Health services

Description

The High Intensity User service is designed to target individuals who are at greatest risk of 999 calls, A&E attendance and non-elective admissions with the aim of empowering patients to self-manage and decrease their dependency on unscheduled care services. The service(s) will be required to meet the following needs: — identify those at greatest risk of 999 calls, A&E attendance and non-elective admissions, — proactively manage a rolling cohort of high intensity users using a truly personalised approach, — act as a conduit to negotiate and de-escalate issues before a crisis occurs; a situation which has historically led to a destabilisation of their condition and resulting in a 999 call, — empower patients to self-manage, to enable discharge from the project and to switch them from unplanned to planned negative to positive contributors of society, — form robust networks of services around individual patients to ensure they can access the care and support they need, when they need it, — improving communication and partnership working between those involved in patient care 24/7, — to provide training and support to other providers to ensure patients are empowered to take ownership of their health and well-being whilst decreasing their dependency upon unscheduled care services, — assist other providers to identify patterns and “causal factors” which trigger relapse behaviours in former High Intensity Users in order to shape future commissioning of service and/or demand/capacity planning.