Presentation by Rachael Forbister, TECS Programme Manager, NHS Sunderland CCG at ECO 20: Empowering care homes through innovation and improvement on Wednesday 25 September at Liverpool Hotel Hilton.

1. Health and care partners
working together.
25th September 2019
Rachael Forbister, TECS Programme Manager
Sunderland’s Care Home
Digital NEWS tablet

2. Health and care partners
working together.
Contents
• Gran
• Care Model
• How we did it
• What we did
• Outcomes
• The digital future

3. Health and care partners
working together.

4. Health and care partners
working together.
Complex healthcare needs, multiple long term conditions
Skills within residential care homes not necessarily sufficient
Communication challenges between providers
Residents currently do not have equitable access to healthcare which can lead to
hospital admissions
The need to improve early detection of acute illness in residents
Provides care closer to home to improve patient experience
Why?

5. Health and care partners
working together.

6. Health and care partners
working together.
How we did it!
How

7. Health and care partners
working together.
What is NEWS2
“Standardised assessment”

8. Health and care partners
working together.
What NEWS means to care homes
 Aids recognition of clinical
deterioration
 Standardises acute illness
assessment in the community care
setting
 Enables communication to other
HCP’s using a common language
and empowers staff
 Informs appropriate clinical response
and pre-alert which defines
appropriate level of on-going care
required.
 Upskills the staff members
 Objective clinical information to
support requests for home visits
 Family and friends ‘confidence’

9. Health and care partners
working together.

10. Health and care partners
working together.

11. Health and care partners
working together.

12. Health and care partners
working together.

13. Health and care partners
working together.

14. Health and care partners
working together.
Contents

15. Health and care partners
working together.
Outcomes – 8 care homes
 192 less no elective admissions
 336 less A&E attendances
 49.2% reduction in bed days
 18,000 NEWS scores recorded
 Staff feedback:
 88% see the value
 83% saw it as a normal part of their
work
 100% felt it would become part of
their normal work
 Variable models to determine cost
savings. First model £700k, second
model £180k

16. Health and care partners
working together.
What we learnt
 It takes time to embed
 Not all the staff in care homes
were on-board
 More support was needed than we
first thought
 Wi-Fi not great in many care
homes
 Staff turnover
 Measuring the data is really
challenging
 IG Considerations
 Doing too much at one time. A
slower roll out may have been
better

17. Health and care partners
working together.
Training

18. Health and care partners
working together.
 NEWS scores increasing month on
month
 Training/Briefing:
 131 people attended Melissa Bus
 Briefings to 29 NHS nurses
 12 LD staff trained
 274 care home staff
 35 care homes now ‘ON’
 4 care homes ‘ON/OFF’
 10 more to go
 Proactive monitoring
 Linking with specialist nurses
 Sustaining for the future
Adam’s progress

19. Health and care partners
working together.
Digital Future
 NHS email being rolled out
 Video consultations with
community nursing and GP
practices
 Development of react to red
 Supporting new builds

20. Health and care partners
working together.
Any questions?
?

21. Health and care partners
working together.
All Together Better is an alliance of health and
care partners in Sunderland working together:
• NHS Sunderland Clinical Commissioning Group (CCG)
• South Tyneside and Sunderland NHS Foundation Trust
• Sunderland Care and Support
• Sunderland GP Alliance
• Sunderland City Council
• Northumberland, Tyne and Wear NHS Foundation Trust
• Voluntary and community sector organisations including Age UK Sunderland, Sunderland MIND and Sunderland
Carers Centre
• Other providers NHS contracted services.