Safely Reducing Avoidable Conveyance Programme

Improving Falls Responses and Outcomes in Community / Care Homes

Brief Description of Initiative

Development of a best practice commissioning model and implementation toolkit guide to improve falls responses and outcomes in Community / Care Homes.

Date Initiative was introduced in Trust

(Under development)

Date of upload or review

Uploaded to Repository 16 November 2021.

Background Context

Presently, South Central Ambulance Service delivers 5 different rapid response falls services. Each deliver a different service model and hours of provision.

In order to improve efficiency, reduce variation and inequity of service provision across the South-Central geography, the clinical team wish to develop a patient-centric commissioning framework to deliver a service to their population that is consistent.

Which specific patient group or presenting need is this response targeted at?

Minor injury falls at home (within the community or within in a care home setting).

Geographical area or location covered by this response model

Hampshire, West Sussex, East Sussex, Surrey, Berkshire, Oxfordshire and Buckinghamshire.

Key Aims

Wessex AHSN in collaboration with Craig Barlow, Paramedic and Operations & Engagement Manager, Primary & Urgent Integrated Care, South Central Ambulance, and Ali McGinnes, Consultant Frailty Nurse at Hampshire Hospitals.

  • review national best practice fall response models distilling key aspects of delivery and impact
  • review falls response models across SCAS
  • ensure alignment with system Urgent Community Response plans
  • identify a hybrid best practice model
  • identify another ambulance locality who is at the first stage of setting up a falls model to identify key aspects for in inclusion in an implementation toolkit
  • develop a supporting implementation toolkit for the commissioning framework (to include, data collection approaches and evaluation frameworks, leaflets, checklist for setting up a best practice service, links to innovations for further exploration)
  • test the implementation toolkit
  • host a sharing event to share best practice
  • launch approach locally and across AACE network
Benefits for Patients
  • Equity of care provision
  • Delivery of care in optimal setting
  • Ensuring patients remain at home, living well and independently for longer
Benefits for Trust or System

Provides a framework for commissioners to deliver a best practice falls response service with supporting implementation tools – a how to guide to deliver element of the Urgent Community response mandate to:

  • Reduce conveyance to Emergency Departments – releasing core ambulance crews
  • Reduce costs to ambulance services and Emergency Departments
  • Reduce future demand pressure through early intervention
Implementation

South Central Ambulance Service are working with the Wessex Academic Health Science Network and local commissioners to develop the framework and implementation tools.

Evaluation & Monitoring

The project is still in development phase, but it is anticipated to be trialled in another ambulance service to ensure the toolkit contains all key aspects for delivery and implementation.

Sustainability

The project is still in development phase, but it is anticipated that the framework and toolkit will be made available to other systems for use.

Sharing & Learning

The project is still in development phase, but it is anticipated that the framework and toolkit will be made available to other systems for use.

A shared learning event is planned for local commissioners and South West Ambulance service late 2021. Information will also be shared across NHS Futures Platforms and promoted via the South East NHSEI regional forums.

Contact us about these Initiatives

Please note, this enquiry facility is for the use of NHS colleagues to find out about the set up of this initiative. Patient enquiries about a case or care experience need to go direct to the relevant ambulance NHS trust.

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