Patient flow focus at national HSJ Summit

We are looking forward to chairing a broad and engaging session on patient flow at the forthcoming Health Service Journal Provider Summit.

The summit is widely recognised as a key national forum for discussion and collaboration, bringing together senior NHS leaders from across the country.

We will be leading a whole conference session entitled Optimising Patient Flow: presentation of three different case studies, executive-led discussion and learning.

Our session will feature three case studies from NHS services across the country, encompassing key issues including stranded and super stranded patients, joint commissioning and integration and discharge to assess.

We will chair a panel with senior figures from the three case studies, offering an opportunity for broad and open discussion and reflection.

The HSJ Provider Summit is taking place this year at the East Midlands Conference Centre, Nottingham on April 10 and 11. The focus of the conference is:

Revitalising the NHS of today: Reconfiguring services and processes to develop safe, efficient and patient-centred care pathways.

Dr Gabrielle Silver, chief executive of CHS Healthcare said: “This forum is designed for really open, broad discussion at an executive level of the pressing issues and challenges for NHS providers.Up to 200 people working at leadership level across the NHS are attending.

“We are focusing on patient flow from a case study perspective so there is the opportunity to drill down into different services in different regions, share experiences and reflect.

“Case studies will encompass, although are not limited to; stranded and super stranded patients, joint commissioning and integration and pathways of discharge to assess.”

Our continuing healthcare module commences in 2019: more than 500 people have now completed programme

This year’s programme of our nationally renowned Continuing Healthcare module commenced with sessions at the Royal Hospital for Neuro-disability, south-west London.

The two-day module was first launched in 2015 as the first face-to-face training in CHC, encompassing the context of the framework as well as practical sessions applying its principles to practice.

It was designed and is delivered by Art Calder, head of clinical services for CHS Healthcare, recognised as one of the leading authorities in this highly specialist field.

Mr Calder has been a registered mental health nurse for 30 years, playing a key role in the development and implementation of the national framework for CHC. He has been a member of the national consultation group via the NICE Appraisal Committee and acts as one the Royal College of Nursing’s National Advisors.

The module at the Royal Hospital for Neuro-disability on January 10 and 11 was the 32nd course to be delivered. More than 500 people have completed the module to date, with 233 participants being either CCG or local authority practitioners, who are offered the training free of charge whenever we are delivering services for their organisations. The remaining participants have been CHS Healthcare staff and associates.

Day 1 is focused on the socio-political history and development of Continuing Healthcare in England. This includes key case law, the national framework and appreciating how they have shaped the delivery of the service. In the afternoon, participants are engaged in a full screening exercise and best practices noted across regions in England.

Day 2 has a practical focus, set in the style of a case management workshop, with complementary presentations and discussions. Participants will complete a consolidation exercise to consolidate learning from Day 1. They are guided to utilise knowledge gained from Day 1, dynamically applying to practice on Day 2.

CHS Healthcare and Bath and North East Somerset Council and CCG joint entry is shortlisted for Health Service Journal Partnership Awards

Our entry Integrated management of hospital discharge pathways has been shortlisted for the prestigious Health Service Journal (HSJ) Partnership Awards.

This is a joint entry with Bath and North East Somerset Council and CCG for the hospital discharge service they commission, funded by the Better Care Fund and we deliver. It is shortlisted in the Partnership Consultancy of the Year category.

This project started as a small pilot in September 2017 and was so successful that it has been expanded to encompass all funding groups (social services funded and self-funding) and pathways, including individuals in need of Fast Track (end of life) care and a stand-alone project to safely transfer care for individuals in a care home which was closing.

We now work with up to 46 patient referrals every month, sourcing care and managing the whole discharge process and have managed, in total, more than 300 discharges to date.

This means we manage and co-ordinate the very large majority of discharges from Bath hospitals, communicating with multiple services and stakeholders in a clear, streamlined process.

Each patient and their family are allocated their own adviser coordinating every part of the process including, where requested, transport to care homes and accompanied visits and all information sourcing. This support continues through evenings and weekends as this is often the most convenient time for families and reduces delays.

