The Integrated Decision Hub

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The Integrated Decision Hub is a key project within the Solihull Together programme, helping us to deliver our ambition of an integrated urgent care service for the borough.

Zoe Wyrko, consultant geriatrician and Interim Associate Medical Director at Heart of England NHS Foundation Trust (HEFT), is leading the project.

"It’s about providing holistic care for older people,” Zoe explains.  “The hub will be the interface between health and care professionals - from local area co-ordinators to community teams, care navigators to GPs - 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.”

Geographically the hub will be based at Solihull Hospital but it will be phone based, allowing professionals from across the borough to call and get the advice and support they need.

Zoe spent five years in Solihull training as a junior doctor so she knows the area well. “Coming back to Solihull it’s great to see familiar faces around the hospital”, she comments.

In between times Zoe has been based at the Queen Elizabeth Hospital in Birmingham for the past seven years, where she has gained a national reputation for her work which includes establishing the QE’s front door geriatric service and delayed transfers of care ward. Zoe is also the workforce lead for the British Geriatrics Society.

Jo Hodgkiss is working alongside Zoe as the project manager. Jo also knows Solihull well, having spent many years running projects at HEFT including the introduction of Community Services and more recently the Urgent Care Review. “It’s great to be involved in a project which is going to transform patient care” said Jo, “and it feels as though this is bringing together all the work I’ve done in the past five years."

Zoe and Jo are under no illusions about the size of the task ahead. “We’ve got a huge amount to do in the next five months to prove the concept of this project. By the end of March we want to have the physical hub in place, with aligned intentions across the health and care system.

They are keen to point out that the new Integrated Decision Hub will be ‘done with and not done to’ and that involving colleagues across the Solihull system is a key part of their work.

Fortunately there are some strong building blocks already in place to help the project. As Zoe explains: “through the Solihull Together programme, we have strong working relationships across the health and care system and a shared vision and ambition for the future. The acute and community services are run by the same Trust which is a bonus. And Solihull has a special feel about it – a real pride in the borough. All the ingredients are in place to make Solihull a centre of excellence for the care of older people.”







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