1. Caring, Learning and Growing
Scarborough & Ryedale Community Services One Year On….. Who We Are and What We Do
Caring, Learning and Growing

2. Caring, Learning and Growing
Our Mission
Our Mission
Our Values
Our Strategic Goals
We are a multi-specialty health and social care teaching provider committed to ‘ Caring, Learning and Growing’
Caring, Learning and Growing

3. Caring, Learning and Growing
Our Values
Our Mission
Our Values
Our Strategic Goals
CARING
LEARNING
GROWING
for people while ensuring they are always at the heart of everything we do
and using proven research as a basis for delivering safe, effective, integrated care
our reputation for being a provider of high quality services and a great place to work
Caring, Learning and Growing

4. Caring, Learning and Growing
About Us
We employ 2,700 staff – operating across three care groups:
Mental Health
Specialist Services
Primary Care, Community, Children’s & Learning Disability Services
We deliver our services from more than 70 sites
- across Hull, the East Riding and North Yorkshire
Our annual budget in 2019/20 is £130m
Scarborough and Ryedale Community Team – aprox 200 staff
Caring, Learning and Growing

5. Management Team for Community Services
Lynn Parkinson
Chief Operating Officer
Professional Accountability
Managerial Accountability
Julia Harrison-Mizon
Primary Care, Community, Learning Disabilities and Children's Services Care Group Director
Dr Sergio Raise
Associate Medical Director
Nia Abbott
Assistant Director Children’s Services
Trish Bailey
Clinical Care Director
Maggie Bean
Primary Care Matron
Helen Cammish
Assistant Director Community Services
Ian Tweddell
Service Manager
Malton IPU
Sarah Locker Hub Manager Scarborough North
Rishi Sookraj Hub Manager
Scarborough South
& Ryedale
Natalie Belt
Service Manager
Gillian Black
Community Services
Projects Lead
Carol Wilson
Community Services Locality Matron
Jeanette Hyam
Community Services Locality Matron

6. Service Development from 2018…
Journey start 2018
May - Commenced Community Service Provision S&R / TUPE of >200 staff
December – Increased community service provision (including; Cardiac Rehab, Home Oxygen Service, Diabetes Education, Continence services)
Spring 2019
April - Phase 2 services; NHS Continuing Healthcare (CHC) including Funded Nursing Care (FNC) and Fast Track, Primary/Community Frailty
May – Integrated Community Hub Rapid Response service (replacing ‘Rapids’ and ‘CRT’)
Autumn 2019
October - Elderly Medicine Service to commence
Caring, Learning and Growing

7. Scarborough North Hub Structure
Sarah Locker Hub Manager Scarborough North
Roxanne Woolcott
Team Leader
Rachel Laud
Clinical Lead
Lynne Symonds
Team Leader
Specialist Services
Continence (Including Product Service)
Heart Failure
Cardiac (Including Cardiac Rehab)
Respiratory (Including Pulmonary Rehab)
Home Oxygen
Continuing Health Care (Including CHC /FNC / Fast Track)
Frailty
Scarborough North Community Nursing
Scarborough North Community Therapy
MSK
Out Patient Service
Health Care Support staff
Caring, Learning and Growing

8. Scarborough South and Ryedale Hub Structure
Rishi Sookraj Hub Manager Scarborough South & Ryedale
Alison Gibson Clinical Lead
Ryedale
Catherine Ingham
Team Leader
Ryedale
Emma Babbage
Team Leader
Scarborough South
Dawn Richardson
Clinical Lead
Scarborough South
Ryedale Community Nursing and Therapy Hub Team
Scarborough South Community and Therapy Hub Team
Specialist Services
TVN
Dietetics
SLT
Stroke services
Diabetes (Including patient Structured Education classes)
Health Care Support staff
Health Care Support staff
Caring, Learning and Growing

9. Caring, Learning and Growing
What’s different? Achievements Hubs developed/operationalised – Scarborough North (Tennyson Ave), Scarborough South (Eastfield Practice) & Ryedale (Malton Hospital)
Caring, Learning and Growing

10. Metrics – Community Services
11 months on
16,500 new referrals received – av. 1,500 new referrals per month
220,000 Face to face contacts – av. 20,000 FTFC per month
CAS taken 35,700 calls = 3,245 calls per month (5.7% abandoned)
Current (as of )
Supporting 6,104 unique patients = ↑32% (from May 2018)
Caring, Learning and Growing

11. Metrics – Malton In-patient unit
20 bed unit + 4 day case chairs
Bed Occupancy 83.38% (86% 2017/18)
Av. length of stay 12.5 days ( /18)
Safe staffing levels achieved against validated tool
Caring, Learning and Growing

12. Challenges along the way…..
Staffing levels – vacancies, sickness
Low rates of stat & mand training (at TUPE transfer)
Skill & knowledge gaps in core and specialist competencies (at TUPE transfer)
Equipment – basics were absent/obsolete
Introduction of IT – laptops and phones & data collection
Silo/task driven working – cultural change
Waiting lists
Venues for community clinics
HTFT, Primary care and NYCC integration
Pilot 24hr community service (Friday 8am – Sunday 10pm)
Introduction of 7 day working for therapy staff
Caring, Learning and Growing

13. What's different now? Achievements
Single Point of Access for patients, carers, families, professionals – ‘CAS’ 24/7 using call-centre technology
Extended working day for core team & overnight service
All staff use single electronic patient record on SystmOne
Clinics delivered within GP practices, community base including Sports Centres, Community spaces…..
Development of generic job descriptions / core competencies
Recruitment to specialist posts incl. respiratory, SLT, dietetics and cardiac/heart failure
Caring, Learning and Growing

14. What's different now? Achievements
Pilot 24hr community service (Friday 8am – Sunday 10pm)
Staff have appropriate, maintained equipment
Support to patients in home environment- OPAT IV pilot
Reduced waiting times for specialist services
Safety culture – developed and enhanced
78% of staff have had an annual appraisal & objectives set
Improved statutory and mandatory training compliance
Recording of all referrals, clinical and non-clinical contacts
Performance reports to CCG monthly – improving data quality
Development of Hub safety huddles - extend to GP practices
Caring, Learning and Growing

15. Integration North Yorkshire County Council
Weekly MDT NYCC and HTFT staff
Daily phone call (DTOC for community & Malton IPU)
NYCC support to Malton IPU MDT
Agreement (in conjunction with CCG) x3 ‘Discharge to Assess’ (D2A) pathways
Initial discussion regarding ‘Trusted Assessor’
Caring, Learning and Growing

16. Caring, Learning and Growing
Next Steps
Caring, Learning and Growing

17. Caring, Learning and Growing
Better communication with system partners
Further integration with primary care and NYCC MDTs
7 day therapy service (from 1st May)
Further Health Care Assistant training and competency assessment
New specialist roles in recruitment – i.e. pharmacists
Further development of rapid response to compliment implementation of new pathways with YAS
Development of coordinator roles within Hubs to support effective triage - planned and unplanned care
Community Frailty & Elderly Medicine Clinics
SystmOne into Care Homes
Caring, Learning and Growing

18. Partnership working and Integration Caring, Learning and Growing