www.england.nhs.uk

NHS – in England Opportunities for SEM

November 2014

Dr J Etherington FFSEM and National Clinical Director for Rehabilitation and Recovering in the Community

www.england.nhs.uk

Health and Social Care Act

• Commissioning Assembly

• Senates

• NHS England

• Other Agencies

• Networks

CCGArea/

Regional Teams

NHS IQHQIP

HCISCMonitor

CQC

SCNAHSN

www.england.nhs.uk

Rehabilitation will be key to every episode of care.

It will maximise mental and physical health, independence and occupation.

Rehabilitation is everyone’s business

Vision:

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Patient

Links

Specialist

Generalist

Social Care

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• Rehabilitation for Economic Growth • Vocational rehabilitation• Commissioning Incentives and Levers• Commissioning Guidance• Children and Young Peoples’ Rehabilitation

services • National Rehabilitation Conference 2015

Rehabilitation Delivery Board working groups

www.england.nhs.uk 6

External Agencies

http://www.nhsiq.nhs.uk/improvement-programmes/acute-care/recovery,-rehabilitation-and-reablement.aspx

NICE

HQIP

NHS IQ - Mapping

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Mapping

www.england.nhs.uk 8

Mapping

www.england.nhs.uk 9

Mapping

www.england.nhs.uk

www.england.nhs.uk

Issue Stakeholders

Return to work reduced reliance on state benefits

DWP

Enable people to remain in work DWP

CYP – maximise educational opportunities and decrease cost to social care

DfESocial careDWP

Supporting elderly to maintain independence

Social Care

Increase participation in society/reduced behavioural issues

MOJ

Injury Cost Recovery Insurers / NHS Trusts

National Economic Benefits of Rehabilitation

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Return to Work

Long Term Conditions

Transforming Rehabilitation

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Worker

Primary Care Rehabilitation

PHC – OH

OT

Work Hardening

Fitness Certification

Employer liaison

Exercise- based rehabilitation

Physiotherapy

Exercise professionals

Social reintegration

Group therapy

Ill-health

Return to Work / Education

Economic Benefits Who?

Return to Work DWP

Reductions in Healthcare contacts

NHS

maximise educational opportunities

DfE

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NHS Employee

Employee as Role model

Investment in the Employee

Improved Staff Morale

Improved Mental and Physical Health

Reduction in Sickness Absence

Lifestyle incentives

Support to Exercise

Smoking cessation

Weight management

NHS Fitness

Economic Benefits Who?

Improved Morale NHS Employers

Reduced sickness absence DWP / NHS Employers

Role Models NHS

Improved lifestyle NHS

www.england.nhs.uk

Patient

Primary Care Rehabilitation

PHC

SW

Memory Team

OT

Work

Social Care/ Liaison

Physiotherapy

Physical therapy/mobility

Reduction in pharmacological therapy

Exercise- based rehabilitation

Exercise professionals

Social reintegration

Group therapy

LTC

Economic Benefits Who?

Reductions in drug therapy NHS

Falls reduction NHS / Social Care

Independence Social Care

Return to Work DWP

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NHS England –

Five Years Forward View

www.england.nhs.uk

• Develop and support new workplace incentives to promote employee health and cut sickness-related unemployment

• Manage systems – networks of care – not just organisations.

• Out-of-hospital care needs to become a much larger part of what the NHS does.

• Need to evaluate new care models to establish which produce the best experience for patients and the best value for money.

• Primary and Acute Care Systems

• Multispecialty Community Provider.

FYFV

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Multispecialty Community Provider.

• ‘Groups of GPs to combine with nurses, other community health services, hospital specialists and perhaps mental health and social care to create integrated out-of-hospital care’

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• Rehabilitation – more explicit in business plan

NHS England - Rehabilitation Programme – November 2014

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• Future Hospitals• Training to meet need of Acute Hospital Service• Dual accreditation

• Closer alignment rehabilitation and EM• Training

• Focus on vocational outcomes• Work place services

SEM Opportunities