Caring, safe and excellent TLAP – Personalisation in Health and Care Conference Trudy Reynolds Oxford Health NHS Foundation Trust

Caring, safe and excellent Oxfordshire Community MH Foundation Trust 5 community Hospitals In-depth PHB site – offering people eligible for NHS Continuing Healthcare a PHB Number of joint health and social care funded packages

Caring, safe and excellent Background to Joint Funded Health and Social Care Section 75 for more than 10 years Pooled budgets for mental health, physical disability LD, and older people Approximately 450 people receiving joint funded packages of care Processes can be complicated and not easy for people to understand.

Caring, safe and excellent Joint Funded Packages Primary social care need but some health needs Self-funded care plus healthcare funding Social care funding plus healthcare funding 5 levels of delegated healthcare tasks Health funding only available for level 3 & 4 delegated healthcare tasks

Caring, safe and excellent What have we done so far ? 50 PHBs for people eligible for CHC funding Joint external provider contracts Review Delegated Healthcare Task list Piloting a new model for training PAs Simplification of budget setting tools towards a more holistic offer Piloting model for support planning

Caring, safe and excellent What Next ? Joined up more holistic ‘offer’ Workforce – internal/external Simplified budget setting Accessible/timely training for PAs Joined up approach to reviewing the framework Information and data

Caring, safe and excellent Conclusion Strong Government and local commitment to this agenda Great opportunities to improve outcomes for individuals and achieve better value for money Next challenge is how to roll out at scale in a sustainable way without large scale organisational change.

Caring, safe and excellent Delegated Healthcare Tasks NHS funding available Assessment by HCP / SW identifies the healthcare tasks Tasks are allocated a specific number of hours / minutes of time per day / week Funding is applied based on the hourly rate for care agency / personal assistant and given as part of the personal budget Health funding can increase or decrease depending on individual’s needs

Caring, safe and excellent Training Protocols Level 1 & 2 Carer / PA receives theoretical and practical training from their employer (i.e. care agency), Support with Confidence programme or an appropriate healthcare professional Examples of Level 1 & 2 Tasks include: - emptying and changing catheter bags - basic moving & handling, including use of hoists - assistance of getting up and putting to bed - application of prescribed creams / lotions

Caring, safe and excellent Training Protocols Level 3 & 4 Carer / PA receives training from an appropriate Healthcare Professional i.e. DN, Staff nurse/ hospital clinician, Community Physiotherapist, Shared care nurse trainer Where possible, training should be part of the discharge process when clients are in hospital Under no circumstances may these procedures be carried out without the appropriate training and signing off by a Healthcare Professional Examples include: Complex moving and handling, Administration of oxygen, suction via tracheostomy