transforming community services 2011: challenges and winners

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TCS Leadership Challenges 2011 National Report of the TCS Award Winners

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Page 1: Transforming Community Services 2011: Challenges and Winners

1

TCS Leadership Challenges 201

National Report of the TCS Award Winners

Page 2: Transforming Community Services 2011: Challenges and Winners

South East Coast 14th February 2011

MEND (Mind, Exercise, Nutrition … Do children who are overweight or obese inHowever, it is clear from the data produc success only. These children are generally in the morbunderlying their weight. The “Teen Success” service will meet thprogramme for obese 11-17 year olds.

Contact: Beverley.Falconbridge@eas

Team Name Service ImprovemOne Call, One Team Community management of

West Kent Community Health Team

Developing wound care servSapphire Neurological Rehapatients in permanent/persis

East Surrey Health Failure Team

One Stop Heart Failure Clini

Team Trinity Self administration of Injectio

PRISM (Predictive, Redesign, Integrated, Service Model)

Complex care pathway, Mulof access

Health aging and Reablement Service

Occupational Therapy-'HealService

Guildford and Waverley Stroke Services Team

Implementation of a comprepathway

Rehabilitation Solutions Team

24 hr Integrated managemeIssues

NHS Brighton & Hove inhaler technique Team

Improvement of the quality oteaching and checking of inh

East Sussex Community Health Services (ESCHS)

Community IV cellulitis treat

The service improvement idea is to develop a high quality multi-disciplinary specialist weight management service for adolescents and their families in east Kent. The 2008 Foresight Report Tackling Obesity: Future Choices estimates that by 2050 more than 60% of adult males; 50% of adult females and 25% of children will be clinically obese. The most recent National childhood Measurement Programme (NCMP) data for east Kent (2009/10) showed that obesity rates range between 16% to 20% in year 6 pupils.

Winner: Teen Success it) is a national programme that has been developed to tackle the 7-13 year age group. ed by MEND that there is a cohort of children who achieve limited

idly obese category with co-morbidities and more complex issues

is need by providing a holistic multi disciplinary treatment

tcoastalkent.nhs.uk

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Runners Up Idea Team eduled care Sussex Community NHS Trust, Western Hospitals NHS Trust

and SEC Ambulance Trust

ithin East Kent , on Unit - Introduction of egative state

West Kent Community Health service.

e Community Surrey Community Health, NHS Surrey and ESyDoc.

Eastern and Coastal Kent Community Health NHS Trust

cy panel, single point Surrey Community Health, Thames Medical.

eing and Reablement Central Surrey Health , Medwyn Surgery Dorking

e stroke review Surrey Community Health, Royal Surrey County Hospital NHS Foundation Trust, Stroke Association (Surrey Adult Social Care)

eople with mobility Sussex Community NHS Trust and Brighton & Hove City Council

nt care through routine chnique

NHS Brighton & Hove, Brighton & Hove City Council, Sussex Community Trust, Ross Pharmacy, Brighton, NHS Brighton & Hove and Portslade County Clinic, Portslade, Brighton & Sussex University Hospitals Trust

athway Bird In Eye Surgery, ESDW PCT, ESCHS,

Page 2 of 11

Page 3: Transforming Community Services 2011: Challenges and Winners

East Midlands 18th February 2011

RTeam Name Service Impr

DIVAS (Dales IV Access Service) IV therapy Access

Millennium Healthy Airways Improvement in the

Admission Avoidance Team Responding to and radmission avoidanc

Inclusive Change IAPT (improving acctherapies), LCPT intimprovement for cliedisorders who use s

The productive change maker Integration of Health

Integrated Long Term Conditions Solutions.

Heart Failure and Ccommissioners desk

Bassetlaw Infant feeding in focus

(BIFF)

Breast Feeding

Leicester, Leicestershire and Rutland Community Children's Services behaviour pathway for children 0-14 years of age

Children's Behaviou

Innovation in Memory Services Memory Services

Diabetic Education Team TIME (type 2 insulin

Cost and Quality BenIV services are currenindicate that the servicquality as indicated by The service will be dev have been realised it iforward.

