Page 9 - BNES Annual Report Summary 2018
P. 9

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:

 8                                                                                                                   9
   4   5   6   7   8   9   10   11   12   13   14