A warm welcome to…
Cathy Bellman and Gayle Savage who started this month as your new Community Hub Development Managers. They are both seconded from the Community Trust and have many years’ experience in clinical, operational management; Gayle, a nurse by profession and a very experienced locality manager, Cathy, a Podiatrist by profession and experienced in transformation and service improvement.
If they have not done so already, they will be in touch with your practice in order to meet with you, bring you up to speed with what is going on within the CHOCs and to get your views, opinions and ideas.
Frequently asked Questions:
- WHAT IS A CHOC?
Community Hub Operating Centres (CHOCs) are a means whereby all professionals come together and share their knowledge and skills to co-ordinate how local people are supported to improve their own health and well-being and when people are ill or need help, they receive the best possible joined up care. A CHOC can be face to face or virtual.
- WHAT IS CHOC INTEGRATED CASE MANAGEMENT (ICM)?
This is a step up to intensive MDT, from the normal practice MDTs. It is for high risk patients before they become acute. The intensive may not only be medical but there may be a social care need such as carer breakdown for example. These CHOC patients go up at a time of more high risk need for a period of time until their need stabilises and then they go back into the normal system of care . It does not affect the normal MDT process.
- WHO ATTENDS A ICM CHOC?
Representation from all parties in Health and Social Care – GP, Community Nursing, Paramedics, ICT, AHPs, Adult Social Care, Mental Health, Voluntary and Care Sector including Red Zebra for social prescribing.
- HOW DOES IT WORK OUT OF HOURS (OOHs)?
For OOH professionals the CHOC patient will have their care plan in the house, with information of all the agreed actions and contact details for emergency or escalation which would be used as the first line of action with ambulance call as the last resort.
Update on the ICM 10 week pilot
Whitstable, Faversham and Canterbury are now in week eight of the ten week pilot.
Ten patients for each site have consented to be part of the MDT CHOC meeting and, although it is in the early stages, staff are already seeing the benefits of getting together, sharing assessments to identify gaps in care. From this a robust Integrated care management plan is produced which is agreed with the patient. The care plan is to be held on the GP system with paper copy held by the patient.
All members of the MDT will be able to access the GP system in order to update the care plan. We are currently working with EMIS to develop an easy way to interoperate with each other electronically, and will be including all practices in decisions; until we are working on interim measures so as keep momentum going.
We will be reviewing the pilot after the ten weeks with a view to rolling out to the other areas. Cathy and Gayle will keep you fully informed.