Thanet Health CIC

Social Impact Statements

The Social Enterprise Mark criteria includes a requirement that the applicant can demonstrate that social and/or environmental objectives are being achieved.

In support of this, new applicants and renewing Mark holders are asked to respond to a set of social impact questions, which are designed to help them think about the social impact they create, and to articulate this clearly and succinctly.

 

Updated May 2020

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1) What are the main social differences you have aimed to make (or supported)?

Our mission is to deliver superior quality integrated healthcare for the people who live and work in Thanet, preferably by people of or affiliated with Thanet.

Thanet Health Community Interest Company (TH CIC) will exhibit stewardship, transparency and creativity in the management of all its services and resources used.

• Supported the development and structure of the primary care homes
• Been instrumental in the development of "complex" Acute Response Team (ART)
• Initiated and facilitated integration of clinical pharmacists
• Manages "enhanced" ART (primary clinicians in front of the A&E)
• Facilitates and co-ordinates extended access

 

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2) What actions have you taken to deliver the aims described above?

Projects to support the above aims:

Enhanced Acute Response Team

The enhanced ART has been working since 2017. It brings primary care skills to the front of the Accident an Emergency Department (A&E and ED), using the primary care clinicians to their best of abilities, assessing the patients needs and initiating the appropriate treatment within minutes, using scheduled appointment system which can be used by the primary care and ED alike, also with the intention to relieve the ED from the patients who do not need emergency (rapid life saving) care.

Complex Acute Response Team

TH CIC has been instrumental in developing and facilitating the complex ART which has been running since November 2016. It was initiated with the understanding that patients were often not seen by the most appropriate clinician at the most appropriate place. It was founded on the principles of integrated care – creating a team from multiple agencies and services all working together to ensure the best possible holistic care for a patient in crisis.

It has been recently evaluated and it was stated: "The ART delivers a high standard of care which is valued by users and carers alike. Users are treated with dignity and respect and carers are supported emotionally and practically. There is good collaboration and care co-ordination within the ART and with other service providers. Although users experience an improvement in their health and wellbeing in the short term, for many this is within the context of deteriorating long-term conditions”

Pharmacists In GP

TH CIC has facilitated the employment and working of clinical pharmacists in a group of surgeries in Thanet.

TH CIC could take advantage of its position as a membership organisation, comprised of the local GPs, to apply successfully to the NHS under the General Practice Forward View(GPFV) with the intend to have a Thanet wide team, that is connected and embedded into the integrated workforce build locally.

Each pharmacist is primarily part of the surgery team they are working for, ensuring they work to the best interest of the the patients of their surgery, but also has functions relating to their Primary Care Home (PCH) and Thanet, supporting auditing, efficient prescribing and setting priorities working together with their peers (team "Phanet") and the wider Thanet health and social care teams. Extended Access

Extended Access (8:00 to 8:00)

TH CIC is facilitating the extended access NHS project throughout Thanet. This project enables patients to book primary care appointments (GPs, advanced nurse practitioners, physiotherapists) up to 20:00 in the evening and at weekends.

Home visiting service (HVS)

TH CIC is delighted to be the provider for primary care home visiting services within Thanet as part of a Kent & Medway Clinical Commisioning Group (K&M CCG) led pilot.

The aim is to support our patients, practices and care homes in Thanet with excellent clinical support throughout the day, helping our GP practices to reduce their workload, enable care homes to have clinicians seeing their clients throughout the day and work in close collaboration with the other providers (c-Art, KCHFT (district nurses), social services and third sector (charitable organisations)).

Primary Care Treatment Centre (10:00-18:00)

Following the outbreak of Covid-19 the practices in Thanet, in conjunction with TH CIC and the support of EKHUFT, came together very quickly to create a place at the Sarre Day Unit, where people with symptoms or contact of Covid-19 can be seen. The processes make visiting and working in the centre very safe. We can assume that going shopping will expose you to a higher risk of contracting the Corona virus than having an appointment at the centre.

 

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3) What has changed, what specific outcomes and benefits have been realised as a result of the above actions?

The service which is run by TH CIC provides improved access to GP services to patients who are registered with the 14 GP practices within the NHS Thanet Clinical Commissioning Group (CCG). The improved access service gives patients the choice of accessing GP services at a place which may not be their own GP practice and at times when their own GP may or may not be open. The service is provided at various GP practices until from 6.30pm (normal GP closing time) until 8pm weekdays. On weekends it is provided from Queen Elizabeth the Queen Mother Hospital Primary Care Hub (the hub) from 8am to 8pm.

TH CIC also provides an enhanced acute response team (E-ART). This service is currently a pilot project. The service involves putting primary care clinicians (GPs and nurses) to the front of the Accident and Emergency Department (A&E) assessing the patients’ needs and initiating the appropriate treatment within minutes. It also serves to relieve the A&E from the patients who do not need emergency (rapid lifesaving) care.

 

 

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Supplementary details

The below questions are not mandatory, but Mark holders are encouraged to answer them where possible, to provide a fuller account of their social outcomes and the social value they create.

4) How do you and other people know your aims are being achieved? Or how will you know?

• Queen Elizabeth the Queen Mother Hospital Primary Care Hub CQC inspection report