Contact: joanne.wrig

unners Up ovement Idea Team

Derbyshire Community Health Services

management of COPD NHS Leicester City

edesigning services for e

Lincolnshire Community Health Services and Wellcom Consortia

ess to psychological egration, and service nts with psychological ubstances.

Leicester Partnership Trust

and Social Care Nottingham NHS CitiHealth and NHS Nottingham City

OPD clinical outcomes on tops

Nottingham West Consortium, Nottingham University NHS Trust, Saxon Cross Surgery and Church Walk Surgery

Bassetlaw Community Health, Children's Centres and Hospital and North Nottingham College.

r Pathway Leicester County and Rutland Community Health Services, Leicester Partnership Trust and Leicester Community Child Health Services.

Leicester partnership Trust, Leicester city council.

management education) Derbyshire Community Health Services, NHS Derbyshire

Winner: Socius, Lincolnshire Community Health

efits tly provided by the local acute Trust and by a private provider. Initial costings e can be provided within the community at significantly less cost, and with improved patient experience feedback.

eloped in close collaboration with GP consortia. Once the benefits of the project wills hoped that the newly formed GP consortia will commission this service going

[email protected]

Page 3 of

The service improvement idea is to develop an elite team who will provide targeted, effective delivery of intra-venous therapies to individuals within a community setting: this will include patient homes, nursing homes and alternative suitable community settings, also introducing theuse of mid lines for patients with long-term conditions.

This is a growing area of need, as there are approximately 59,905 adults in Lincolnshire with a long-term condition. This figure is predicted to rise to 79,968 by 2020.

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County, Derby City PCT.

Page 4: Transforming Community Services 2011: Challenges and Winners

North West 28th February 2011

Team NamEnhanced IntermCare

Proactive care te

Corner Stone

Trafford's Lovely

Oldham LeadersTeam

Totally Connecte

Community servDiabetes

Viable Velocity

Stockport DemeImprovement Gr

TABA commissioConsortium

Bolton Respirato

The Captains Ini

The servivulnerabl & E and tvulnerabl

Cost andbenefits rmore stab their achi

Contact:

The service improvement is to teach patients who are homeless and vulnerable how to self-manage their alcohol misuse. The improvement was developed because there was found to be a need within the local economy with community caseload figures reaching 40% (as compared to national figures of approximately 24%). Patients continually ask for help, but given their chaotic lifestyles are unable to access current services.

Winner: WHIPS Wellspring Health Improvement Programme Service ce is delivered from “The Wellspring”, a voluntary organisation that supports the homeless and e of Stockport. The Wellspring, Stockport Homes, the Community Drug/Alcohol Outreach worker, Ahe PCT will work together to provide a collaborative approach to addressing the needs of this e client group.

Quality Benefits: Addressing this problem has the potential to save £650,000 per year as well as ealised from avoided admissions and self-management. Success will mean that patients will have a le life, the ability to maintain housing, the ability to get back into work and the ability to feel proud of

evement.

[email protected]

Runners Up e Service Improvement Idea Team ediate Delivery of mental health in an intermediate care

environment Northgate Village Surgery, Cheshire and Wirral Partnership NHS FT, Community care Western Cheshire, Cheshire West and Chester.

am Proactive care LCH, PSS, Liverpool Social Services, LPCT.

Mobile health and well being unit Cornerstone Practice, Street Pastors, BwDt pct

Bones To improve access for patients following a first fragility fracture

Trafford provider Services, Trafford Healthcare NHS Trust, Women’s Royal Voluntary Service

hip Admission avoidance for palliative Care patients NHS Oldham, Oldham Borough Council, Pennine Care, North West Ambulance Service.

d Care pathway for adults with acquired brain injury (ABI) and mental health needs

Warrington PCT, 5 boroughs Partnership NHS Trust.

ices bury Prevention and healing of heel ulcers in the high risk patient

Community Services Bury.

Working Well Scheme Salford Community Health.

ntia oup

Reducing Antipsychotic Medication for People with Dementia in Stockport.

Pennine Care NHS Trust - CMHT, Park View Group Practice, Stockport, Stockport PCT, Alzheimer's Society

ning Preventing admission for patients in nursing homes

TABA Comissioning Consortium, Ashton Leigh & Wigan.

ry Team Early community palliation for advanced lung disease

Royal Bolton NHS Foundation Trust, Bolton PCT

tiatives Rest of Life Care for patients in Care Homes. Central and Eastern Cheshire Community Health GP Nursing Home Scheme, Cumberland House Surgery, Weston Park Care Home.

