New care service ‘positive step forward’

Proactive Care identifies patients likely to be admitted to hospital and provides support to help keep them at home COI: 300072
Proactive Care identifies patients likely to be admitted to hospital and provides support to help keep them at home COI: 300072
  • Proactive Care is making a significant difference to the lives of thousands
  • Patients supported better at home to keep them out of hospital
  • Shoreham team working to build patient referral numbers
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PROACTIVE Care, a new system being adopted across West Sussex, is making a significant difference to the lives of thousands of people.

The Shoreham team was highlighted in the Herald last week, having failed to meet the target for patient referrals to the service.

But it was also pointed out that Shoreham was one of the last Proactive Care teams to be rolled out across the county, meaning the team had less time to benefit from the results.

NHS Coastal West Sussex CCG is co-ordinating Proactive Care across the south of the county, drawing together a number of health professionals and ensuring each patient’s care is co-ordinated by one key worker.

West Sussex County Council’s Health and Adult Social Care select committee heard that the number of people being referred to new Proactive Care services in Shoreham was in the red zone, which was deemed to mean ‘not very good’.

The CCG made it clear the colour-coded system looked only at the number of patients referred compared to the target anticipated at the start of the project. It did not reflect the quality of care being provided.

We hope that this will continue to grow this year, and more and more people will come under the local Proactive Care teams

NHS Coastal West Sussex CCG spokesman

A spokesperson from NHS Coastal West Sussex CCG said: “Proactive Care is already making a significant difference to the lives of thousands of people across Coastal West Sussex, improving the care they receive and making sure it is more coordinated.

“The teams work with people, and their carers and families, to put in place a personal plan for their care to help them to identify early when they are experiencing a deterioration in their health, what they need to do, or who they need to contact if they need extra support.

“The care plans are also shared with the ambulance system so in the event an ambulance is called to a patient in a crisis, the ambulance service have access to their care plan and can make contact with the local proactive care team who have a plan in place to care for people in the community, instead of being taken to hospital if they can safely be cared for at home.

“The team in Shoreham was one of the last Proactive Care teams to be set up in the county and so to date, fewer people have been referred to the team there, but even so almost 300 people are benefiting from this new approach to their care.

“We hope that this will continue to grow this year, and more and more people will come under the local Proactive Care teams.

“There is a slightly different model to the way the team works in Shoreham and the CCG is working closely with the team to see whether this is having an impact, but every person referred to these teams is a positive step forward to making sure that people in Coastal West Sussex are receiving the best possible care, closer to home.”

Health and care professionals use their experience, and a risk stratification tool, to identify who should be cared for under the new Proactive Care service.

The tool identifies the risk of patients being admitted to hospital and the Proactive Care team, together with the GP, review patients who score highly to see if they could be supported better at home, in order that they remain well or know how to manage their illness during a crisis point, so that they are less likely to be admitted to hospital.