Health Care Framework for Adults Living in Care Homes
Argyll and Bute Council · 21 September 2022
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 21 September 2022 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
Page 1
1 Integration Joint Board Date of Meeting: 21st September 2022 Title of Report: Scottish Government Health Care Framework for Adults Living in Care Homes Presented by: Jaime Smith – Lead Nurse for Care Homes and Care @ Home, NHS Highland The IJB is asked to: Note the publication of the Health Care Framework for adults living in care homes (June 2022). Discuss the planned approach to response to Healthcare Framework for adults living in care homes by the Care Home Oversight function. 1. EXECUTIVE SUMMARY 1.1 This paper provides an introduction to the NHS Highland response to the recently published framework. NHS Highland co-ordinate the Care Home Oversight function that links directly with the multi-agency Care Home Assurance function within Argyll and Bute. 2. INTRODUCTION The Healthcare framework for adults living in care homes. My Health – My Care – My Home, was published June 2022 by the Scottish Government. A link is attached to the framework at Appendix 1. The framework seeks to examine how the health and health care of those living in care homes should be optimised, supported and delivered. Providing high quality, personalised care that is consistent, safe and meaningful is top priority for Scotland’s health and social care services. The Public Health Care Home Census (Dec 2021) reports that there are 33,000 people living in 1,069 care homes for adults across Scotland. 64% are living with dementia and the mean age of care home residents is 82. There are an additional 157 care homes for people with learning disabilities and 52 for people with mental health conditions, 36 for people with physical and sensory impairment and 15 for those with acquired brain injury, alcohol and drug misuse.
Page 2
2 The framework was developed following active engagement across the sector – including those with lived experienced and their families, Care Home providers, staff, HSCP teams, academics and policymakers. The programme of engagement included 29 engagement events, 674 stakeholders invited, 44 residents and families, 6 focus groups, 508 online survey responses and 73 good practice returns. NHS Highland (North?) submitted a good practice return. 3. DETAIL OF REPORT 3.1 The Health Care Framework has seven aims. Examine how health and care should be supported and delivered. Enhance the health of people living within a care home Improve the way we assess, monitor and respond to the health care needs. Work with health care and social care professionals, HSCP and care home providers. Promote a consistent approach to support people to remain as healthy as possible. Challenge professionals, services and systems to work effectively. Enable provision of seamless, personalised care at all times. There 8 framework areas (Nurturing environment, The Multi-disciplinary team, Preventative Recommendations, Anticipatory Care – self management and early intervention, Urgent and Emergency care, Palliative and End of Life care, Sustainable and skilled workforce, Data, digital and technology) have been developed with a total of 78 recommendations. 33 of these have been identified as priority areas for NHS Highland which incorporates Argyll and Bute HSCP. The Care Home Oversight Group agreed a pan Highland in response to the Healthcare Framework Recommendations. The first workshop was held on the 1st September at 9am with the objectives of – reviewing the framework, creating work streams, agreeing work stream leads and actions. Upon establishing work streams we will be able to develop key performance indicators. 4. RELEVANT DATA AND INDICATORS Emergency department attendances, hospital admissions, delayed discharges figures, unscheduled care contacts, ACP data will provide indicators for impact of the framework.
Page 3
3 5. CONTRIBUTION TO STRATEGIC PRIORITIES The implementation of the framework will ensure that we provide high quality, person centred care for adults living in care homes. This will seek to maximise their health and wellbeing. A direct result of this could be a reduction in avoidable admissions as well as avoidance of delayed or poor quality discharges. 6. GOVERNANCE IMPLICATIONS 6.1 Financial Impact Scottish Government funding for oversight arrangements and allocations for nursing support for adult social care were provided to the Board in March 2022 at a flat rate of £368 per bed. This funding was allocated across the NHS Highland board area with the provision of dedicated staff within Argyll and Bute. The funding allocation runs until March 2023, at present it remains unclear if this funding will be recurring. 6.2 Staff Governance Any issues will be raised through the work stream development. 6.3 Clinical Governance Professional leadership are involved and will ensure that any issues relating to governance are dealt with in according with the Clinical and Care Governance Framework of both NHS Highland and Argyll and Bute Integration Joint Board. 7. PROFESSIONAL ADVISORY Professional leads are involved in the core group identified to support this work. 8. EQUALITY & DIVERSITY IMPLICATIONS The implementation of the framework recommendations will seek to standardise health care provision for those living within care homes and ensure peoples’ rights and dignity are maintained. . 9. GENERAL DATA PROTECTION PRINCIPLES COMPLIANCE None identified currently. 10. RISK ASSESSMENT N/A at present. 11. PUBLIC & USER INVOLVEMENT & ENGAGEMENT Significant engagement by Scottish Government prior to development of the framework. A communication plan needs to be developed to facilitate the sharing of information regarding response to the framework and ensuring that the voice of those with lived experience is heard. Key stakeholders also include care home managers and these staff are connected in Argyll and Bute through a Care Home managers’ forum and the Care Home Task Force.
Page 4
4 12. CONCLUSIONS This paper has provided a brief overview at this early stage, updates as this work progress will be provided at appropriate forums, the Older Adult Strategy Group for Argyll and Bute and the Care Home Oversight Group (pan Highland). 13. DIRECTIONS Directions required to Council, NHS Board or both. Directions to: tick No Directions required √ Argyll & Bute Council NHS Highland Health Board Argyll & Bute Council and NHS Highland Health Board REPORT AUTHOR AND CONTACT Author Name: Jaime Smith Email: Jaime.smith1@nhs.scot Appendix 1: healthcare-framew ork-adults-living-care-homes-health-care-home-1.pdf