Improving care for older people in Nottingham hospitals

ContactNottingham North and East CCG
Telephone0115 8831827 or 0115 8831838
Emailinfo@nottinghamnortheastccg.nhs.uk
Websitehttps://www.nottinghamnortheastccg.nhs.uk
AddressCivic Centre, Arnot Hill Park, Arnold, Nottingham, NG5 6LU

Improving care for older people in Nottingham hospitalsNottingham North and East Clinical Commissioning Group (NNE CCG) led an innovative initiative to improve the quality of care for patients in a local community hospital.

Evidence showed that many patients could be more effectively managed; an average 37 day length of stay and 46% of patients admitted not meeting the in-patient criteria at some point in their stay. The majority could have been managed in a homecare/community care setting.

The CCG

  • Enacted modelling, using Scenario Generator, which suggested with improved community support the same admission activity could be easily maintained with reduced ward capacity
  • Worked closely with adult social care to reduce delayed transfers of care which resulted in no delayed transfers of care
  • 24 unused community beds were decommissioned
  • Enhanced community based rehabilitation support was commissioned for ‘home’ setting as an alternative to staying in Lings Bar harnessing third sector expertise.
  • Service redesign and real time evaluation/feedback conducted in partnership with patients and carers has led to the mainstreaming of this model
  • Acute trust liaison enabled vacant ward re-utilisation to provide haemodialysis facilities

Outcomes

  • Significantly improved experience for rehabilitation and haemodialysis patients
  • Recurrent QIPP saving of £1.2m for decommissioned beds
  • The haemodialysis unit within the freed-up ward has avoided previously planned £7m new build spend.