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 people living in Solihull. These are the current projects:


In Solihull we are improving the way we support people leaving hospital (from Solihull and Birmingham Heartlands). Some people stay in hospital longer than they need and it isn’t good for them. We want to ensure that people can return home safely with the right support in place for them, their families and carers. Health and social care teams in the community and in hospitals are working together to make this happen. This approach is called SupportUHome.  Read more here.

Integrated Decision Hub

A fundamental part of this work has been completed with the introduction of the OPAL (Older Person's Assessment and Liaison) service at Solihull Hospital.

Work is now starting on the next phase, the Integrated Decision Hub. The vision for the hub is 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.

Falls Project

This is a new priority for the Solihull Together 2018-19 programme although the Falls project group has been working together for some time. The workstream aims to develop a pathway and services to identify, risk assess and provide interventions for people over 65 who are at risk of falling, have had a fall or a falls-related injury. 

Locality Working

Locality Working is a new Solihull Together workstream about maximising the impact of our work in localities through more collaborative working across partners. Locality Working involves housing, Solihull Council’s neighbourhood services, children’s services and adult services, health partners (the CCG and hospital trusts), the police and fire service. For this work Solihull is divided into three localities – north, west and east. We have pulled together a range of data about each locality as well as local intelligence about the priorities for each locality and this helps to target work effectively.

Locality Working will enable a co-ordinated response by Solihull Together partners where there are multiple issues affecting a community, individuals or families. It will also enable more productive relationships to be built within local communities, recognise community assets and create opportunities for community-led support and provision.  Read more here. 

Community Wellbeing Offer

Update July 2018: This work is continuing but is no longer part of the Solihull Together programme.  The lead organisation is Solihull Council and the Senior Responsible Officer is Karen Murphy, Assistant Director Commissioning.  

Activating Solihull (Patient Activation)

Update July 2018: This work is continuing but is no longer part of the Solihull Together programme.  The lead organisation is NHS Birmingham and Solihull CCG.  Read more about Activating Solihull here.

Activating Solihull

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Update July 2018: The Patient Activation project has transferred to NHS Birmingham and Solihull Clinical Commissioning Group. To find out more please contact This email address is being protected from spambots. You need JavaScript enabled to view it. at the CCG.  The information on this page is no longer being updated.

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.

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.

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 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 improving care when they need it.

We’ll be bringing more information to this section as plans develop.

Our Partners

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