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
• NHS England
• Senates
• Networks
www.england.nhs.uk
CCG
Area/Regional
Teams
SCN
AHSN
NHS IQ
HQIP
HCISC
Monitor
CQC
• Other Agencies
Vision:
Rehabilitation will be key to every episode
of care.
It will maximise mental and physical
health, independence and occupation.
Rehabilitation is everyone’s business
www.england.nhs.uk
Links
Specialist
Generalist
Social
Care
www.england.nhs.uk
Patient
Rehabilitation Delivery Board
working groups
•
•
•
•
•
Rehabilitation for Economic Growth
Vocational rehabilitation
Commissioning Incentives and Levers
Commissioning Guidance
Children and Young Peoples’ Rehabilitation
services
• National Rehabilitation Conference 2015
www.england.nhs.uk
External Agencies
NICE
HQIP
NHS IQ - Mapping
http://www.nhsiq.nhs.uk/improvement-programmes/acutecare/recovery,-rehabilitation-and-reablement.aspx
www.england.nhs.uk
6
Mapping
www.england.nhs.uk
7
Mapping
www.england.nhs.uk
8
Mapping
www.england.nhs.uk
9
www.england.nhs.uk
National Economic Benefits of Rehabilitation
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
DfE
Social care
DWP
Supporting elderly to maintain
independence
Social Care
Increase participation in
society/reduced behavioural issues
MOJ
Injury Cost Recovery
Insurers / NHS Trusts
www.england.nhs.uk
Transforming Rehabilitation
Return to Work
Long Term Conditions
www.england.nhs.uk
Return to Work / Education
Ill-health
Worker
PHC – OH
OT
Primary Care
Rehabilitation
Work
Hardening
Fitness
Certification
Employer
liaison
Physiotherapy
Exercisebased
rehabilitation
Economic Benefits
Who?
Return to Work
DWP
Reductions in Healthcare
contacts
NHS
maximise educational
opportunities
DfE
www.england.nhs.uk
Social
reintegration
Exercise
professionals
Group therapy
NHS Fitness
Employee as
Role model
NHS Employee
Investment in
the Employee
Improved Staff
Morale
Improved
Mental and
Physical Health
Reduction in
Sickness
Absence
Support to
Exercise
Lifestyle
incentives
Economic Benefits
Who?
Improved Morale
NHS Employers
Reduced sickness absence
DWP / NHS Employers
Role Models
NHS
Improved lifestyle
NHS
www.england.nhs.uk
Smoking
cessation
Weight
management
SW
LTC
Memory Team
Work
PHC
OT
Social Care/
Liaison
Physical
therapy/mobility
Patient
Primary Care
Rehabilitation
Physiotherapy
Reduction in
pharmacological
therapy
Social
reintegration
Exercise- based
rehabilitation
Economic Benefits
Who?
Reductions in drug therapy
NHS
Falls reduction
NHS / Social Care
Independence
Social Care
Return to Work
DWP
www.england.nhs.uk
Exercise
professionals
Group therapy
NHS England –
Five Years Forward View
www.england.nhs.uk
FYFV
• 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.
www.england.nhs.uk
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’
www.england.nhs.uk
NHS England - Rehabilitation
Programme – November 2014
• Rehabilitation – more explicit in
business plan
www.england.nhs.uk
SEM Opportunities
• 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
www.england.nhs.uk