New nursing model targets emergency admissions

Moray Health & Social Care Partnership brings together housing and healthcare to meet the demands of older people in Forres

Wednesday 10th April 2019

Inspectors say the Forres Neighbourhood Care Team (FNCT), a new service model embedding a ‘collaborative way of working between housing and healthcare’ has started showing ‘signs of positive impact on emergency hospital admission rates’.

Evaluation of the pilot project was undertaken by Healthcare Improvement Scotland’s evidence and evaluation for improvement team (EEvIT) and Health and Social Care Moray (HSC Moray).

An ageing population in the local area and the closure of a community hospital led the Moray health and social care partnership to develop the new nursing model, which focuses on the prevention of admission to hospital whenever possible and the promotion of early discharge when people do need to go into hospital.

Hanover Housing was appointed to provide affordable accommodation near the town centre to meet the demand for sheltered and extra-care housing for older people with complex needs, with a strong focus on rehabilitation and reablement.

Operating 24 hours a day, seven days a week, a nursing team was recruited to the FNCT to support care in the apartments for individuals with acute and chronic conditions. Within the complex, patients have access to a cinema room, sensory room and outdoor spaces.

The evaluation examined changes in emergency admissions, 28-day re-admissions and length of stay following the introduction of the FNCT, as well as the before-and-after hospital admission costs of people cared for by the team.

While the report concludes ‘further data collection over a longer period of time is required in order to determine whether these signs translate into sustainable improvement’, evaluation found that ‘after the introduction of the new model, the data illustrated that for one [of the two GP practices serving the local area] there was a sustained downwards shift in the rate of emergency hospital admissions for patients over 65 years old’.

Evidence of reduced costs associated with hospital admissions for those cared for by the FNCT was also found.