Happy, Healthy, at Home North East Hampshire & Farnham Vanguard

Serving our population of 220,000

Local third sector partners

(23 GP Practices)

The people of North East Hampshire and Farnham

North East Hampshire & Farnham

Complicated geography

Happy and Healthy at Home

We are taking targeted action to prevent ill health and promote self care:

Social Prescribing

Recovery College Courses

Crisis Café

Support to carers and staff

We are strengthening local primary and community care:

Practices working together

Separation of on-the-day urgent primary care from planned primary care

Community Ambassadors

Integrated Care Teams

Proactively managing the health and social care needs of the population

Expanding the capacity of community and social care response services, and extending their working hours to 8am-9pm

We are improving services for patients in a crisis and those who need specialist care:

Improved support to stay well

Joined up, accessible local care

Specialist care when

needed

Safe Haven at the Time Out Cafe

The Safe Haven at the Time out Cafe

Before Safe Haven

Health and Care System Benefits continued..

• A&E attendances for NEH&F CCG where diagnosis is in the psychiatric category show a rising trend from April 2013 through to February 2015; since this point numbers appear to have plateaued. A forecast of activity for this latter period based on previous trends indicates that the attendances since this time are less than would have been expected (figure1)

• This plateau in A&E attendance numbers coincides with a rapid increase in the number of attendances at the Safe Haven service (figure 2).

Health and Care System Benefits continued..

Figure 1

Health and Care System Benefits continued..

Figure 2

Health and Care System Benefits continued..

• Comparison with other CCGs support this assertion; figure 3 clearly shows a A&E attendances with psychiatric diagnosis per 1,000 population continuing to rise for Portsmouth City and Southampton City CCGs

Health and Care System Benefits continued..

Figure 3

Figure 3: A&E attendances with psychiatric diagnosis per 1,000 for NEH&F and comparison CCGs, April 2012 to June 2016. Source: SUS, ONS

Health and Care System Benefits continued..

• Most critically, Safe Haven service users have increasingly self-reported their attendance at the service as an alternative to A&E.

Figure 4 illustrates the proportion of Safe Haven attendances which have been identified by service users as being an alternative to an A&E visit ; on average 17% (with a monthly high of 29% and a monthly low of 9.8%) of all Safe Haven visits would have resulted in an A&E attendance if the service was not available, 1,450 attendances over the lifetime of the service.

Health and Care System Benefits continued..

Figure 4

Figure 4: Proportion of Safe Haven attendances identified as an alternative to A&E visit, shown against the overall number of attendances at the service, April 2014 to March 2016. Source: NEH&F CCG.