Capacity and System Flow

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We work collaboratively across the urgent and emergency care services, with a shared Home first vision and strategy to ensure the alignment of services, the sustainability of services and to achieve the best outcomes for patients across the health economy.

We have a wide portfolio to ensure demand matches capacity with a reduction in discharge delays both in an acute and community setting.

We are responsible for providing a ‘Discharge to Assess’ service in an intermediate care setting, ensuring there is flow both in and out of this resource to support our patients to reach their maximum potential and receive the on-going care that is necessary for them at the right time for them. This includes therapy provision to ensure appropriate goal setting, enhancement of confidence and mobility and an aim to reduce the level of on-going support needed.

We support Emergency Department attendance activity with a strong focus on admission avoidance and our services are enhanced to support this.

Individualised Care and System Flow

The Individualised Care and System Flow department includes a wide range of services encompassing unplanned care, (i.e. emergency care), discharge and intermediate provision, acute services and pathways for those living with frailty including those for older people and/or those at end of life and personalised care through the commissioning of care packages and placements via personal health budgets or continuing healthcare funding.

As part of the Commissioning and Contracting Directorate, it comprises commissioning and monitoring of services including:

  • Two Ambulance Trusts
  • Three Emergency Departments
  • Intermediate Services provided by Four NHS Community Trusts
  • Virtual wards for acute admission avoidance
  • End of Life and palliative Services
  • Acute Frailty Services including Falls and Same Day Emergency Care units
  • Community Equipment
  • Wheelchair Services
  • Long term care for those receiving Continuing Healthcare Funding
  • Personal Health Budgets

It also responsible for emergency care advance planning, most notably for Covid pressures, but routinely for Winter and Bank Holidays.