This bulletin has been developed to provide GPs, CCGs and partners in the north east sector with a monthly update on key service developments from Pennine Care NHS Foundation Trust.

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Pennine Care Progress - January 2015

Update on My Health My Community

My Health My Community (formerly Living Well Academy) aims to help people to reach their full potential by ensuring they have the confidence, skills and knowledge to improve and manage their health and wellbeing.

Since the programme started in May 2014, it has focussed on developing a series of educational courses, a self-management app to support children with Type-1 diabetes, a website and signposting resource, as well as educational videos.

Click here for more information or to view the latest programme prospectus.

You can also follow My Health My Community on Twitter: @MyHealth_MyComm

300 Bury falls patients successfully supported at home

The Bury falls deflection service has supported nearly 300 patients to avoid hospital admission since being launched in April 2013.

Paramedics responding to falls patients will assess their needs and refer to community services if clinically safe and appropriate. The community team then responds within two hours of referral and will coordinate a care package based on the patient’s needs.

Staff also work closely with people who have had a fall to look at the safety of their home environment and generally ensure people have the right care and support in place.

HMR Healthy Minds campaign

As part of the re-launch of IAPT services to Healthy Minds, Pennine Care has been working with HMR CCG to implement an awareness raising campaign throughout January and February. The campaign was designed to encourage an increase in self-referrals to the Healthy Minds service in order to improve prevalence rates.

The campaign has included a social media presence, GP practice promotional packs, media coverage, a mobile community roadshow and billboard advertising. In the first three weeks of the campaign, visits to the Healthy Minds webpages increased by 600%.

A campaign evaluation will be completed to measure any impact on self-referral rates.

HMR Urgent Care Team supports 100 people to avoid hospital

The HMR Urgent Community Care Team has supported more people to avoid hospital than ever before over the winter pressures period. From December 2014 to mid-January, the team received 134 referrals to support patients who are aged over 65 and at risk of A&E attendance or acute admission.

The team also provides therapy and discharge planning for up to 14 patients at Rochdale Infirmary to help reduce length of stay and support timely discharge.

The service has recently been extended and now provides care seven days a week, from 8am until 8pm. Between 8pm and 8am, the team links seamlessly with Pennine Care’s Out of Hours Community Nursing Service, ensuring people can benefit from 24/7 community-based care.

Read a patient case study on the website.

Oldham stroke team first to pilot virtual appointments

The Oldham Community Stroke service is the first of Pennine Care’s services to use Skype video conferencing for routine patient appointments. The use of technology cut the appointment time by half by eliminating the need for travel, either by staff to a patient’s home or the patient to a clinic appointment. It also prevented the need for an additional face-to-face appointment that usually follows a telephone consultation.

One of the patients participating in the pilot said: “The video call worked well for us because it meant the therapists didn’t have to come over for an appointment. It means you can get around to see more people and was less of an interruption to my day.”

Oldham intermediate care patient passports

Butler Green has created patient passports to make it easier for carers, relatives and other health professionals to find out key information about their needs.

Staff worked with service users to develop the passport, which contains emergency contact details, a list of medications they take and religious and cultural factors health professionals may need to be aware of. It also contains details of the individual’s aims and goals, as well as an overview of capabilities.

Patients are also able to take their passports home so it can be accessed by paramedics, A&E staff or other medics to ensure continuity of care.