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.