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Developing community services

We are developing new community-based services that reflect our Your Care, Your Future ambitions to provide better coordinated care closer to home - preventing people from having to go into hospital unnecessarily.

To help people be healthy and independent, new service are also focusing on prevention and supporting people to look after themselves.

We also want to make sure that people have the same good experience of receiving care and receive the same level of service, wherever they live in west Hertfordshire.

Our Your Care, Your Future health and council partners, voluntary and community organisations, patients and others have been involved in work to redesign services that reflects all of these aims.

Adult Community Health Services

Following a major review of adult community health services we have developed a new model of care for services, starting from 1 October 2019.

This new model of care will be provided by Central London Community Healthcare Trust (CLCH).

This new way of working will include bringing physical and mental health, primary, social and voluntary care organisations closer together so that patients get the benefits of co-ordinated care. For example, patients with complex needs will have a designated ‘key worker’ to really make sure we are delivering care that is co-ordinated. This will be real on-the-ground neighbourhood-based integration.

The new approach will also focus on preventing people from becoming ill and on intervening sooner so that we can avoid people getting sicker and keep people out of hospital, as well as tackling the inequalities in health that are still evident in our patch. All of this has been our plan for some time under our Your Care, Your Future programme: the new model will deliver it.

The staff who currently provide adult community services to patients will be employed by CLCH.  This means that patients will still be looked after by the same highly skilled and caring staff.

The new specification for the services was developed in partnership with people who use and provide services currently. It puts into practice the national expectations to deliver fully joined-up services that are set out in NHS England’s Long Term Plan. The many thousands of patients who use the service will notice a real transformation in their care.

Nutrition and dietetics

We have designed a new nutrition and dietetics service to provide the following support

  • Patients needing support with home feeding
  • Patients with special dietary needs linked to conditions such as coeliac disease or irritable bowel disease
  • Patients needing help to address their obesity such as behavioural therapy or lifestyle changes to avoid the need for surgical intervention.

The new service is designed to provide support for patients at every stage: from helping diagnosis and help with self-management to secondary care. It will also provide advice and guidance for health and social care staff.

We are assessing bids from providers interested in providing the new service and will announce in September who has got the contract. We expect to launch the service in December. 

Respiratory services

We have worked with West Hertfordshire Hospital Trust and community provider Central London Community Health Trust to develop an integrated point of access for all respiratory conditions. This will support patients being seen in the right place, at the right time by the most appropriate clinician whether that is in community or in a specialist hospital. Patient choice will apply. The proposal is currently in its final modelling with an aim to pilot this during 2018/19.

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