A new integrated care service that enables frail patients to remain independent in their own home has been launched in Norfolk. NHS North Norfolk and South Norfolk CCGs have developed ‘Supported Care’, a service that provides increased care with clinical oversight within the community.
Working with local clinicians and health care professionals experienced at working in the community, the service aims to care for and treat frail patients at home and help them to maintain independence for as long as possible. The service provides immediate, short term care designed for the needs of the patient with the aim of supporting their independence.
Supported Care also offers nursing and therapy oversight for frail patients, such as those who have unstable long-term conditions or who may be at risk of acute infections, requiring an immediate combined health and care response to avoid being admitted to hospital or support when discharged home to avoid readmission. The service also includes a voluntary and community sector co-coordinator to connect the health and care response with the voluntary sector and wider community.
Dr Anoop Dhesi, chair of NHS North Norfolk CCG, said: “I am extremely proud that we developed this new service with patients, carers and stakeholders. Throughout the design of the service it became clear that that patients and their families wanted to be cared for at home wherever possible. This new service focuses on the needs of the patient helping them stay safe and well at home. It also works to prevent their conditions from getting worse leading to crisis and very often a stay in a hospital bed.”