What we’re working on at the moment

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Right now, the Solihull Together programme is achieving change, driven by all our partners' desires to improve health and social care for Solihull people. Here are some of our current projects:

Local Area Co-ordination

Solihull is the first area in the West Midlands to introduce an approach called Local Area Co-ordination. Recruited with the involvement of local residents five Local Area Co-ordinators in Olton, Lyndon, Shirley East, Smith’s Wood and Kingshurst are providing advice, information, and support to people of all ages and their families and carers. They are also building longer term relationships with people who may be facing complex life situations.

Meet Nick Darwen, the Local Area Co-ordination manager for Solihull, who explains what the approach is all about.

Care Navigation

Care Navigators support people to find their way through our local health and social care system and access the right services at the right time, rather than at the point of crisis. Care Navigators are based at GP surgeries in Solihull and work with patients who are referred to them, carrying out a holistic assessment, providing appropriate support and signposting before discharging the patient.

Meet some of our Care Navigators and see how they're making a big difference to people's care planning. Or, read about our current Care Navigator pilot, run with Age UK Solihull.

Integrated Decision Hub

This project is at an early stage. The aim is for the hub to be the interface between health and care professionals and the services and support they need to access on behalf of the people they care for. The hub will simplify, and remove duplication within, the health and care system and it will mean better communication between the professionals involved in someone’s care. Read more.

Activating Solihull

Activating Solihull is a new project looking at the knowledge, skills and confidence a person has to manage their own health and care. By focussing on someone’s level of activation, we can target support which is more appropriate and effective, leading to better health outcomes, improved experiences of care and few unplanned care admissions.

Solihull has successfully bid to be part of a national 5-year project on Patient Activation.  Our local project is supporting people with long-term conditions, helping them to manage and make decisions about their own health and wellbeing. Read more.

Activating Solihull

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In Solihull we are piloting an approach called Patient Activation. It is part of NHS England’s self-care support programme, helping people with long term conditions like diabetes and asthma to feel more in charge of their health and care.

This is a five year programme and we are at a very early stage in Solihull.   We are currently working with a small group of professionals, service users and patients to test out the approach.  We will be sharing learning about the project as it progresses.   Read the story so far to find out more.

If you are a health or social care professional and would like to find out how the Activating Solihull project could help you support your patients or service users please contact the project manager, Kate Thomas, at This email address is being protected from spambots. You need JavaScript enabled to view it. or 07734 777207.

The story so far

NEW - Health coaching

Talking to people in a way that acknowledges their expertise, and puts them in the driving seat, helps people better manage their own health and care.   If you’re looking for ideas on how to do this, read this information on health coaching which is based on the science of behaviour change or download the resource guide.

June 2017 - Second Activating Solihull workshop

Working with our pathfinder sites we started to develop a local Activating Solihull toolkit.

March 2017 - First Activating Solihull workshop

The aim for our first workshop was to start raising awareness and recruit our pathfinder sites for the project.    Here are the video highlights. 

And this is what people said about the workshop:

Great initiative.  I’ll be fully supporting this in my practice.

Focus on person-centred is the most important thing.

Love that this is driven from a patient-centred point of view.

What is Patient Activation?

Patient Activation describes the knowledge, skills and confidence a person has in managing their own health and care. Understanding these levels can help you to tailor the amount and type of support you provide to your patients and service users.  

Watch this video to find out how Sheffield GP, Dr Ollie Hart, is using patient activation or read on below

What do the different levels of activation mean?

People who have low levels of activation are less likely to play an active role in staying healthy. They are less likely to seek help when they need it, less likely to follow professional advice or to manage their health when they are no longer being treated. Their lack of confidence and their experience of failing to manage their health often means that they prefer not to think about it.

People with low activation levels are more likely to attend accident and emergency departments, to be hospitalised or to be re-admitted to hospital after being discharged.

When people are supported to be more activated they benefit from better health and care outcomes, improved experiences of care and fewer unplanned care admissions.

How do you measure Patient Activation?

