1. Cambridgeshire & Peterborough Care Home Group Overview Jason Bossert C&P Care Home Group Chair

2. C&P Care Homes by numbers 200 Care Home (≈ 6100 beds ) 135 Homes provide care for 65+ (≈ 5400 beds) 56 Nursing homes Forecasted non-elective admissions from CH ≈ 3466 (17% increase compared to last year) ≈ 3500 ambulance conveyances from CH Health cost of £11 million for acute admissions

3. Common reasons for calling ambulances – Care Homes Type of response to Care Homes – EEAST

4. C&P Care Home Group Overview Multiagency membership Countywide coordinated approach to: – Address issues – Promote developments – Pilot new initiatives – Gather intelligence & data Aims – Improving the Quality of Care delivered by Nursing and Care Homes – Improving the integration of Care homes with the local health system – Monitoring quality at strategic and system level – Provide support / intervene where appropriate – Reducing attendances and admissions to/at hospitals from care homes – Develop an effective single CCG wide discharge protocol for Care Homes

5. Unnecessary A&E attendances Unnecessary emergency admissions to hospitals Short stay spells in hospital Delayed Transfer of Care Unnecessary attendances by ambulances Unnecessary conveyance by ambulance Transfer of residents from residential to nursing homes Focused training Use of NHS111 Staff, residents and families satisfaction Increase in use of community support services – JET / NT Staff confidence through training Data sharing & coordination of resource What are we aiming to see…

6. Care Home Group work streams Care Home Support Service 1 x Lead Nurse Care Homes & 3 x Nurse Care Home Educators Recruitment Interviews May’16 Care Homes - Clinical Advice Service Care Home Clinical Advice – NHS111 & Ambulance Scoping project (partially operational) NMC Revalidation Communication, support e-mail, workshops to support steps Live - March Double Up Initiative CCC double up project - develop pilot with Care Homes Scoping Pilot Continence training programme CCC Targeted delivery of trainingLive - May Care Home Discharge Protocol including guidelines Developing a single C&P Discharge Protocol for Care Homes and Acutes Draft - June MiDoS – Directory of resource Build network of training providers, support material and referral services specific to Residential & Nursing Care Homes Build phase

7. Care Home Support Service – Care Home Educators The combined elements of the Care Home Support Service will ensure resource is coordinated and targeted appropriately to deliver the outcomes of the CHG. Four types of intervention: Strategic Education and Training Case Management Leadership