Page 4 of 11

Page 5: Transforming Community Services 2011: Challenges and Winners

Yorkshire and Humber 1st March 2011

Team Name Service ImprovemenHull Health Collaborative Team

School and community basedisciplinary lifestyle clinics fopeople in areas of deprivatio

North Doncaster Partnership for Change Team

North Doncaster early interventiocollaboration

Ripon and Rural Community Triage Team

Triage Team

Connecting Calderdale Team

Case management plus

Improving Health Team Supporting health & wellbeing fomental health issues

No Place Like Home Team Management of frequent callers reduction of acute admissions toGP and OOH Services

Sleep North Yorkshire Team

Sleep North Yorkshire

Communication Partners Improving communication accespatients

EPAS Orienteers EPAS orienteers

Sheffield PCT - Provider Services

Personal Health Facilitator: Shoeservice

East Riding Life is for Living Team

Life is for Living

North of North Yorkshire Improving primary and communicare

Cost andsuggest t Sheffield,majority o It was evmanagemestimatedwould sa

Runners Up t Idea Team

d multi-r young n.

Haxby Group, St Michael's Youth Project Hull, Haxby Group Pharmacy, Cornerhouse Yorkshire, Hull Youth Council, CHCP

n Doncaster community Healthcare, Doncaster Metropolitan Borough council., Action for Children, Doncaster PCT

NYYPCT, Harrogate District Foundation Trust, North Yorkshire and York PCT, North Yorkshire Social Services, Park street surgery Ripon, Ripon CVS.

NHS Calderdale, Calderdale Metropolitan Borough Council, Calderdale & Huddersfield Foundation Trust, Station Road Surgery

r people with NHS Calderdale, SWYPFT, Calderdale Council

and hospital,

Kirklees CHS, Mount Pleasant medical centre, Dewsbury District Hospital, Yorkshire Ambulance service

Children & Young Peoples Specialist Nursing Team Harrogate/Craven, Children’s Health Team ( Learning Disabilities) Scarborough, Child Development Centre, Harrogate District Foundation Trust,, North Yorks County Council, Scarborough and North East Yorks Acute Trust,

s for stroke Rotherham Foundation Trust, Rotherham Community Health Services,

Tees, Esk & Wear Valleys NHS Foundation Trust, North Yorkshire County Council Integrated Mental Health Services, Filey GP Practice, Alzheimer’s Society, Teesside University

fitter Sheffield PCT Provider Services

NHS East Riding of Yorkshire, East Riding of Yorkshire Council,, Holderness GP Consortia, Beverley & Driffield GP Consortia,

ty dementia NYY Community Mental Health Services, North Yorkshire County Council,

Page

Health trainers and health champions, who are already successfully working alongside patients with other long-term conditions suchas diabetes and heart disease, will be trained to support patients with chronic pain in community settings. They will facilitate self-management of chronic pain through appropriate education and advice in the formof 1:1 support as well as sign posting to other community and NHS resources.

Winner: Nerves of Steel - Community Pain Management Initiative Quality Benefits: It is estimated that 1 in 7 people live with chronic pain in the UK. Studies hat 5-7 % of the population have ‘significant pain requiring regular medical input or advice’. Within pain management provision is mainly hospital-based. This is expensive and ignores the vast f pain management, which occurs in the community or primary care settings.

ident to our MDT that precious NHS resources could be better targeted at facilitating patient self-ent within the community and provide a better quality of care and patient experience. It is that re-allocation of resources from secondary care to community and primary care settings

ve NHS Sheffield £500 000 a year. Contact: [email protected]

5 of 11

South Tees Hospital Trust,,

Page 6: Transforming Community Services 2011: Challenges and Winners

East of England 4th March 2011

Team Name Service ImprovemenBedfordshire Baby Brasseries

Improving information and care fobreastfeeding mothers in Bedford

Bedfordshire LTC Telehealth Team

Telehealth

Total Care Team Plus Total care and mental health

Journey's end (NHS Suffolk & Marie Curie)

Palliative Care Co-ordination

Hunts RISC Risk Stratification

Right Care, Right People, Right Time

improving quality of care in care h

WE (West Essex) Care West Essex Carer Initiative

WE Essex DET (Diabetes Empowerment Team)

A review of the service to people diabetes who are unable to adminown insulin.