Our entry highlighted a range of outcomes and strengths of the partnership:

  • Improvements in the relationship between hospitals and care homes, evidenced in care homes carrying out more prompt assessments in hospital and a more responsive approach to offering places and fees (including acceptance at local authority rates)
  • More than 95 per cent of service users rated the support as either ‘excellent’ or ‘good’
  • Audits of care three months after placement show very low hospital readmission rates
  • Reductions in delays to hospital discharge

CHS Healthcare achieves the highest level of cyber security accreditation

We have been accredited with the highest level of cyber security company assurance in a Government backed scheme.

The accreditation we have achieved is Cyber Essentials Plus, the highest level of security against the risk of a cyber-attack.

To achieve this level of accreditation, our security standards were independently verified.

The scheme was introduced by the UK Government in collaboration with industry partners, including the Information Security Forum, the Information Assurance for Small and Medium Enterprises Consortium and the British Standards Institution.  It is managed by the Government’s National Cyber Security Centre.

Recent events have shown the risk of cyber-attacks and the growing sophistication of such attacks.

“As a company, we are very conscious of our responsibilities in terms of maintaining the highest levels of cyber security,” comments Tony Wintrip, Office Manager, CHS Healthcare who has overseen the accreditation process.

“We are a major supplier of software to the NHS and as such, hold a large amount of continuing healthcare patient information. We are therefore very clear on the importance of having optimal cyber security in terms of our company processes and systems.

“The benefit of this Government backed scheme is that it gave us a very clear and robust set of standards and guidance, reflecting the latest knowledge in this area.

“We are particularly pleased to have been accredited with the highest level of assurance, Cyber Essentials Plus.”

Award for CHS team for Best Fast Track Support that is “a small nugget of brilliance” co-ordinating end-of-life care

Our Portsmouth team have been given an award for their fast track service, described as a “small nugget of brilliance” supporting patients who need end-of-life care.

The CHS Healthcare team at the Queen Alexandra Hospital provide dedicated co-ordination of care for patients with Fast Track (end-of-life) continuing healthcare funding.

Patients have high level of needs and require prompt and sensitive discharge co-ordination to ensure they spend their final days and weeks in an appropriate care setting.

The team won Best Fast Track Support category in the latest Portsmouth Hospitals NHS Trust awards. Explaining the decision to award the CHS Healthcare team, the Trust stated:

“The team is a small nugget of brilliance within the Integrated Discharge Service (IDS). They work tirelessly to deliver their tight key performance indicators to ensure prompt and suitable discharges for our most vulnerable patients.

“They communicate with all our IDS teams to make sure on a daily basis, that every opportunity for pace of discharge is explored. They are highly valued within IDS for their brokerage and their ‘hand holding’ service for patients and families” 

The CHS team in Portsmouth have been based at the Queen Alexandra Hospital supporting patients and their families since 2015. The team are commissioned to work with and support 30 self-funding/West Hampshire Clinical Commissioning Group placements, to include fast tracks, per month. The team provide a full patient discharge service working closely with families on both residential and nursing placements and packages of care at home.  

Melissa Allin, Business Manager for CHS Healthcare (south of England), commented: “We are really proud of the Portsmouth team, it is wonderful to see such commitment, skill and dedication acknowledged with this award.

“The team have worked above and beyond over the last few months, working additional hours when required, to ensure the successful implementation of a number of different processes to meet the expectations of the Trust and West Hampshire CCG.”

CHS Healthcare launches trusted assessor service in West Midlands

We have launched our first Trusted Assessor service, commissioned in Walsall, West Midlands and commencing in November.

The Trusted Assessor model is recognised as a key means of improving hospital discharge by reducing a major cause of delays.

In this model, which is commissioned by Walsall Council, we provide the Trusted Assessor who carries out assessments of patients in Walsall Manor Hospital and Walsall residents who may be in other Black Country Hospitals, such as New Cross and Russell’s Hall.

A Trusted Assessor carries out assessments of hospital patients on behalf of care homes, who need to consider what the patient’s needs are and whether they would be able to meet those needs.

“A very important principle is that the assessment is independent and trusted,” said Harry Bourton, Regional Manager for CHS Healthcare, Midlands.

