Over the past five years, we have had notable success in developing new models of care across home-based treatment, community teams and inpatient services.

Operating within our core values, we have been able to deliver care closer to home, excellence in specialist care and services that place the individual at the heart of every decision. When imagining the future, we must be ambitious and forward thinking but, also, build on the successes we have achieved.

Much of the ambition from our previous Strategy has been delivered and achieved through four Care Groups – set up to drive excellence in knowledge, expertise and experience in key areas of our operations. Below is an indication of what these were set up to deliver and an example of the impact this has made:

We continue to deliver integrated community care around the practice population, balancing restorative preventative and proactive care approach to drive better value focusing on prevention first. Services include primary care, physical health, mental health, social care, third sector services and the local community. Working with the person to deliver their care.

A long term conditions telehealth service has been set up across West Cheshire to support the treatment of patients in their homes. Telehealth is an innovative digital service for patients / carers using a portal or tablet device to take vital signs such as blood pressure, pulse, body weight and oxygen levels in their own homes. Patients can also answer simple questions about their symptoms and overall health, which is then analysed by the Telehealth clinical team to enable the patient to receive timely interventions. The convenience of the remote monitoring reduces inequalities for those in rural areas that find access problematic, as well as protecting those vulnerable from unnecessary exposure. The monitoring also gives patients confidence in their health, promoting collaborative decision making and evidence informed activity. Since use the health team have reported cost savings in being able to deliver care in the community alongside savings for primary care partners where other systems may have had to be used.

 

People with a learning disability, acquired brain injury (ABI) or a neurodevelopmental disorder, have the right to the same opportunities as anyone else to live satisfying and valued lives and to be treated with the same dignity and respect.

The Dynamic Support Database – HSJ’s 2022 mental health innovation of the year – was developed in response to the national Transforming Care Programme’s ambition to reduce hospital admission for autistic people and those with Learning Disabilities, CWP designed, developed and evaluated the Dynamic Support Database (DSD) tool. Its used to assess whether someone with LD/A in the community is at imminent risk of hospital admission and has proved effective at earlier identification so that active community support can be provided, reducing the likelihood of admission.

The tool is now in use at different Trusts across the UK and is supported and recommended by NHSE&I as good practice. CWP, working with people with lived experience, is now delivering on-line training nationally on this tool, through NHSE&I.

We provide the right care, at the right time and in the right place by working in partnership with families, communities and other agencies, and listening to our children, young people and families to enable them to be the best they can be.

Starting Well.pngThe Starting Well Service is committed to Social Value delivery. The service has focused on creating fair employment and good work for all creating healthier more sustainable places and communities. This includes over 750 weeks of apprenticeship delivery since 2018, 4.5 full time equivalent jobs created for disabled people, and 87 full time equivalent jobs for local people. £90,000 of initiatives have or will be taken or supported to improve the functionality of community assets and buildings so that they are fit for purpose for example work undertaken to Children’s Centres.

 

We deliver outstanding person centred care to people who need help and support from specialist mental health services.

Crisis line.pngIn collaboration with people that use our services, CWP colleagues and our third sector stakeholders, SMH has significantly developed services for people to access in crisis and in urgent need for mental health support. We have developed a 24/7 all age crisis line which has taken in excess of 140,000 calls over the last 2 years, launched 4 crisis cafés delivered by third sector partners in local communities and developed link worker roles to support people to access appropriate advice and support and prevent future crisis.