Admission avoidance proposals

We are in the process of looking at how we can build on the care provision in communities to enable more people to remain at home, and reduce the number of avoidable admissions. Part of this includes focusing on the harm from pressure ulcers, falls, urinary catheter infections, and Venous thromboembolism (VTE).

I’d really welcome understanding where we are in Norfolk with understanding, monitoring and acting on the risk factors associated with these conditions and your views on how we might enable more people to avoid unnecessary admission. We are beginning by asking eight simple questions.

1. Are your workers trained in observations relating to the following risk indicators? Please select one answer on each row:

	Yes	No
Skin condition	Skin condition Yes	Skin condition No
Moisture on the skin	Moisture on the skin Yes	Moisture on the skin No
Fluid intake	Fluid intake Yes	Fluid intake No
Catheter care	Catheter care Yes	Catheter care No
Weight	Weight Yes	Weight No
Nutrition	Nutrition Yes	Nutrition No
Mouth care	Mouth care Yes	Mouth care No
Mobility	Mobility Yes	Mobility No
Falls	Falls Yes	Falls No

2. Are your workers trained in the links between the above risk indicators and the following conditions? Please select one answer on each row:

	Yes	No
Pressure ulcers	Pressure ulcers Yes	Pressure ulcers No
Falls	Falls Yes	Falls No
Urinary catheter infections	Urinary catheter infections Yes	Urinary catheter infections No
Venous thromboembolism (VTE)	Venous thromboembolism (VTE) Yes	Venous thromboembolism (VTE) No

3. If yes to any of question 1 or 2, how do you currently capture the details and risks from any observations in someone’s wellbeing? Please select all that apply:

Paper
Electronic (if yes, please provide details of the software used)
Informally
Other (please provide details):

4. In order for home support providers to understand, monitor and act on their observations in a consistent way we recognise a number of elements would need to be in place. Please order the below elements in order of importance with 1 being the most important and 6 being the least important. Please note: as you rank these options they will move into order. Select your first priority from the list, mark it with a 1 and it will then move to the top of the list. Carry on until the elements have moved into your preferred order.

Knowing who is most at risk
Training for staff
Additional staff time
Being able to raise an alert to a health professional
Simple mechanism to monitor conditions
Other - please write in below

If you selected other, please provide details here:

5. What would be your preferred route to raise an alert? Please select one only:

Community Team
GP Practice
Single Point of call phone line
Other (please specify):

6. Which of the following elements of the work would require additional staff time to complete? Please select all that apply:

7. Are you aware of Your Care Companion (http://www.yourcarecompanion.com/)?

8. Please use this space to provide any other information / evidence on what you feel should be considered in the scope of this:

This work forms part of the Improved Better Care Fund. Many thanks for your time. Please respond by Friday 1 September 2017.