Speakers:

• Dr Richard Haddad
• Laura Benjamin (Care Coordinator)
• Chloe Seabright (Occupational Therapist)
• Sarah Hardy (Physiotherapist)
• Helen Holmes (Advanced Nurse Practitioner)
• Rebecca Walters (Clinical Lead, ANP)
• Ayeesha Qureshi (Project Manager)

WISHH CP established that their population included many elderly patients, who were being admitted to hospital unnecessarily due to frailty and falls and were classed as moderately frail. This was recognised as a having a significant impact on the health and wellbeing of this cohort. This cohort had been identified because it is felt that people with moderate frailty (rather than mild) have greater potential to benefit from proactive care, and if patients are identified earlier in their care and make referrals to existing services, where appropriate, to avoid future crisis. This information was provided by the Public Health data and System1 data. This was the drive and reasoning behind the project for PACT Service (Proactive Care Team).

The WISHH CP introduced a new, integrated approach to providing holistic, person centred care. The new service is based on a multi-agency approach so that it can use a holistic approach to providing support, which includes developing community assets and promoting self-care.