Hertfordshire Neurological Service

One stop clinic for patients with NCondtions

Stalham Staithe Stalham’s Big Society – supportinand places

This is about me Team Personal health plans for people Term Neurological conditions

ICE (Integrated care of the Elderly) Team

Improving liaison between primarsecondary care

People with rapidly proserved by the usual locrelatively short time frocoordination between n and other community sare in full control of de

Cost and Quality Benthrough the decrease ito die at home rather th expanding the service

Runners Up

t Idea Team r shire

BCHS, Bedford Borough Council, Ivel Valley GP consortium, NHS Bedfordshire, Sure Start CC Cauldwell, Bedford, Bedford Hospital

Sandy Health Centre and Ivel valley Commissioning Group, Bedfordshire community health services, East ambulance trust , NHS Bedfordshire, bedfordshire links

Ipscom, Suffolk Community Healthcare, ACS, Suffolk, Suffolk Mental Health Partnership

Woolpit Health Centre, Suffolk community healthcare services, St Elizabeth Hospice, ASC, Allied Healthcare Group, NHSS, Suffolk Family Carers

Hunts Health, Ramsey Health Centre, CCS

omes NHS Bedfordshire, BEDOC, GP practice

West Essex Community Health Services, Social Care, General Practice, East of England Ambulance Service

with ister their

West Essex Community Health Services, Lister Medical Centre, Palmerstone Homecare

eurological Herts Community NHS Trust, Parkinson's UK, Buntingford Medical Centre

g people Staithe Surgery, Voluntary Norfolk, Norfolk Community Health and Care, NHS Norfolk

with Long Herts Community Healthcare Trust, VOwNET (voluntary organisations working with Neurological conditions), Hertfordshire Neurology Service

y and Cambridgeshire Community Services (CCS), Cambridgeshire and

Page 6

The improvement idea ”My Needs Now” is to add a Specialist Neurological Coordinator to the already formed Hertfordshire Community NHS Trust services who care for this group of patients, alongside our voluntary sector and other partners. This will ensure timely planning and intervention is delivered.

Over the next year this scheme will ensure people with these conditions feel confident that they know who can help and will be able to make better informed choices about living with the disease. Theywill be able to access support when they need it,

Winner: My Needs Now, Hertfordshire Community NHS Trust

gressive neurological condtions have different needs from the patients who can be al neurological or palliative care pathway. The conditions are rare and complex, with a m diagnosis to death, when compared to other neurological conditions. Early eurological services , palliative care services, voluntary sector , GPs, adult care serviceservices can ensure that patients are prepared for the fast changes in their condition and cisions about their treatment and care options

efits: “My Needs Now” will also support the local Health Economy in delivering savings n emergency hospital admissions expected from this improvement idea, enabling people an in hospital. We would expect at the end of the year one to also evidence the value of

to a wider group of neurological patients. Contact: [email protected]

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Peterborough Mental Health Trust, Cambridge University Hospitals NHS Foundation Trust, Addenbrookes Hospital, Firs House Surgery

Page 7: Transforming Community Services 2011: Challenges and Winners

North East 8th March 2011

Team Name Service Impro

Newcastle diabetes team Supporting peoplerequiring insulin tillness

County Durham & Darlington Community Services Team

Review of surgical e

South of Tyne & Wear Community Services Team

Total patient involve

Mobile Workers Team Maximising the bene

Aspire Team Hospital at home,shpain management

Derwentside Paediatric Team Reductions in short admissions.