“We are widely recognised with a twenty-year track record of co-ordinating care between hospital and community care providers. In our clinical services division, we employ many experienced nurses and clinical experts.

“We are independent of hospitals and care homes and importantly, trusted by both.”

One of the main causes of delay to hospital discharge is the time taken by care homes to carry out assessments of individuals who are in hospital and are transferring out into 24-hour care.

Kate Tatton, Business Manager for CHS Healthcare, Midlands, said: “It can be challenging for care homes to send a senior manager out to do a hospital-based assessment, particularly if they are very busy, or there are staff absences, or if the hospital where the individual is located is a long distance from the care home.

“However, most homes won’t accept an individual without seeing and assessing them themselves, so sometimes there can be a significant number of days between an assessment being requested and the assessment taking place.

“There are clear advantages to the Trusted Assessor Model: providing an independent assessment that is trusted and saves care homes from having to take a significant time out of their service to travel to hospital.”

We have developed a Trusted Assessor tool for this purpose, encompassing all the information that is needed by care homes when considering an admission: mental capacity, behaviour, physical and social needs.

Caretrack is accredited on the G-Cloud 10 framework: meeting the highest standards of data security and control

We are delighted to announce Caretrack database has been awarded a place on the G-Cloud 10 framework.

This means Caretrack has been through a very rigorous evaluation process and is now on the Government Digital Marketplace, a hub of trusted and accredited ICT suppliers.

Caretrack was developed by CHS Healthcare as a comprehensive platform for the management of people with continuing healthcare funding and other funder groups (complex care, funded nursing care).

The G-Cloud evaluation process provides the public sector with the assurance that only companies with the highest levels of data security, compliance and control are on the framework.

Dr Richard Newland, chief executive of CHS Healthcare, said: “From the earliest stage of Caretrack’s development, we focused very clearly on data security.

“The principle was to build a web-based platform, so staff working in multiple locations could conveniently access and use the system. Equally, storing and managing a large volume of patient information, we recognised the need to maintain the highest standards of security.

“We have continuously invested in the functionality and quality of Caretrack, which was originally launched in 2002.

“The process of being accredited on G-Cloud 10 was extremely comprehensive and robust: a high bar is set and rightly so, because it gives CCGs complete assurance in the quality and security of a product for storing and managing their patient information.”

G-Cloud 10 is the most recent version of the Government’s cloud-based assurance framework, which was first introduced in 2012 to evaluate the quality of ICT suppliers to the public sector. It is a partnership between the Government Digital Service and the Crown Commercial Service.

Caretrack is accredited in the software category.

CHS Healthcare has been accredited as a Working for carers employer

CHS Healthcare has been accredited as a Working for carers employer, reflecting our commitment to supporting staff with carer responsibilities.

Accreditation is based on our company having clear commitments to meet the needs of our employees who are carers and creating a carer aware workplace.

“As a company working in health and social care, we felt it was imperative that we have best practice to support our own staff with caring responsibilities,” said Jayne Skeates, head of operations, who led on accreditation.

“There has been really significant progress in recent years in terms of recognising and supporting parents caring for children. Now, there is growing awareness that caring responsibilities are not limited to children; they may be older relatives, or other family members who need regular, ongoing support and depend upon the employee for this.”

The Working for Carers Charter recognises:

  • Three out of five people will be a carer at some point in their lives, many of whom need to juggle their caring responsibilities with paid employment
  • Carers are not necessarily carers by choice
  • Carers come in many guises and the difficulties they face vary hugely
  • Many people find it difficult to discuss their caring responsibilities at work
  • Carers often struggle to find time to take a break, making them more susceptible to stress and burnout

Our accreditation is based on committing to the development of policies to ensure there is a supportive, clear and consistent approach to balancing the needs of carers with the business as a whole. This means we will:

  • Spread awareness of carers across all levels of the organisation and work to remove any stigma which may be associated with the role
  • Ensure all line managers are familiar with carers’ legal rights at work and all internal policies and/or resources which may benefit them
  • Provide appropriate support, in line with individual preferences and needs
  • Not make assumptions about capability based on caring responsibilities
  • Where possible, incorporate a flexible approach to job design and workload management
  • Encourage equality and diversity in our workforce by demonstrating a positive attitude to job applicants with caring responsibilities

CHS Healthcare founder wins “sustained excellence” category in prestigious EY business awards

CHS Healthcare chief executive Dr Richard Newland has won the award for “sustained excellence” in the highly regarded EY Entrepreneur of the Year programme.

