Healthy Households Support Service

Description

In a response to the system wide pressure on Hospital Discharges, and an increased reliance on its services such as short stay beds and community based support, Cheshire East Council directed its Community Connectors to work collaboratively with the two NHS trusts at Leighton and Macclesfield Hospital and its Adult Social Care Team to reduce the impact on these two areas. This service specification covers all service users of the Cheshire East Council Community Support Connectors Hospital Discharge and Adult Social Care workstreams. All service users will be adults (18+), be Cheshire East residents who are patients at Leighton or Macclesfield Hospital, or for Adult Social Care Referrals, fall in the scope of Cheshire East Councils Adult Social Care team. The core service provision required as part of this commission are as follows: • Provide dedicated additional capacity to support Cheshire East Council’s Community Support Connectors Team and its partners in admission avoidance, discharge and wrap around support to people leaving hospital, for 7 days. • Provide wrap around support to people known to Cheshire East Councils Adult Social Care teams for 7 days in conjunction with Cheshire East Council’s Community Support Connectors Team and its partners. • The service will be available across Cheshire East Monday to Friday during business hours. Whilst demand may require resource diverting to a targeted area, it is expected that capacity and availability will be equitable across the entirety of Cheshire East The service will, with Cheshire East Council and its partners, provide admission avoidance, discharge and wrap around support for 7 days for people leaving Leighton and Macclesfield hospitals. • The provider will have capacity to transport patients from hospital to their place of residence • The provider will undertake a home needs assessment to establish the needs of the person. Keywords: Early intervention, Prevention, Wrap around support, Transport, hospital discharge, community support