Crossroads Care
Mid and West Wales
Rhif Elusen Gofrestredig / Charity Registration No: 282102
Cwmni cyfyngedig drwy warant yng Nghymru a Lloegr / A company
limited by guarantee in England & Wales: 1544708
Mae nod masnach Gofal Croesffyrdd yn nod cyfun / The Crossroads
Care trademark is a collective mark.
Background
• No District General Hospital in Powys
• Powys Teaching Health Board (PTHB)
‘bleeding’ funds over the border into England
(Shrewsbury) and Gwent (Abergavenny)
• Reconfigure block booking of beds to a more
cost-efficient model
• Prevent avoidable admissions to hospital
Purpose of PURSH
• Prevention of avoidable admissions to
hospital through the provision of a short
term home based domiciliary support
service
Emergency Response Service
P
U
R
S
H
Partners
• Welsh Assembly Government Continuing
Health Care funding to build voluntary sector
capacity
• PTHB elected to administer through Powys
CVC, Powys Association of Voluntary
Organisations (PAVO)
• Crossroads Care Mid and West Wales
(CMWW) in partnership with PAVO
developed an emergency
response service model
Service Operation
• Initial service established in North Powys to
avoid admissions to Shrewsbury DGH
• Service available 24 / 7 / 365 through
qualified CMWW Care Staff on standby
(PURSH)
• Accessible only via GPs through the Care
Coordination Centre (ShropDoc) for clinical
referrals
Contd.
• When GP assesses, the patient can remain
at home with PURSH support and with
patient / family agreement if appropriate,
PURSH contacted
• Care Staff member attends within four hours
• GP reassesses patient within 24 hours, or up
to four days (max to cover bank holiday
weekends)
• PURSH funded up to four days; service no
longer required; or spot purchase of care;
(possibility of hospital
admission)
Benefits
• GPs have an alternative to hospital and have
the confidence to keep people at home
• Prevention of an avoidable admission
• Patient stays at home
• Cost saving of c.£2,500 to PTHB from
hospital admission avoided
• Liberates funds for funding of other health
care / clinical needs
• Avoids disruption to the usual care setting
Contd.
• Allows for proactive discharge planning
• Integrated service and an effective
partnership
• Voluntary sector capacity improved
• In the medium term, breaks the admission
cycle and reduces requests for continuing
health care funding
• In the longer term, reduces dependency on
hospital beds, but this can only happen if
linked to wider social
support systems
Crossroads Care
South East Wales
Charity number 1123455. Crossroads South East Wales is a company limited by guarantee
in England and Wales number 06419626.
Registered office: Head Office, First Floor, 17-19 Wharf Road, Newport, NP19 8ET.
© Copyright Crossroads Care 2009
The Crossroads Care trade mark is a collective mark.
Partnership Working
Count
Crossroads
Care In!
‘Time-Out’ Project
Operational since 2000
Background
• Underutilised buildings
• Need for services outside of Monday to
Friday, 9:00AM to 5:00PM
• Willingness to work in partnership
• Need to demonstrate outcomes for as
many individuals as possible
Purpose of ‘Time-Out’
• To provide services at the weekend to
benefit carers and those with care needs
• To work towards individual desired
outcomes and be able to demonstrate
these
• To be as cost-effective as possible
Partners
• Service Users i.e. carers, the individual
with care needs and wider family members
• Blaenau Gwent County Borough Council
Social Services
• Aneurin Bevan Health Board
• Crossroads Care South East Wales:
– Staff
– Volunteers
Service Operation
• Open Saturday and Sunday
9:00AM to 4:00PM
• When funded by Social Services, access
via a Social Worker
• When individually purchased, access via
Crossroads Care South East Wales
• Dedicated team of staff
Values and Principles
• Carers views were central to planning and
delivery of the service
• The service is user needs-led and
responsive to those who engage with the
service
• It seeks to promote partnership
working and encourage a
multi-agency collaboration
Benefits
• Carer has extended break at the weekend
• Individual has opportunity to interact,
socialise and retain life skills within secure
surroundings in a group setting
• Purpose built accommodation suitable for
showering, toileting, meal preparation /
eating and has a variety of rooms for
different uses
• Cost-effective option
• Promotes independence
It is a SIMPLE IDEA that WORKS.
It does not have to be complex,
so come on...
‘Let’s create even more partnerships’
and
COUNT CROSSROADS CARE IN!