Specialist Palliative Care Team Dales Community d

This service improvement wsupported discharge schem current Community Rehabil established CRS with additiacute setting back into the pnecessary ongoing home ca Cost and Quality Benefitsproviding this service. We edischarge policy this serviceContact: Louise.Lewis@n

Runners Up vement Idea Team

with diabetes herapy with a terminal

Newcastle PCT, Newcastle Nutrition, Savill Medical Group

mergencies CDDFT, CDDCHS

ment at the end of life, NHS SoTW Community Health services, Glen Medical Practice South Tyneside, South Tyneside Foundation Trust,

fits of tough books North Tees and Hartlepool Foundation Trust, Queens Park Medical Centre

ort-stay assessment units, CDDCHS, CDDFT

stay paediatric NHS County Durham and Darlington

iabetes service Durham Dales GP Led Commissioning Cluster,

Page 7 of 1

The service improvement idea will enhance the patient pathway experiencefollowing fractured neck of femur, by supporting early discharge.

Winner: HIP Northumbria Team ill develop and evaluate the effectiveness and acceptability of an early e for patients with a hip fracture. This service will act as a ‘bolt on' to theitation Service (CRS) in South East Northumberland. Expanding the wellonal therapy and support staff will facilitate timely transfers from the atient's own environment with seamless rehabilitation and, where re.

: there are significant benefits both in terms of cost and quality in xpect efficiency savings in year one and in line with the post 30 day will be developed in line with the NE reablement agenda. orthumberlandcaretrust.nhs.uk

NHS County Durham and Darlington NHS Foundation Trust, NHS County Durham, Station View Medical Practice, Barnard Castle Surgery, Willington Practice

1

Page 8: Transforming Community Services 2011: Challenges and Winners

South West 11th March 2011

Team Name Service ImprovemNorth Somerset PUPAS Team Pressure ulcer prevention and a

(PUPAS)

Bridgwater Enhancers Team GP Enhanced Care Hub (ECH)

All Change at Swindon Team Shifting the setting of care for spfrom acute to the community

BANES Community Neurology & Stroke Team

Proposed merger of the NeuroloCommunity Stroke Services with

The Brainwaves Team A personalised care plan for peoconditions.

Frome Valley Community Team

Developing a system to help freqresources appropriately

Gloucestershire Podiatry & Friends Team

Lower limb screening and triageArterial Disease (PAD), includingClaudication Clinic.

Integrated Care Pathway Team Integrated Care Pathway Team

Safe Prescribing Transfer Team

Improving medicines managemeinterface of discharges and trans

At prescommu an integapprop

Cost anserviceand sel

Contac

Epilepsy is the most common neurological condition in Torbay, Devon. The service improvement idea is to develop an epilepsy care pathway for use by primary, community, acute and social care teams based on national guidelines and involving all both patients and partners in the planning.

Runners Up

ent Idea Team ssessment Service North Somerset Community Services

Bridgwater Federation of General Practices, Somerset Community Health, Registered Care Providers Association, Eddington Surgery

ecific IV and venesection NHS Swindon, Old Town Surgery, Care & Support Swindon

gical Rehabilitation and in NHS Banes;

NHS Banes

ple with long-term Bristol Community Health, Pembroke Road Surgery, Clifton, Bristol City Council

uent attenders use health Frome Valley Medical Centre, Avon and Wilts Mental Health Partnership, South Glos PCT,

service for Peripheral an Intermittent

Gloucestershire Care Services, NHS Gloucestershire

Headway Dorset, Dorset Health Care NHS Trust, Spinal Injury Department at Salisbury Hospital, Poole Social Services Commissioning, Providence Practice Bournemouth

nt services across the Chilcote Medical Practice, Torbay Care Trust, Old Mill

Winner: South Devon Epilepsy Group - Epilepsy Care Pathway Project ent in South Devon services for people with epilepsy are provided by three neurologists, one nity epilepsy specialist nurse and two community learning disabilities teams. It is proposed to developrated pathway to ensure all patients with epilepsy have a care plan, access to local services and

riate support. This will include education and training to family members, carers and the profession.

d Quality Benefits: patient experience will be enhanced with access to supportive information and s. It is expected that emergency admissions for this group of patients will decrease given the support f-management provided.

t: [email protected]

fers of care Surgery, Sarsons Pharmacy, Brixham

Page 8 of 11

Page 9: Transforming Community Services 2011: Challenges and Winners

West Midlands 15th March 2011

HYPE aims to improve and strengthen existing care pathways into a integrated youth model with one focal point of access. Clear referral criteria will be developed that will be inclusive and transparent and young peoples service’s 14-25yrs will be delivered by strengthening existing youth networks, developing new pathways and models of early intervention, prevention and recovery (early intervention is a cost effective evidence based model averting long term mental illness).

