Gwent Frailty Project

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Dave Mckenna

Presentation for Swansea Overview and Scrutiny Review of Shared Services

Formation

‘ Happily Independent’ Gwent Frailty Programme Introductory Presentation Updated November 2010

The Ethos: ,[object Object],[object Object],[object Object],[object Object]

Why Frailty? ,[object Object],[object Object],[object Object]

Frailty Definition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Why Do it? ,[object Object],[object Object],[object Object],[object Object]

Outcomes: what older people in Gwent told us they want. ,[object Object],[object Object],[object Object],[object Object]

And a bit of this…… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Integrated Locality Approach Acute Intensive packages Episodic or longer Term interventions Identified needs warranting integrated approach Some identified health/social care needs Preventative Services Community Context

Frailty Programme Layers: ,[object Object],[object Object],[object Object],[object Object]

What the CRTs will look like… Integrated Community Resource Team Manger Flexible health and social care ‘Support & Wellbeing’ workers. Potential to work across teams & move through the system with the individual to provide continuity Chronic Conditions Management Continuing Health Care Palliative care Long term care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Team Composition: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Core standards ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Case Scenario 1 ,[object Object],[object Object],[object Object]

Case Scenario 2 ,[object Object],[object Object]

Story so far……… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Workstreams: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Other Task & Finish Groups in progress………….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Locality Frailty Implementation Groups ,[object Object],[object Object],[object Object]

Invest to Save monies……… ,[object Object],[object Object],[object Object],[object Object]

Some conditions! ,[object Object],[object Object],[object Object]

Savings from Frailty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What next… ,[object Object],[object Object],[object Object]

What next… ,[object Object],[object Object],[object Object],[object Object]

What next… ,[object Object],[object Object]

Contacts: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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