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LIVINGSTONE ASHFORD UNIT BECCLES & DISTRICT WAR MEMORIAL HOSPITAL

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Presentation on theme: "LIVINGSTONE ASHFORD UNIT BECCLES & DISTRICT WAR MEMORIAL HOSPITAL"— Presentation transcript:

1 LIVINGSTONE ASHFORD UNIT BECCLES & DISTRICT WAR MEMORIAL HOSPITAL
KAREN THOMSON TD RGN SERVICE MANAGER WAVENEY PRIMARY CARE TRUST

2 Beccles & District War Memorial Hospital Patrick Stead Hospital
Livingstone Ashford Unit Beccles War Memorial Hospital LOWESTOFT James Paget Hospital A146 BECCLES Beccles & District War Memorial Hospital BUNGAY A144 KESSINGLAND A12 HALESWORTH Patrick Stead Hospital SOUTHWOLD Southwold Hospital B1123 WALBERSWICK July 2002 Produced by Eileen Whiting Innovation & Best Practice

3 Livingstone Ashford Unit
Beccles War Memorial Hospital In the three South Waveney Community Hospitals, during the financial year April 2000: A monthly average of fourteen delayed discharges Majority of which result from insufficient, suitable residential or nursing home vacancies July 2002 Produced by Eileen Whiting Innovation & Best Practice

4 Livingstone Ashford Unit
Beccles War Memorial Hospital ‘Step Down’ Beds for patients who:- Identified as fit for discharge No longer required specialist health care input of medical staff, nurses or therapists Awaiting discharge to a residential home or their own home environment July 2002 Produced by Eileen Whiting Innovation & Best Practice

5 Livingstone Ashford Unit
Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice

6 Livingstone Ashford Unit
Beccles War Memorial Hospital What did we hope to achieve? A reduction in numbers of delayed discharges Length of stay would be days Residents final choice of destination made by forward planning in consultation with resident, family members and Community Social Care Assessor Enable and facilitate the resident to maximise their independence with day to day living skills and personal care July 2002 Produced by Eileen Whiting Innovation & Best Practice

7 Livingstone Ashford Unit
Beccles War Memorial Hospital How did we go about it? A proposal between Local Health Partnerships NHS Trust and Suffolk Social Services Resources were established Staff recruitment commenced Nov/Dec 2000 Ward prepared for admissions Nov 2000 Plans for closure of unit Nov 2000 Joint Health / Social Services specification Nov 2000 July 2002 Produced by Eileen Whiting Innovation & Best Practice

8 Livingstone Ashford Unit
Beccles War Memorial Hospital Service specifications communicated to all Stakeholders Dec 2000 ‘Step Down’ Facility Opens Jan 2001 Monitoring of service Jan - Mar 2001 Formal evaluation Feb - Mar 2001 Closure of facility st March 2001 Prior to the first admission staff had three days induction involving Moving and Handling, Health & Safety, Health & Hygiene July 2002 Produced by Eileen Whiting Innovation & Best Practice

9 Livingstone Ashford Unit
Beccles War Memorial Hospital What helped? Team Working Established Practices July 2002 Produced by Eileen Whiting Innovation & Best Practice

10 Livingstone Ashford Unit
Beccles War Memorial Hospital What hindered? Funding initially for three months over the winter period Staff had to be recruited and selected for this period only Extension of service short term Implications for forward planning and specifying clear, set, timely objectives and goals for the unit Permanent funding July 2002 Produced by Eileen Whiting Innovation & Best Practice

11 Livingstone Ashford Unit
Beccles War Memorial Hospital What does the service offer? Social care, physical and mental stimulation in a homely environment Reduction in number of delayed discharges in acute and intermediate care beds Enhancement of joint working between James Paget Hospital, Community Hospital and Social Services Single sex occupancy, as it is a Nightingale style ward July 2002 Produced by Eileen Whiting Innovation & Best Practice

12 Livingstone Ashford Unit
Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice

13 Livingstone Ashford Unit
Beccles War Memorial Hospital What does the service offer? Social care with health care Medical care provided through general medical services. Admissions through the Co-ordinator working in partnership Removal from an ill health environment to a relaxed homely environment Time for reflection July 2002 Produced by Eileen Whiting Innovation & Best Practice

14 Livingstone Ashford Unit
Beccles War Memorial Hospital Self determination & choice regarding day to day living A safe, non-rigid environment where resident is empowered to participate in their days structure A model which is furnished and decorated towards a residential setting Colourful murals throughout bathroom / toilet areas. July 2002 Produced by Eileen Whiting Innovation & Best Practice

15 Livingstone Ashford Unit
Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice

16 Livingstone Ashford Unit
Beccles War Memorial Hospital A personal Key worker to monitor, review and consult on ongoing care needs and development. The opportunity to change pre made decisions Families and carers encouraged to work alongside staff Identification of adaptations and equipment that enables maintaining independence with day to day living skills The opportunity for planned trial periods within their home environment, prior to discharge Key worker visits resident at home one month after discharge July 2002 Produced by Eileen Whiting Innovation & Best Practice

17 Livingstone Ashford Unit
Beccles War Memorial Hospital Benefits to the organisation: Releases beds hospitals for those who have nursing needs Cost effective User led service A social model that sits well within a health setting Promotes / maintains joint working and multi-disciplinary teams Proven evidence that staff who are encouraged and supported develop rapidly as individuals and groups when empowered July 2002 Produced by Eileen Whiting Innovation & Best Practice

18 Livingstone Ashford Unit
Beccles War Memorial Hospital What methods are used to evaluate? Formal evaluation completed 22nd - 31st March positive outcomes which resulted in recurring of funds July 2002 Produced by Eileen Whiting Innovation & Best Practice

19 Livingstone Ashford Unit
Beccles War Memorial Hospital Questionnaires devised for both resident and immediate carer or family member July 2002 Produced by Eileen Whiting Innovation & Best Practice

20 Livingstone Ashford Unit
Beccles War Memorial Hospital Future Plans To train and develop staff skills in rehabilitation and re-ablement NVQ qualifications in Health & Social Care Maintain current high standards, strengthen joint working and multi-disciplinary team approach to the Unit July 2002 Produced by Eileen Whiting Innovation & Best Practice

21 Livingstone Ashford Unit
Beccles War Memorial Hospital What lessons are there for others? Forward Planning with adequate time scales Situation of the Unit Transition from Health Environment July 2002 Produced by Eileen Whiting Innovation & Best Practice

22 Livingstone Ashford Unit
Beccles War Memorial Hospital July 2002 Produced by Eileen Whiting Innovation & Best Practice


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