Hospital admissions presentation (18 11 14)

Hospital Admissions
Andy Sharp, Service Director –
Adult Social Care
Tim Branson, Service Manager Enablement
Fact and Figures
On average an extra 560 conveyances per month to
hospitals in Dorset compared to previous year
Emergency admissions up15% (RBH) 11% (DCH) 8% (PHT)
Emergency admissions via A & E up 24% (RBH)
Short stay admissions up 35% (RBH)
Hospital referrals up 7% (RBH) 6% (DCH) 4% (PHT)
Pressure on acute hospitals to reduce bed stock
An Average Week at Royal
Bournemouth Hospital
Out of 1130 ED attendances:
800 self-referrals (71%)
300 Emergency Services Referral (27%)
30 SWAST conveyances from care homes (2%)
Of which:
330 admissions (29%)
280 discharged with no GP follow-up (26%)
170 discharged with GP follow up (15%)
160 referred to clinic (14%)
120 transferred to other provider (11%)
An Average Week at Royal
Bournemouth Hospital (2)
480 Emergency Admissions – 40% aged 75 yrs +
300 from A&E (125 aged 75yrs +)
150 from GP (65 aged 75 yrs +)
100 admissions between 22.00hrs and 03.59hrs (20%)
Local Authority Support
Hospital Social Work Team
Based at RBH and PHT
Social Workers and Care Manager
Assessment of need and support to plan and arrange care
Need to support timely and safe discharge
Leaving Hospital Support Service (BCHA)
Local Authority Support (2)
Broadwaters Care Support Centre
Rehabilitation Therapy and support
Multi-disciplinary support and Partnership Working
Assessment and Respite
Interim Care Beds
Reablement Home Care
Support at home
Goal and outcome focused
Builds confidence
Learn new skills or regain lost skills
Short-terms intensive support (up to 6 weeks)
No charge to customer
‘Home from Hospital’ service
Links to Intermediate Care Services
Delayed Discharges
Risk of hospital acquired infection
Loss of confidence and living skills
Loss of mobility
Creates dependency
Reduces hospital capacity
Elective surgery cancellations
Care in the Community
Shortage of domiciliary care
Shortage of residential and nursing care home vacancies
(especially Dementia)
Workforce capacity issues (above National Average)
No community hospitals in Bournemouth
Better Together and Better
Care Fund
Funding from Government to promote integration Health
& Social Care
Aim to reduce urgent admissions to hospital by 3.5% per
Shift funding from acute hospital care to community
More care and support in peoples’ own homes
Better and more personalised outcomes for patients
Urgent Care Initiatives
Virtual Ward Pilot (Southbourne)
Interim Beds
Discharge to Assess (D2A)
Mobile Nights service
7 day services
Work Activity
Avoidance of admission is the critical path to improved
outcomes for patients and reduced pressure on the
health and social care system. What can your
organisation do to support admission avoidance?

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