1. Hospital Admissions Andy Sharp, Service Director – Adult Social Care Tim Branson, Service Manager - Enablement

2. Fact and Figures On average an extra 560 conveyances per month to hospitals in Dorset compared to previous year Emergency admissions up15% (RBH) 11% (DCH) 8% (PHT) Emergency admissions via A & E up 24% (RBH) Short stay admissions up 35% (RBH) Hospital referrals up 7% (RBH) 6% (DCH) 4% (PHT) Pressure on acute hospitals to reduce bed stock

3. An Average Week at Royal Bournemouth Hospital Out of 1130 ED attendances: 800 self-referrals (71%) 300 Emergency Services Referral (27%) 30 SWAST conveyances from care homes (2%) Of which: 330 admissions (29%) 280 discharged with no GP follow-up (26%) 170 discharged with GP follow up (15%) 160 referred to clinic (14%) 120 transferred to other provider (11%)

4. An Average Week at Royal Bournemouth Hospital (2) 480 Emergency Admissions – 40% aged 75 yrs + 300 from A&E (125 aged 75yrs +) 150 from GP (65 aged 75 yrs +) 100 admissions between 22.00hrs and 03.59hrs (20%)

5. Local Authority Support Hospital Social Work Team Based at RBH and PHT Social Workers and Care Manager Assessment of need and support to plan and arrange care services Need to support timely and safe discharge Leaving Hospital Support Service (BCHA)

6. Local Authority Support (2) Broadwaters Care Support Centre Rehabilitation Therapy and support Multi-disciplinary support and Partnership Working Assessment and Respite Interim Care Beds

7. Reablement Home Care Support at home Goal and outcome focused Builds confidence Learn new skills or regain lost skills Short-terms intensive support (up to 6 weeks) No charge to customer ‘Home from Hospital’ service Links to Intermediate Care Services

8. Delayed Discharges Risk of hospital acquired infection Loss of confidence and living skills Loss of mobility Creates dependency Reduces hospital capacity Elective surgery cancellations

9. Care in the Community Shortage of domiciliary care Shortage of residential and nursing care home vacancies (especially Dementia) Workforce capacity issues (above National Average) No community hospitals in Bournemouth

10. Better Together and Better Care Fund Funding from Government to promote integration Health & Social Care Aim to reduce urgent admissions to hospital by 3.5% per year Shift funding from acute hospital care to community services More care and support in peoples’ own homes Better and more personalised outcomes for patients

11. Urgent Care Initiatives Virtual Ward Pilot (Southbourne) Interim Beds Discharge to Assess (D2A) Mobile Nights service 7 day services

12. Work Activity Avoidance of admission is the critical path to improved outcomes for patients and reduced pressure on the health and social care system. What can your organisation do to support admission avoidance?