The impact of untreaservices in Solihull swith significant failure Cost and Quality Beappropriate support aimpact on unnecessa

Team Name Coventry Taking Health to thCommunity Team

Team Cure

Birmingham Community Healthcare

One Direction Team

Vitality Partnership

The Difference that makes TDifference Team

Fortune Favours The Bold Team

Birmingham Team for Parenwith a Learning Disability

Sandwell Mental Health Tea

The ADEPT (Affordable Delivery of Patient -centred Treatment) team

Renaissance Team

Black Country LD Consortium

Winner: HYPE Team (Helping Young People Early) ted mental health problems can have a devastating effect on young people. Current et a transition boundary for CAMHS up to the age 17 with a transition to AMHS marked ’s to engage young people or provide appropriate access and intervention.

nefits young peoples experience will be greatly enhanced ensuring that they receive the nd treatment. Mental health and quality of life will be significantly increased which will ry admissions or “lost in system impacts”. Contact: [email protected]

Page 9 of 11

Runners Up

Service Improvement Idea Team e Maximising the effectiveness of a mobile unit

to take healthy lifestyles advice, health promotion, and screening closer to home

Coventry Community Health Services, Grapevine (Coventry and Warwickshire), H team Grapevine (Coventry and Warwickshire) Ltd

Children's urgent care review Royal Wolverhampton Hospitals NHS Trust, Wolverhampton City PCT – Provider, Wolverhampton City PCT - Primary Care, Wolverhampton City Council

Musculoskeletal service redesign Birmingham Community Healthcare NHS Trust (BCHC), Heart of England Foundation Trust, Swanswell Medical Centre, Acocks Green.

One Integrated Patient Flow Team Royal Wolverhampton NHS Hospitals Trust , Wolverhampton City PCT – Provider, Wolverhampton City Council.

Vitality Community Leg Service Vitality Partnership, Heart of Birmingham PCT, Age Concern, Birmingham Community Healthcare NHS Trust, Handsworth Wood Medical Centre, Wards Chemist , Laurie Pike Health Centre & Community GPSI Dermatology Service, Primary Care & Community Services Directorate.

he Integrated intermediate care proposal to increase choice and opportunity for those with Dementia.

NHS Worcestershire Provider Arm, NHS Worcestershire, Worcestershire mental health partnership trust,

Implementation of a citywide single point of access and referral management system for Community adult

Birmingham Community Healthcare NHS Trust, GP Icos steering committee, Birmingham City Council

ts A screening tool for parents with Learning Disabilities in Birmingham.

Birmingham Community Health Care, Advocacy Matters

m Back where we belong Sandwell Mental Health and Social Care NHS Foundation Trust

Essential competencies for clinical staff in primary care

Shropshire County PCT

Food for Life North Staffs Community Healthcare, Scope UK

The Development of a community forensic service for people with Learning Disabilities across the Blackcountry

Dudley Community Services, Wolverhampton PCT, Walsall Community Health, Heart of Birmingham tPCT/ University of Birmingham, Sandwell Mental Health and Social Care NHS Foundation Trust, Integra Care (Private sector Organisation)

Page 10: Transforming Community Services 2011: Challenges and Winners

London 18th March 11

Team Name Service Improve

Community Health Newham: Expert Patient Project Team

Newham Extended Prima

Greenwich Long Term Conditions Health-Nav.co.uk - a comwebsite for people with locarers

Redbridge partnership with young adults and their families

Life skills for life

Work it Out Team Multi-professional vocatiowith long term neurologica

Brent LTC Team Patient Held Records for mCase Management of pat

Bromley Healthcare Care Passports for Broml

The Federation Integrative Orthopaedic S

Camden Provider Services and partners

SKYPE Clinic: Developmehousebound patients livin

Havering Rheumatology Innovation Team

One Stop Community Rhe

Tower Hamlets Multidisciplinary Team

Patient Education Program

AT Rejeuv

Winner: Tackling Talking Together (Multi-disciplinary Family orientated language project) There is currently a 40% DNA rate at child language groups in Hammersmith and Fulham (White City). Children’s behavioural and language problems are unable to be addressed, resulting in potential future impacts on health, education, work and crime. Parents have cited childcare issues and behaviour management problems as the biggest obstacle preventing them from attending. Cost and Quality Benefits: This proposal aligns with the QIPP agenda reducing DNA rates, promoting better compliance and increased productivity. It also significantly increases the quality of care provided to children and their families by providing them with self-management strategies, which will enable improvements in both health and behaviour. Contact: [email protected] or [email protected]

Tackling Talking Together aims to provide intensive, planned, intervention therapy to 32 children (3-5years) and their families in a central, accessible location close to their home environment.