As part of the NHS England programme, we have access to 45,000 licenses to use a tool called the Patient Activation Measure or PAM.   The Patient Activation Measure (PAM) is a validated, commercially licenced tool.  It helps to measure the spectrum of people’s skills, knowledge and confidence and captures the extent to which they feel engaged and confident in taking care of their condition.

Individuals are asked to complete a short survey and based on their responses, they receive a PAM score (between 0 and 100). The resulting score places the individual at one of four levels of activation, each of which reveals insight into a range of health-related characteristics, including behaviours and outcomes.

PAM downloadable materials

If you're interested in using Patient Activation, have a look at some of the material below or contact This email address is being protected from spambots. You need JavaScript enabled to view it. or This email address is being protected from spambots. You need JavaScript enabled to view it. for an initial conversation.

PAM questionnaire

PAM questionnaire (carer version)

PAM scoresheet

PAM poster (level 1)

PAM poster (level 2)

PAM poster (level 3)

PAM poster (level 4)







New Integrated Community Teams for Solihull

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Integrated Community Teams have been introduced in Solihull. This is enabling staff to work together more effectively and efficiently across organisational boundaries so that patients and service users get the care and support they need, when and where they need it.

The aim is to meet the health, social and emotional needs of patients, whilst also helping them to be as independent as possible, reducing avoidable admissions to hospital and care homes.

There are two phases to the project.

Phase 1: launched on 1 July 2015 is focusing on restructuring community nursing. Community matrons have been brought together with community nurses and staff from the Single Point of Access (SPA) service to form integrated community teams. There are six teams in total, 2 within each of three areas of the borough: Shirley, Central and Rural Solihull, and North Solihull, and each one linked to a number of GP practices.

They deliver community nursing services to patients in their own home, including people who are at the end of their life. They also provide a rapid response (within 2 hours) to provide urgent care and support to those at immediate risk of an admission to hospital.

Phase 2: Further work is now being done to integrate community nursing, primary care, social care, mental health and other services.

For more information please email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Commitment of people working across the health and care system: Clinical and Professional Summits

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ICASS | Transformation summit from Media Hub on Vimeo.

Transforming Solihull Hospital

In July a group of 30 colleagues met to discuss the vision for Solihull Hospital and design a new system of care fit for the future.  Andrew Foster, interim Chief Executive of Heart of England NHS Foundation Trust, and Dr Mark Temple, Future Hospitals lead from the Royal College of Physicians, were the key note speakers. 

Using a scenario in which an earthquake had destroyed much of Solihull Hospital, teams spent the day developing designs to show how we could provide care across the borough without using the hospital.  There was a clear consensus that the current hospital based delivery of care was not the best option either in terms of meeting the needs of the population of Solihull or in terms of sustainability.   There was a call to create our own ‘earthquake’ and deliver a care system fit for the future.

As part of the ICASS programme we are running a series of Clinical and Professional Summits. These events bring together health and care colleagues, by invitation, to discuss a particular aspect of integrated care.

Admission Avoidance
Over 40 delegates attended our second Clinical and Professional Summit in February to discuss how we can improve outcomes and reduce unnecessary hospital admissions for our older population.

Key note speaker Professor Ian Philp, former Elderly Care Tsar and local Silhilian, told delegates that Solihull could be the UK's leading centre of care for older people and that the target of reducing hospital admissions by 20 a week could be achieved by working together.

Watch highlights of the summit here 

Admission Avoidance from Media Hub on Vimeo.


Dr Sam Everington and the Art of the Possible

Read the article about Dr Sam Everington's visit to Solihull

To find out more about our Clinical and Professional Summits, please email the ICASS team at This email address is being protected from spambots. You need JavaScript enabled to view it.

Solihull Together

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Through our Solihull Together for Better Lives programme, we have already started working on three key areas which support Solihull's older population, particularly those who are frail or living with dementia.

In this section, you'll learn about what we've already achieved, what we are working on now and in the future, and also what inspires us. There is so much good work going on by staff and members of our communities that are helping to keep people happy, healthy and independent - and improve care when they need it.

We’ll be bringing more information to this section as plans develop, including videos of our programme leads talking about what’s coming up and how we’ll better people’s lives as a result.

Our Partners

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