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CQC publishes review of how local health and social care systems work together in Bradford
The Care Quality Commission has published its findings following a local system review of Bradford. This report is one of 20 targeted reviews of local authority areas looking specifically at how people move through the health and social care system, with a focus on how services work together.
The reviews look at how hospitals, community health services, GP practices, care homes and homecare agencies work together to provide seamless care for older people living in a local area.
The report finds that there was a clear shared and agreed purpose, vision and strategy described in the Happy, Healthy at Home plan which had been developed by the organisations that make up the local system in Bradford. This was articulated throughout all levels of the system. CQC found that most staff were committed to the vision - whether working in adult social care, primary and secondary care sectors, or in the voluntary sector.
The different agencies were working together in an effort to keep older people safe at home rather than hospital, where possible, and help them move between services when that was necessary.
Some frontline staff found that the sharing of information was still an occasional barrier, although inspectors found that some of the information sharing processes were well developed. There were clear advantages where GPs and one of the acute NHS hospital trust had a shared IT system.
However, access to GPs and district nurses was variable, especially out of hours. Homecare agencies reported that in some areas people had to rely on the emergency services because they could not get a GP or district nurse to attend in person.
Professor Steve Field, Chief Inspector of Primary Care Services, said:
“It is encouraging to report that we have seen many positive aspects to the Bradford strategic plan. It is clear that all the main agencies have bought in to the partnership, with some positive results to show for it.
“We found some good joined up interagency processes, particularly the Bradford Enablement Support Team and the multi-agency integrated discharge team. The medicines service at home service is another example of innovative practice. Partnership working is an essential component of these initiatives.
“The public health team was focused on promoting the health and independence of people so that they can remain at home. They were maximising opportunities around housing, recognising that people have very different needs and so looking at ways to meet these.
“There are areas that the local system knows it must now focus on to improve further. But a lot of work has gone in to forming and developing relationship which is already producing better outcomes. Bradford has made a very good start.”
For further information, please contact David Fryer, Regional Communications Manager - North, on 07754 438750.
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- Last updated:
- 31 May 2018
Notes to editors
The Bradford system review looked principally at how people move between services provided by 131 active care homes, 70 domiciliary care agencies, 82 GP practices and 3 NHS trusts.
This review was carried out following a request from the Secretaries of State for Health and Social care and for Housing, Communities and Local Government to undertake a programme of 20 targeted reviews of local authority areas. The purpose of the reviews is to understand how people move through the health and social care system with a focus on the interfaces between services, and identify any areas for improvement.
During our visit to the local area we sought feedback from a range of people involved in shaping and leading the system, those responsible for directly delivering care as well as people who use services, their families and carers. The people we spoke with included:
- System leaders from Bradford City Council (the local authority); NHS Airedale, Wharfedale and Craven Clinical Commissioning Group , Bradford District Clinical Commissioning Group, and Bradford City Clinical Commissioning Group (referred to collectively as the CCGs); Bradford Teaching Hospitals NHS Foundation Trust (BTHFT); Airedale NHS Foundation Trust (ANFT); Bradford District Care NHS Foundation Trust (BDCFT); and the Health and Wellbeing Board.
- Heath and social care professionals including hospital staff, commissioning leads, workforce leads, Mental Capacity Act leads, social workers, occupational therapists, GPs, independent care providers and their employees.
- Healthwatch Bradford and District, and voluntary, community and social enterprise (VCSE) sector organisations
- People using services, their families and carers at the Carers’ Resource, Age UK, a Black and Minority Ethnic forum and a care home