Cwm Taf University Health Board has launched a major collaboration with Merthyr Tydfil and Rhondda Cynon Taf Councils to integrate the health and social care of older patients, enabling more people to live at home with tailored support.
The three organisations have today published a Statement of Intent which outlines how they will work together across health board and council boundaries to provide a range of services for older people with complex needs focussed on prevention, self-management and re-ablement.
Two key parts of collaboration are the @home initiative and reablement services which aim to cut unnecessary time spent in hospital and support older people at home with a tailored package of care and to support their independence. The initiative has already saved 2,037 acute bed days and discharged 1,498 patients so they can be cared for in the community.
The collaboration is also developing an Older Persons’ Mental Health Service and strengthening primary care services.
Evidence demonstrates that demand is increasing for both acute and community care services for older people and the ageing population suggests that this demand will rise in the future.
The increase in the number of older people is likely to be associated with a rise in chronic conditions such as circulatory and respiratory diseases, mental health conditions and cancers which need a collaborative approach.
Stephen Harrhy, Director of Primary, Community and Mental Health Services at Cwm Taf University Health Board said: “Our objectives focus on prevention and early intervention with specific attention given to groups who are disadvantaged and vulnerable. Our Statement of Intent with Merthyr Tydfil and Rhondda Cynon Taf Councils is our commitment to a strong collaboration providing the best possible care for some of the most vulnerable members of our community. We look forward to continuing to work closely together to build on what we have already achieved but also to ensure that our services are fit for the future health and social care needs of our older population.”
Rhondda Cynon Taf Council, added: “We have a long and proud tradition of delivering innovative, successful partnership work to enable older residents to live safely and independently.
“The Statement of Intent is our formal commitment to continuing this work in partnership with our colleagues at the Health Board and in Merthyr Tydfil for the benefit of service users.”
Giovanni Isingrini, Director of Community Services, Merthyr Tydfil County Borough Council: “We have a strong track record of working in partnership to achieve the best for our citizens and I am confident that by working even more closely with our key partners in Health, the independent and Third Sectors this important initiative will help us deliver better outcomes for the people we serve as set out in the new Social Care and Wellbeing Act”
Find out more in the summary of the Statement of Intent.
For the full Statement of Intent document here
You can also download the Patient care information leaflet.