North Somerset Community Partnership
Julie Fisher
Professional Education Co Ordinator
What is a Social Enterprise?
• We are an Employee owned Community Interest Company. This
means:
– We provide NHS Community Health services but are not an NHS
organisation – we are free to compete for other contracts and provide
other services to the Community
– Like other Social Enterprises, we are a business with primarily social
purpose, whose surpluses are re-invested in services
– We are a limited company but with special restrictions which means that
our social purpose will always be central to what we do
– Staff own the company –all permanent staff can buy a £1 share which
entitles them to become a shareholder and member of the company
– The Board of Directors are accountable to members (shareholders) in
the same way as all Directors are accountable to shareholders
About our Business….
• We are commissioned by NHS North Somerset, part of the Bristol,
North Somerset, South Gloucestershire Commissioning (BNSSG
Cluster) to provide Community Health Services to the people of
North Somerset
• Our contract is for 4 years from April 2011 and has a value of 23
million pounds per year
• Receiving the full value of our contract is dependent on meeting
performance criteria agreed between the head of each service and
the Commissioners
• We work in partnership with the Local Authority, General
Practitioners and Voluntary Organisations to deliver 26 services
• We employ approx 550 staff and a further 150 staff are employed
on our bank to cover shifts/short term vacancies
Delivering High quality &
cost effective services
Meeting and exceeding customer expectations
Delivery of community contract/ quality
indicators/ developments
Consistent high quality patient/client
focus
Improving health and wellbeing of population
More care closer to home
Measurable health improvement
Becoming preferred local health provider
Improved patient satisfaction
Developing NSCP brand
Partnership working
Council
Weston
GPs
Voluntary
sector
Private
Sector
Specialist Community Services
Services across 4 Localities and 7 Community Wards
Rapid Response
& Rehabilitation
Specialist
Diabetes
Nursing
Community
Occupational
Therapy
Community
Pulmonary
Community
physiotherapy
Musculoskeletal
Disabled Adult
Resource Team
Community
Hospital
inpatient beds
Podiatry
Speech &
Language
Therapy
Stroke Specialist
Nurse
Continence and
Enuresis
Tissue viability
Dietetics
Falls Prevention
Gastrointestinal
endoscopy
Clevedon Hospital
Minor
Injuries Unit
• Open 7am – 9pm
• Nurse led with extended roles to allow treatment
of ambulatory patients on site
• Need to increase usage
18 inpatient
Beds
• Target of 240 admissions per year
• Focus on multi-disciplinary rehabilitation team
enabling patients to return home
• Safe haven GP beds
Outpatients
• Wide range of outpatient clinics including
Podiatry, Physiotherapy, Diagnostic services
• Endoscopy clinic
There are plans to build a brand new Community Hospital, due to open in 2013
Children’s Services
•Integrated
Services with
Local Authority
for Children,
Young People
and their
families.
•Work in 3
Localities –
North, Central
and South
Multi-disciplinary
Community Teams & Wards
Marina
Clevedon
Tyntesfield
Worle
Weston
North
Strawberry
Line
Weston
South
7 Wards based around groups of
GP Surgeries
One integrated team, working
collaboratively to keep people in
their homes – where necessary
admitting people to a “virtual ward”
Learners
Current learners in organisation;
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Physiotherapy
Occupational Therapy
Podiatry
Dieticians
Nursing adult/child branch students
Mental Health
Learning Disability
SCPHN’s
TAP’s
Apprentices
Return to Nursing
Implications
Community Wards
• Increased hours of
delivery of care.
• More acute care
delivered closer to home.
• Interprofessional/cross
boundary working for
some staffing groups
working
Learners
Challenges
• Overcrowded rooms.
• Noisy Environment
• Not enough space to
work
• Lack of computer access
• Lone working issues.
• Increased amount of
students in one area.
• Up skilling of staff.
• Competing priorities
Learners
Benefits
• Students can be placed
outside of normal hours
• Multi professional working
and learning opportunities
• Collaborative working
with partners.
• Hub and spoke
placements.
• Improved overview of the
patient journey
The future