At the start of this year Kirklees was selected as one of seven national accelerator areas for Urgent Community Response. A service aimed at providing support to our frail and elderly population quickly.
In this blog, Becca Spavin, Programme Lead has provides an update on the work so far.
As part of the NHS’ Long Term Plan to support England’s ageing population and those with complex needs, local health service and council teams have been asked to provide Urgent Community Response (UCR) for their frail population by 2024.
These Urgent Response teams will give those who need it fast access to a range of qualified professionals who can address both their health and social care needs and deliver:
- A crisis response within 2 hours and;
- Reablement care within 2 days.
A key part of the National Ageing Well Programme is the establishment of seven urgent community response accelerator pilot sites to support delivery against these 0-2 hour and 2 day response targets. Kirklees was selected as one of seven the national accelerator areas for Urgent Community Response – which is a fantastic honour and opportunity!
A Kirklees Provider Alliance has come together to collaboratively deliver the Urgent Community Response pilot locally.
The Alliance is made up of Third Sector leaders, Locala, Local Care Direct, Kirklees Council, Primary Care Network Clinical Directors, Curo and My Health Huddersfield GP Federations, Kirkwood Hospice, SWYPFT, Greater Huddersfield and North Kirklees CCGs, YAS, 111, Mid York Hospital Trust and Calderdale and Huddersfield Foundation Trust.
The alliance has jointly developed, consulted upon and have now mobilised a new Urgent Community Response service in Kirklees. The aim of this service is to provide a 0-2 hour response for patients diagnosed as severely frail (and moderately frail from YAS and Care Homes) in order to prevent avoidable admissions and readmissions by managing the patient at home with appropriate ongoing community support.
An Urgent Community Response Hub will provide clinical triage and either refer onto a face to face appointment or signposting to another service. This hub is being hosted by Local Care Direct.
Following this triage, if the service criteria is met and the triage process indicates that an urgent response is needed, then Kirklees residents will be able to access a response from a team of skilled professionals (provided by Locala and the GP Federations – Curo and MyHealthHuddersfield) within two hours, to provide the care they need to remain independent and avoid an admission to hospital.
Alongside this 0-2 hour response, a two day standard will also apply for teams to put in place tailored packages of intermediate care, or reablement services, for individuals in their own homes, with the aim of restoring independence and confidence after a hospital stay.
The service launched on Monday 2 November 2020 and the number of referrals received from primary care and Care homes continues to grow. The service is not yet fully mobilised – and both capacity and demand is fluctuating. Being a pilot means we will have the opportunity to tweak, test and learn as we go along – but it’s been a fantastic experience so far to work collaboratively with so many providers towards a shared aim for Kirklees.
There is still plenty to do to develop the service further – for example working with 111 and Yorkshire Ambulance Service around referrals into UCR. That said, it is important to recognise the efforts already made and successes to date.