Page 8 - BNES Annual Report Summary 2018
P. 8

Driving innovation

       We are working with our GP practices and               of those individuals were able to remain at home after          Getting Fit for Surgery
       partners to transform primary and community            the team’s visit. The service is a result of collaboration      As part of our commitment to tackling obesity and smoking, we are
       services to ensure they are fit for current and        between the Royal United Hospital, Virgin Care and              supporting patients in B&NES with a BMI (body mass index) of 30 or more,
                                                              South Western Ambulance Service.
       future demand. We have launched new,                                                                                   or who smoke, to lose weight and/or quit smoking prior to being referred
                                                                                                                              for non-urgent, routine surgery.
       innovative pilots and services to improve              Early Home Visiting Service
       patient experience and help avoid unnecessary  People living in B&NES who are unwell and cannot get                    Studies show that patients who succeed in adopting a healthier lifestyle
       hospital admissions.                                   to their GP surgery to be seen can now call the practice        before surgery have a reduced risk of complications during and after their
                                                              first thing in the morning to request an early home visit       operation, recover more quickly and experience long-term health benefits.
                                                              (i.e. ideally before 10am). The goal is to enable patients
       Falls Rapid Response Service                           who might need to go to hospital for a check to do so           The decision followed a 10-week public consultation where the majority
       The ‘falls team’, which includes a specialist paramedic   and return home again on the same day. Historically,         (82 per cent) of survey respondents agreed that the NHS should encourage
       and an occupational therapist, can respond to up to    home visits are done during late morning after a GP’s           people to stop smoking for a period of time before non-urgent surgery.
       four B&NES patients per day if they have contacted the   morning session, which means patients may not arrive          Most people (79 per cent) also agreed that the NHS should encourage
       emergency services for assistance after a fall at home   into hospital for any necessary checks until the middle of    people with a BMI of 30 or more to lose weight.
       and are over 65 years old.                             the day. This often results in patients staying overnight
                                                              unnecessarily.                                                  We proactively engaged with groups of people we have not heard from
       The team helps the person get comfortable, carries out                                                                 in the past, including men, people who are homeless, people who have
       a home-based falls risk assessment and recommends      Having a dedicated staff member to carry out early              learning disabilities, young people and those living in rural/remote areas, to
       any necessary interventions that could help prevent    morning visits has freed up GPs’ time to dedicate to            understand the impact of our plans on everybody, no matter where they
       future falls.                                          patients who can attend the practice. The service is            live or who they are.
                                                              being extended in 2018/19 to include afternoons.
       In its first year of service, the falls pilot visited over 650                                                         You can read more about the consultation and the outcome on our
       people who had fallen at home, and more than 550                                                                       website:

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