Integrating Health and Social Care Intensive Care Syndrome: Promoting Independence and Return to Employment Integrating Health and Social Care

Overview What did we do? Why did we do it?

Who funded the programme? Health Foundation Shine award (£75,000) Funded for 15 months

We had the problems. What about the solutions?

What problems did we need to address? Physical Psychological Social Carers just as important! Social Isolation/ Empowerment

Structure of InS:PIRE Peer Support PFAC Social Isolation Previous Research PFAC

Peer Support: Cafe Area

Peer Support: Volunteer Network

Five week Programme/Outcomes Decided upon by patients Challenge dependency/ adequate support What was important to the patients? 10-12 participants with caregivers 6-12 weeks pot ICU discharge Working Age Population

Who will be in our team? Nurse Doctor Physiotherapist Pharmacy Clinical Psychology Citizens Advice Bureau Carers Centre Health And Social Care Alliance

Exercise Class

Physiotherapy (Week One- Three) One to One Appointment What matters to the patient? Building on Personal Goals Chronic Pain issues.

Nurse/Dr (Week One to three) One to One Appointment Lay Summary- Optional How are you getting on? What different? Where do you want to be? Personal goals are set which we work towards

Pharmacy (Week One to Three) One to one Appointment Education Empowerment Medicine Reconciliation Identifies any ongoing gaps.

Clinical Psychology (Week Four) Diverse Needs Focus on coping skills Group Session Sleep Session Patient and Caregiver Sessions.

Social Prescription Week (Week Five) ALISS Employability (including options for volunteering) Good Moves Carers Centres GP CAB

What about the carers? Carers are involved in all of the interventions Can take part in the exercise class Have undertaken volunteering roles

Always Learning…. We need to continue learning Learning Session at the end of every week (5-10 minutes) Week Six- Formal Learning Session with the entire team

InS:PIRE Programme WEEK 1 2 3 4 5 6 Group Physiotherapy Class Pharmacy X Physiotherapy Medic/Nurse Group Psychology Dietician/Sleep psychology Good moves ALISS Carers Centre CAB Patient Volunteer

Integrating Health and Social Care Intensive Care Syndrome: Promoting Independence and Return to Employment Integrating Health and Social Care