Better Care Together has delivered significant improvements in the care of local patients since the partnership was set up in 2014.
The partnership includes six NHS, work alongside three council organisations, and has enabled health and local authority staff, as well as patient representatives to develop new ways of caring for local people.
This approach has improved services and demonstrated that they can be delivered more efficiently, and at the same time reduce pressure on parts of the health service that feel particular strain.
Some examples include:
Improved urgent care
The NHS 111 service, which includes a clinical triage system, direct patients to the best place for treatment. More than 5,500 people, who would have ended up in the Emergency Department at Leicester Royal Infirmary, have been treated more appropriated in community settings or advised about self-care over the telephone. [Figure as of January 2017].
Specialists working together
Twelve integrated teams, in which specialists from different organisations work together caring for patients with long-term and complex conditions, have been established. In 2018/19, we expect these teams to improve the care of vulnerable people and reduce emergency admissions.
Planned care in the community
Planned care ranging from diagnostic tests to minor surgery is already moving from hospitals into the community. In urology, 500 procedures to examine the bladder (cystoscopies) and 120 surgeries have been completed in community settings.
Mental healthcare close to home
Support for people with a mental health problem is now available at a local level. A Wellbeing and Recovery Service was launched in October 2017. It includes a 24/7 quick access service for people with a mental health problem who need urgent care and a mental health triage car, which assesses patients and ensures they receive the best treatment. In less than a year, 565 patients have been seen and following assessment only 183 needed to be conveyed to the Emergency Department.
Remote cancer monitoring
A remote cancer monitoring service for prostate cancer has been introduced, which reduces the need for patients to travel to outpatients’ appointments; 210 patients have been followed up in this way between July and September 2017.
Psychiatric patients treated closer to home
A female psychiatric intensive unit has opened on the Glenfield Hospital site, which means that patients can now be treated locally rather than in a unit outside of the county.
Reducing delayed transfer of patients out of hospital
An integrated hospital discharge team, which includes health and social care staff from Leicestershire Partnership Trust (LPT) and Rutland County Council, is helping to support the transfer of patients out of hospital. The team has helped to reduce the delayed transfer of patients out of hospital. The team has helped to reduce delayed transfers of care by 40% with the measure of “delays per day per 100,000 adults” down from 10.3 in 2016/17 to 6.2 in April-October 2017.
Find out what BCT means in practice; through our informative videos.
LLR videos and case studies
Evan Rees - Chair of the BCT Public and Patient Involvement Group
Dr Ian Scudamore - Director of Women’s and Children’s Services at University Hospitals of Leicester
Dr Satheesh Kumar - Medical Director at Leicestershire Partnership Trust
Changes to urgent care in LLR
Intensive community support - our alternative to hospital
NHS STP video
Mrs Andrews story