1862 Transfer and Settle Service for NHS Derby and Derbyshire ICB

Provision of Transfer and Settle Service for NHS Derby and Derbyshire Integrated Care Board.

We are seeking a service to provide transport and settle Joined up Care Derbyshire (JUCD) citizens (at risk of readmission) from bedded care (NHS or Local Authority) to home (or a reablement unit) using wheelchair accessible vehicles.

The service will provide 'settling in' once the person returns home and connect with other voluntary sector / statutory services if ongoing support identified through the strength based approach.

Strengths and asset-based approaches focus on what individuals and communities have and how they can work together, rather than on what individuals don't have or can't do.

Citizens using the service should be identified as Pathway 0 (P0) or Pathway 1 (P1) and able to stand and transfer from chair to chair with minimal support.

Through provision of a low level 'settling in', citizens will be supported in their first few hours when they return.

They may have been admitted to hospital in crisis and been away from their home for a number of weeks, meaning that support to get the heating on, food in and provide low level support to settle at home and connect them to onward services will provide a safety net at point of discharge.

This is to reduce the risk of readmission for vulnerable patients who may not require care, but live alone and require increased low level support at point of return to their home.

The service will deliver the ambition to support people to be discharged to the right place, at the right time and with the right support that maximised their independence and leads to the best possible sustainable outcome.

This is outlined in the Hospital discharge and community support guidance - GOV.UK (www.gov.uk).

To register your interest, please follow the link below, and search for the project reference as detailed: https://health-family.force.com/s/Welcome Project Reference: C323149 Project Name: 1862 Transfer and Settle Service for NHS Derby and Derbyshire ICB