A partnership between a hospital and local GPs is celebrating a year since taking over the multi-million pound contract to provide adult community health services.

Royal Surrey County Hospital and Procare, a federation of 18 GP practices, took over adult community health services across Guildford and Waverley in April 2018.

This was the first time in the UK that a community service has been provided by both GPs and a hospital trust.

The last year has been an extremely productive year for adult community health services as they integrated with both the trust and Procare.

Among other things, the team have successfully launched a Community Coordination Centre, integrated the Night Response team into a new base with a wider catchment area, piloted a physiotherapy advice line, and extended their hours.

Louise Stead, Chief Executive of Royal Surrey County Hospital, said: “Our community teams do a   fantastic job and provide a wide range of care, from supporting patients to managing long term conditions, to treating those who are seriously ill and with complex needs.

“This sees teams of nurses and therapists working closely with other healthcare professionals, including GPs and social workers, to deliver care in peoples’ homes, as well as in the local community hospitals.

“On this first anniversary I would like to recognise and thank all of our community teams for their dedication, commitment and hard work.

“You have become an integral part of the Royal Surrey family and the integration of services is having a really positive impact on the lives of our patients.”

Over the last year the Trust has been working hard to deliver integrated care in the community.

To support this, a Community Coordination Centre was launched on 1 October 2018, as the hub for all adult community health services.

The centre is staffed from 8am to 8pm, seven days a week, with all adult community health services being filtered through and triaged by the team.

This allows staff to ensure that patients are getting the care they need.

In the same vein Night Response, our night-time community nursing team, will be relocating to Milford in order to become more integrated with the day services and to cover the Surrey Heath and Farnham area.

In order to deliver more efficient care, the Community Physiotherapy team also successfully piloted an advice line service, enabling patients to receive telephone physiotherapy advice within 48 hours.

The pilot showed a 50 per cent reduction in patients requiring a face to face appointment, as well as a reduction in follow up appointments.

The scheme was trialled with local GP surgeries and the team have now been asked to roll this out further.

Mandy Sambrook, Director or Adult Community Health Services, said: “In the past 12 months the teams has demonstrated their commitment to patients delivering great care to Guildford and Waverley residents.

“We have mentioned just some of the fantastic achievements that the team have achieved over the past year, with many more being accomplished.

We’re excited by what we have achieved and know that there will be many more opportunities in the future to learn and work together as we develop as an organisation.”

Case Study – Gemma Jimmison

I qualified as a General Adult Nurse from the University of Surrey in 2013 and have been working in Waverley and Guildford Adult Community Health Services for the best part of five years. During my training all of my placements took place at Royal Surrey County Hospital so with the recent merger of community services with the trust, I feel I have gone full circle.

After qualifying I initially worked in the Emergency Assessment Unit at Royal Surrey but then chose to work in the community as I wanted to see first-hand the long term impact that we have on our patients.

Some of our patients have been on our caseload for the whole time I have worked in the community, so we get to know them on a personal level. It is rewarding to have and grow those relationships and to see how we make a difference to our patients every day.

As a community nurse I provide nursing care for patients, as well as support for their families and carers. Our service covers the whole of Waverley and provides a range of nursing services from wound care to end of life care, all in the home environment.

Over the last year we have integrated with Royal Surrey County Hospital and Procare, resulting in many big changes to community services. This scale of change has naturally led to some challenging moments, yet we have continued to deliver excellent care in the community, as well as launching new services to make the service more efficient.

Amongst other things we have launched a new Community Coordination Centre based in Milford, which aims to provide a more integrated approach to care across Waverley and Guildford. Through the CCC, our crisis response service is delivering face to face admission avoidance within two hours of referral.

On a personal note I am currently studying the District Nursing Honours Degree at the University of Surrey. This means that when I graduate in September I will be a specialised Community Nurse as a District Nurse.

This progression has only been made possible through working in the community and has allowed me to pursue my dreams and expand my nursing education.

I am proud to work in Adult Community Health Services and look forward to the future growing and developing in conjunction with the trust and with Procare.

©2019 Royal Surrey County Hospital

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