EY Awards Winner Dr Richard Newland

Accepting his award from the BBC’s Jeremy Vine, Dr Newland attributed the 20-year success of CHS Healthcare to working with “great people” at the company.

This is another major endorsement for CHS Healthcare, which earlier this year received the highest level of investment provided by BGF, the leading investor in small and medium size businesses.

The EY Entrepreneur of the Year awards are in the 20th year, recognising and celebrating the positive impact of high quality business leadership. The programme runs in four regions: London and the south, the Midlands, the North and Scotland.

Dr Newland won the award for “sustained excellence” in the Midland region, where CHS Healthcare remains headquartered and the company was established. Dr Newland was working as a Birmingham GP and through his work in general practice, recognised there was a lack of good quality advice and professional guidance for families making important care choices.

Using private finance to establish the company, the core offering was developed and remains the same today: CHS advisers help families to choose the right care and support them through every step in the process. Starting with a single employee, CHS Healthcare now employs 350 people with services throughout the country, from London and the south coast up to the north-east and Cumbria.

CHS Healthcare is the leading independent provider of services to support the discharge of patients from hospitals, by supporting families to make care choices, thereby reducing costly delays. The company also has the largest resource in continuing healthcare and complex care; delivering bespoke, specialist services to the NHS.

Some of Britain’s best-known business figures are former EY Entrepreneur of the Year winners, including: Stelios Haji-Ioannou, who founded the low-cost airline easyJet; Dragon’s Den investor Peter Jones, who started-up Phones International Group; and Richard Reed, CBE, one of the founding partners of Innocent Drinks.

Each winning entrepreneur is asked for their business motto. Dr Newland states: “Focus on what you are doing well, rather than what the competitors are doing.”

Gurinder Sunner an investor at BGF who sits on the CHS board said: “Winning the prize for sustained excellence is a fantastic endorsement of the hard work and tenacity of Dr Newland and the wider team.”

CHS chief executive invited to judge key category in Health Service Journal Awards

CHS Healthcare chief executive Dr Richard Newland has been invited to judge one of the most eagerly anticipated categories in the Health Service Journal (HSJ) Awards.

Dr Newland will judge the chief executive of the year award for the 2018 HSJ awards, the most prestigious and popular showcase in the health sector.

Founding CHS Healthcare in 1995, Dr Newland has already judged previous HSJ awards, having assessed entries in the 2017 HSJ Value awards.

“I am really delighted to be involved again,” said Dr Newland. “The HSJ Awards are very well regarded and an important showcase of best practice and expertise across the whole sector.

“I am looking forward to assessing entries to the chief executive of the year category; it is a fascinating question.

“This year has been, perhaps, one of the most challenging to date and there are many individuals who are doing a fantastic job, making difficult decisions, driving change and providing the highest quality leadership.”

The idea behind the inception of CHS Healthcare came from Dr Newland’s experience as a GP working in Sutton Coldfield, Birmingham. Families would ask for advice on important care decisions, such as choosing a care home, and Dr Newland recognised there was a lack of good information and professional advice for families in this position.

He founded CHS Healthcare with initially one member of staff. Today, CHS employs 350 people, with services commissioned throughout England.

Although the core principle of providing high quality, independent care advice remains, services have grown and diversified.

CHS Healthcare is the leading independent provider of hospital discharge services, working in-house in 30 NHS hospitals, substantially reducing choice delays by working with patients who are medically optimised for discharge but need care (in their own home or care home choice) in order to leave hospital.

Additionally, CHS manages discharge to assess pathways (all three models) in a number of areas, provides the full continuing healthcare service for three CCGs and offers the largest independent resource in continuing healthcare in the country.

Information for patients and families:Click here