Connecting Care Summative Report, Wakefield

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Summary of report content

In 2017, Healthwatch Wakefield produced a report which concluded a three-year evaluation of the “Connecting Care” initiative in Wakefield. The report presents the results of almost 1000 interviews with service users, carers, and staff of the services involved. The overall summary findings included: • The Connecting Care programme has not been implemented as originally intended. It struggled in a challenging context, and with less management focus than it required. • Staff have hugely valued the experience of working in Connecting Care, and have developed and improved relationships across teams as the programme has progressed • The programme has led to improvements in the co-ordination, responsiveness, and quality of services experienced by many patients and (some, but not all) carers. • The programme has not had any clear impact on use of bed-based services, and therefore no clear overall financial impact The improvements seen were achieved without actually moving on to fully implement any of the originally intended objectives, these improvements included: • Community-based teams able to provide a crisis response within two hours, 24 hours a day, 7 days a week • Open access to both health and social care services, via a single triage point • Care co-ordination for complex cases • A team whose purpose is to go into the acute hospital, and assess the opportunity for facilitated early discharge • Common electronic care records across health and social services, using the NHS number as a common identifier. The report holds extensive detail of the outlined summary above, however at the time of publication there was no response from providers and commissioners of services.

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General details

Report title 
Connecting Care Summative Report, Wakefield
Local Healthwatch 
Healthwatch Wakefield
Date of publication 
Sunday, 1 January, 2017
Date evidence capture began 
Friday, 4 April, 2014
Date evidence capture finished 
Monday, 10 October, 2016
Type of report 
Report
Service evaluation
Key themes 
Administration
Admission
Communication between staff and patients
Discharge
Information providing
Integration of services
Patient records
Referrals
Service delivery organisation and staffing
Staff attitudes
Staff levels
Support
Other information of note about this report 
Carers
Healthwatch reference number 
Rep-6404

Methodology and approach

Was the work undertaken at the request of another organisation? 
Not known
What type of organisation requested the work 
N/A
Primary research method used 
Structured interview
Survey
How was the information collected? 
Research
If an Enter and View methodology was applied, was the visit announced or unannounced? 
N/A

Details of health and care services included in the report

Primary care services 
Community pharmacy
GP practice
Health visitor
Secondary care services 
Inpatient care
Occupational therapy
Pharmacy
Accident & emergency
Social care services 
Adult social care
Assessment
Home care / domiciliary care
Respite care
Urgent and emergency care services 
Accident & emergency
NHS 111
Urgent care services
Other services 
Equipment service

Details of people who shared their views

Age group 
All people 18 and over
Gender 
All
Ethnicity 
All
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Administrative
All care professionals
Does the information include other people's views? 
Yes
What was the main sentiment of the people who shared their views? 
Positive

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
Not known

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.