Admission of care homes Nottingham :
The locksmiths basildon function of that behavior, so if we go on to the surrey landscape, we have a population in surrey and northeast hams of um 1.1 million, and we estimate that we have nearly 300 care homes just for older people of those 97 are private providers or independent providers. So very few are local authority owned, and some recent figures suggest around 450 admissions from people living in care homes went to their general hospitals in the past year. So that costs the local health economy above 2 million pounds; they also know when people with dementia are admitted to the general hospital. They stay for much longer, and they have poorer outcomes on a range of metrics due to the fill and detestable by the move. It shows that it does pay to invest in these services, and they need a longer-term solution to this dilemma.
So to say a few things about surrey and borders and the care homes Nottingham journey they’ve been on, the journey has probably been going on for longer than 2014. That could be your best memory of when it started. So they had what was called, at the time, challenging behavior champions in a number of the community mental health teams for older people. They just started with a supervision space and some cpd for those interested and clinicians doing this work in their cm ht roles in 2015. they, as a trust, really engaged with the positive, which led to us rolling out positive behavior support plans across the system and within older people’s mental health; in 2016, an opportunity presented itself. Because they had the closure of a 16-embedded continuing healthcare ward for people with dementia, these individuals often stayed on the ward for quite some time due to a shortage of placements to meet their needs.
A support team of care homes in Nottingham :
So there were care homes in Nottingham for people who had very complex needs 117 aftercare continuing healthcare funding, and the commissioners wanted to shut that wall down and instead invest in a community-oriented service which was called the intensive support team for people with behaviors that challenge in dementia with the most complex needs. So they started with seven clinicians, one of whom was an admin, within nine to ten months. They’d recruited to the full service of 17 clinicians and had a factorized model across the system, and this was very much set up as a step four service.
Most specialists here with referrals come from the community mental health teams for older people, and they set up their service with the Newcastle model in mind with PBS plans. As their main goal in care planning, I’ll come on to that in a moment; the division led to 80 of the resource um that had been commissioned moving into the community mental health team for older people. Moving into the bolster and improve step three to offer a more localized and proactive service to the care homes in each region. They then had the step four level um service retained with a band seven or eight psychologist or occupational therapist across each of the six cmhts.
The trust and access to consultant nurses and psychiatrists for supervision and support that most specialist here as well. They have seen a significant additional investment from within the cm ht budgets, and we now have 30 clinicians doing dedicated care home pathway work; you can’t name them all.