Runners Up ment Idea Team

ry Care Scheme Newham Health Partnership (NHP) Pathfinder Consortium, Community Health Newham, East London NHS Foundation Trust

prehensive interactive ng term conditions and their

Conway rd, surgery, Thamesmead Medical Associates, Greenwich Community Health Services,

NHS Redbridge / Redbridge Children's Trust, London Borough of Redbridge, Interface(Aiming High for Disabled children)

nal support service for clients l conditions

Royal Free Hospital trust

ultidisciplinary/ integrated ients with LTCs

Brent Community Service

ey PACE patients Bromley PCT, London Borough of Bromley Council, BHC, British Red Cross

ervice Merton Healthcare Ltd, London Borough of Merton/St Georges Hospital Elective Orthopaedic Centre

nt of a new clinic aimed at g with complex health care

Camden Provider Services, Royal Free Hospital,

umatology Service Harold Hill Health Centre, Queens Hospital, BHRUT

me. Tower Hamlets Community Health Trust, NHS Tower Hamlets, Barts and The London NHS Trust

AT Medics, The Young Foundation

Page 10 of 11

Page 11: Transforming Community Services 2011: Challenges and Winners

South Central 21st March 2011

Team Name Service ImprPortsdown Group Practice

People with a learning disability are ato mainstream activities include unsaopportunities. Our service improveme education and support to explore rela“owned” and run by its members, coo

Cost and Quality Benefits: People wsupportive full and active social life. Itdepression or loneliness and hence mimprovement will be evaluated after yenhancement the service will expand

Contact: john.gardiner@berkshire.

To improve the quality oterm conditions throughinnovative I.T. models ocommunity.

ADHD 'everybody's business' ADHD Care Package

Earl Mountbatten Hospice Implementing child, youfacilities across Earl Mo

Earl Mountbatten Hospice Social Complexity: The Approach to Pregnancy

Team Jigsaw Transfer of Daily AdmissSecondary and Primary

Andover Team Integrated Nursing Hom

Runners Up

ovement Idea Team f care of patients with long the adoption of new f care based in the

Portsdown Group Practice, Solent Healthcare, GP Health ,

Berkshire Healthcare Foundation NHS Trust, West Berkshire Council,

ng people and family friendly untbatten Hospice

Earl Mountbatten Hospice

Multi-Professional Integrated .

Basingstoke & North Hampshire Hospital

ions Data between Care

Stantonbury Health Centre, Milton Keynes Community Health Services, NHS; Milton Keynes, Milton Keynes Council, Age UK, South Central Ambulance Service

e Liaison Andover Practice Based Commissioning (PBC) Group,

Winner: Berkshire CTLPD

t risk of isolation and less likely to live active and inclusive lives. Barriers fe social networks, social/lifestyle activities, education and employment nt will facilitate the development of a safe and secure social network: withtionship skills, friendship and sexual knowledge. This network will be rdinated by CTLPD Berkshire.

ith a learning disability will have life enhancement and be able to enjoy a is estimated that there will be reductions in mental health issues such as edication prescriptions and a decrease in safeguarding issues. The

ear 1 and it is hoped that given efficiency savings and quality and be re-commissioned.

nhs.uk

Page 11 o

Our vision is to provide a pan Berkshire service that provides: A database of activities within Berkshire that are available to people with learning disabilities. A friendship/dating matching service that is sensitiveto safeguarding and risk assessment procedures A structured programming of education and awareness raising for people with learning disabilities, their family, carers and other supportive agencies.

Hampshire Partnership NHS Trust, Hampshire Community Health Care, Hampshire County Council (Adult Services)

f 11