Phase Two


Lightbulb

The Lightbulb Programme will integrate practical housing support into a single service that is available to all, easier to access, easier to use, and will provide support shaped around an individual’s need not an organisation’s processes.

Lightbulb will include access to the traditional housing support offer – i.e. a housing based assessment which could identify a minor adaptation such as a hand rail or a major change such as a downstairs bathroom and would include those adaptions available through the Disabled Facilities Grant. Where Lightbulb differs is the assessment wouldn’t limit itself to just those options and may also suggest a handyperson service, access to cheaper recycled furniture and offer affordable warmth advice –anything basically that could make a home safer, and improve an individual’s health and wellbeing.

Lightbulb will manage this offer of support differently in three key ways by:

  1. Having a single point of contact or referral
  2. Providing a single, broader assessment process which will be accompanied by a case management service
  3. Offering a wider variety of housing support and advice

Through this, Lightbulb will maximise the independence and safety at home of service users.

The evaluation of the Lightbulb Programme took place whilst the final business case was being developed, in order to test whether the new process had been modelled accurately and would deliver the expected results.

Lightbulb Programme SIMTEGR8 evaluation report

To view the Lightbulb service user mode model visit: http://www.simtegr8.org/interventions/lightbulb/lightbulb-user-mode-model/

To view the Lightbulb project leads model visit:                           http://www.simtegr8.org/interventions/lightbulb/the-lightbulb-simulation/

 

Intensive Community Service (ICS)

The evaluation of the Lightbulb Programme took place whilst the final business case was being developed, in order to test whether the new process had been modelled accurately and would deliver the expected results. The Intensive Community Support (ICS) Service facilitates the provision of enhanced care packages in the patient’s own home of both nursing, physiotherapy and occupational therapy with medical care provided by the advanced nurse practitioner (ANP).

The aim of this service is to respond to patients wishes for care to be delivered in their own homes. In addition this service facilitates enhanced care requested by GPs.

Final report of SIMTEGR8 Intensive Community Support (ICS) workshops and service users

The handbook and model for this evaluation is available at:

http://www.simtegr8.org/interventions/intensive-community-support/the-ics-simulation/

 

Help to Live at Home

The Help To Live At Home (HTLAH) Programme is targeted to two specific groups of people:

  • Those in need of support at home following a hospital stay
  • Those in the community whose needs have changed meaning they need more support to stay at home

The HTLAH Programme has been designed to help service users achieve maximum possible independence at home, by moving to a service model which is focused on reablement and maximising independence.

This service sees a significant reduction in the number of providers of domiciliary care services following a procurement process which concluded in July 2016. Domiciliary care provision was divided into 14 geographic lots, whereas the previous fragmented arrangements meant there were over 150 providers of domiciliary care in Leicestershire. The process was conducted in partnership between Leicestershire County Council, West Leicestershire Clinical Commissioning Group and East Leicestershire and Rutland Clinical Commissioning Group.  The service went live on 7 November 2016.

Final report of SIMTEGR8 Help to Live at Home workshops

The model for this evaluation is available at:

http://www.simtegr8.org/interventions/help-to-live-at-home/the-help-to-live-at-home-simulation/

 

Ambulatory pathway at CDU (Glenfield) hospital admissions avoidance scheme for cardio/respiratory patients

The Clinical Decisions Unit (CDU) is a busy admissions unit at the Glenfield Hospital in Leicester, specialising in cardiac and respiratory conditions. It accepts patients from GP’s, transfers from the Emergency Department, and direct 999 calls and is also a self-referral service for patients with respiratory conditions

When patients arrive on CDU they are triaged/streamed by a nurse to determine how quickly they will see a doctor. This is a decision based on clinical need i.e. sick patients will be seen first. Patients initially wait in a chair. Patients are clerked and have initial tests and diagnostics. Those that require a bed will be transferred onto the main ward area as soon as a bed is available. Patients not needing a bed will wait in a communal seated waiting area whilst tests are processed and clinical decisions are made to admit them to the unit or discharge home directly.

The evaluation focused on the effectiveness of the triage pathway for patients, from when they arrived at the unit to when they were either found a bed on the unit, transferred to a ward elsewhere in the hospital or discharged.

Final report of the SIMTEGR8 evaluation of the Ambulatory pathway at CDU (Glenfield) hospital admissions avoidance scheme for cardio/respiratory patients

The model for this evaluation is available at:

http://www.simtegr8.org/interventions/glenfield-hospital-ambulatory-pathway-for-cardiorespiratory-patients/the-glenfield-hospital-simulation/