The South Gloucestershire Personalised Integrated Care Service (PIC), a partnership between Bristol, North Somerset and South Gloucestershire CCG and Age UK South Gloucestershire, working with Sirona care and health, narrowly missed out on a national HSJ Award last night (21 November).
The service provides holistic support to people aged over 50 who have multiple healthcare issues or conditions, helping them to stay well and prevent them from having unplanned admissions to hospital.
It launched as a pilot in just 3 South Gloucestershire GP practices but has since been rolled out in a further 11 practices. The Clinical Commissioning Group is now considering whether the service can be scaled up to support patients across the whole of Bristol, North Somerset and South Gloucestershire.
The service was shortlisted for ‘Enhancing Patient Care by Sharing Data and Information’ category in this year’s HSJ Awards as the service’s success has been based on effective information sharing between the GPs, community healthcare staff and Age UK.
To address issues surrounding information sharing, the CCG, Age UK and local providers collaborated to establish honorary NHS contracts with Sirona care& health for Age UK staff so they became fully embedded in the GP multi-disciplinary teams and integral in patient care planning. It also improved communications among the professionals and meant patients were better targeted for the programme.
The service began as a pilot, with the pilot alone yielding impressive results, reporting an avoidance of 18% of unplanned hospital admissions. There was also a 27% improvement in self-reported health and well-being among participants.
Last month, representatives from the CCG and Age UK travelled to London to present the award submission to the HSJ judging panel. The presentation panel included Martin Green, Chief Executive Officer at Age UK South Gloucestershire; Dr Jonathan Evans, South Gloucestershire GP and Deborah El Sayed, Director of Transformation at Bristol, North Somerset and South Gloucestershire CCG.
Dr Jonathan Evans, a GP at Green Valleys Health Centre in South Gloucestershire and also a member of the CCG’s governing body, added:
It's a shame we didn't win the award, but we were up against some other fantastic initiatives on the night. Being shortlisted for this award is a significant validation of the contribution and enthusiasm of all those involved in the multi-disciplinary approach through which many patients have benefited. A massive thank you to all practices without which this model of care would not have been possible.
Martin Green, Chief Executive of Age UK South Gloucestershire, said:
Being shortlisted for this award is a real endorsement of the partnership approach we have taken. The support of colleagues at the CCG, at the community health provider Sirona, and within the Age UK team has been critical and I’d like to thank them for the ‘can do’ approach that has made this possible and enabled vital, life-changing work to be delivered to older people.