SUCCESSES, CHALLENGES AND OPPORTUNITIES

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NORTH LANARKSHIRE HEALTH AND CARE PARTNERSHIP

• SUCCESSES, CHALLENGES AND OPPORTUNITIES

Social Work







































Sandra Mackay Planning and Development Manager,
(Community Care Partnerships)
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NORTH LANARKSHIRE LOCALITIES
Total Pop. 321,059 65yrs 44,476







































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SOCIAL ACTIVITIES
EMPLOYMENT HOUSING LIBRARY
UTILITY SERVICES COLLEGE COURSES LEISURE
BENEFITS
INFORMATION DAY-CARE ADVOCACY
RESPITE SUPPORT
IN THE COMMUNITY
ASSESSMENT CARE MANAGEMENT OCCUPATIONAL
THERAPY EQUIPMENT
ADAPTATIONS
FAMILY FRIENDS RELATIONSHIPS




















GP COMMUNITY NURSING SERVICES PSYCHIATRY
COMMUNITY
TEAMS DIETETICS SPEECH LANGUAGE/
HOSPITAL
OT/PHYSIO ADMISSION
/ ASSESSMEN/TREATMENT



















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SUCCESSES
North Lanarkshire Key Stakeholders PATH Event -
1st September 2005
The Way Ahead




















SHARED VISION KEY
ACTIONS

WHEN



















JOINT PRIORITIES BY WHOM
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SUCCESSES
PATH Event - 1st September 2005
2 Key Objectives Identified-

• Improved access to health and social care
  services NL Health and Care Partnership
• Promotion of inclusion, citizenship and
  health improvement NL Older Peoples
  Working Group

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North Lanarkshire Health Care Partnership
Care Group Partnership Board Older People
Locality Health Care Partnership Airdrie
Locality Health Care Partnership Bellshill
Locality Health Care Partnership Coatbridge
Locality Health Care Partnership Cumbnauld
Locality Health Care Partnership Motherwell
Locality Health Care Partnership Wishaw







































LPG OP
LPG OP
LPG OP
LPG OP
LPG OP
LPG OP
Locality Planning Groups - Older People
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SUCCESSES
High level starting point eg-

• Home support service - 1100 people
  receive gt 10 hrs per week (NL - 24 per 1000
  
  Scot Av 17.1 per 1000)
• Community Alarms - 65 yrs 8400 (19)
  75 yrs 6233
  (33)
• Consistently meet annual targets re individuals
  whose discharge is delayed

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North Lanarkshire Service Alignments
SUCCESSES

• Joint Equipment Service - 2003
• Single shared assessment - 2003
• Aligning home support with community nursing
  (out of hours) - 2004
• Care management / co-ordination - pilot 2004
• Integrated day services - pilot 2005

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SUCCESSES
Single Shared Assessment

• Over 450 health and social care staff
  trained
• Direct access to home support services
  (up to 28 times per week)
• Direct access to joint equipment service

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SUCCESSES
Aligning home support with community nursing
(out of hours)







































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SUCCESSES
Care Management/Co-ordination

• Early pilot in Wishaw Locality
• Joint Care Management Group
• Joint NES Project
• Implementation in Coatbridge

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SUCCESSES
Integrated Day Services
Existing Health and Social Care Day Provision
Acute Health Service Day Hospital/ Services
Old Age Psychiatry/ Day Hospital Services







































Existing Community Social Care Provision
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SUCCESSES
Integrated Day Services
Community Resources







































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SUCCESSES
Integrating Day Services- Locality Planning
Groups
Integrated Service Co-ordinator
Senior Charge Nurse (Old Age Psychiatry)
JOINT ACCESS TO RESOURCES
Team Leader District Nurse




















Senior Social Work Officer



















Locality LinkOfficer
Day Hospital Manager
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CHALLENGES

• Ensuring effectiveness of Partnership Board and
  Locality Groups (x6)
• Seek to reduce emergency admissions
• Continuous improvement in service delivery to
  improve outcomes for individuals
• Progress effective engagement with service
  users carers and public
• Progress roll out of service alignment/integrati
  on

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OPPORTUNITIES

• New structure for joint planning and
  governance agreed and being implemented
• Major culture shift in progress - peer group
  learning co-location of staff
• Develop community based intermediate care
• Joint resourcing in locality planning groups
• Sound basis for user and carer consultation
  and involvement

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North Lanarkshire Users and Carers Forum
Commun i t i e s
J o i n t P l a n n ing
North Lanarkshire Carers Together
Participation Forum
North Lanarkshire Disability Forum







































Lanarkshire Links
Voice of Experience Forum
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BEST POSSIBLE OUTCOMES FOR INDIVIDUALS AND THEIR
CARERS
Mrs A - Difficulty getting out of house -
intensive rehab at day hospital







































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BEST POSSIBLE OUTCOMES FOR INDIVIDUALS AND THEIR
CARERS
Mrs B - Isolated and loss of confidence - ? Day
Service







































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BEST POSSIBLE OUTCOMES FOR INDIVIDUALS AND THEIR
CARERS
Mr C - Stroke 2 years ago, lost confidence,
unable to go outside







































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BEST POSSIBLE OUTCOMES FOR INDIVIDUALS AND THEIR
CARERS
Mrs D - Socially isolated with diagnosis of
dementia, unable to go out on own