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Community services redesign

Throughout 2018/19 we have been listening to the experiences of patients, carers and frontline staff, sharing what we’ve learned and listening to people’s views to help shape our plans.

We asked

Under plans to transform local healthcare set out under Better Care Together, the three Clinical Commissioning Groups in Leicester, Leicestershire and Rutland (NHS Leicester City CCG, NHS East Leicestershire and Rutland CCG and NHS West Leicestershire CCG) are currently considering transformation possibilities for the following services to deliver greater levels of integrated care in or around people’s homes:

  • District nursing services – which provide home-based patients with ongoing nursing care for long-term conditions or end-of-life care, with treatments such as wound care and continence care
  • Intensive Community Support (ICS) – a ‘virtual ward’ providing healthcare services in a patient’s own home
  • Community hospital beds (including stroke beds)
  • Community physiotherapy services (not including MSK physiotherapy)
  • Community stroke rehabilitation service
  • Primary care co-ordinators – who work in hospitals to support staff to help get patients home as quickly as possible once they are ready to leave hospital

To help shape proposals for the future, patients, clinicians and health and social care staff had the opportunity to share their experiences of community services in the autumn of 2018.

We undertook face-to-face qualitative interviews, an online qualitative survey and conducted a number of workshops.

We captured the views of:

  • Patients receiving community services (in their own home, in community and acute hospitals, in clinics and other settings)
  • Family carers
  • NHS staff who deliver community services (district nurses, community matrons, Intensive Community Support, community hospital staff, therapists, neuro and stroke service staff and primary care coordinators etc.) acute care staff and social care staff
  • domiciliary care workers and care home staff

Additionally, we have examined 22 existing reports in line with community services from research in LLR representing views from 4,300 people.

You said

The views and experiences shared with us during the work we have undertaken have enabled us to understand what matters most to people and this varies across those we spoke with, although there are some common themes. The final reports will be shared here when they are available.

We did

The findings from the work we have undertaken have been used to shape initial proposals for change. We shared details of our plans with the public and stakeholders via a series of public events and people had the opportunity to share their views to influence the next phase of our work. You can find the presentation slides and more information on the Better Care Together website.

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