Case studies

Local authorities and clinical commissioning groups (CCGs) across London have set up an online platform to provide help and support to people with mental health problems.

Four north east London boroughs - Barking and Dagenham, Havering, Redbridge and Waltham Forest - are working with the local NHS and private sector partners to trail a range of different technologies to help people with long-term conditions.

Derbyshire County Council has been working with local partners to develop and deliver a clear plan for use of the improved Better Care Fund. The approach is helping to maintain capacity across both social work and the independent sector, and supporting system flow and hospital discharges. This example of how local areas are working to implement overall system change forms part of our managing transfers of care resource.

The approach to implementing trusted assessment involved identifying the best team to develop trusted assessment – using an interface team of nurse, physiotherapist, occupational therapist and social worker. The approach to implementing trusted assessment involved:

This example of a local initiative forms part of our managing transfers of care resource. In 2015, a whole-system review looked at the interface between social care and health. This improved working relationships, and enabled open and honest system challenges.

The ASSIST– advocacy, sustainment, supporting independence and safeguarding team – scheme brings together teams from the district council, Nottinghamshire County Council, Sherwood Forest Hospitals NHS Foundation Trust, Mansfield and Ashfield Clinical Commissioning Group, and Nottingham Trent University. This example of how local areas are working to implement overall system change forms part of our managing transfers of care resource.

Following a review by the Emergency Care Improvement Programme (ECIP) in October 2016, County Durham and Darlington Local Area Delivery Board has implemented a system-wide set of changes to improve performance. This example of a local initiative forms part of our managing transfers of care resource.

In East Surrey, adult social care and the CCG are working together to pilot the use of discharge to assess for all continuing healthcare (CHC) assessments. This example of a local initiative forms part of our managing transfers of care resource.

Managing transfers of care: an example of how a local area is working to implement system change. In Lincolnshire, a number of delays were occurring while waiting for care homes to visit the acute hospital to carry out assessments. Lincolnshire chose to address this through the introduction of a care home trusted assessor role, which would not only enable assessments to be carried out more quickly, but would also help to develop relationships and trust across the system.

Sheffield, like other areas across the country, has found itself under a lot of scrutiny both regionally and nationally because of its delayed transfers of care (DTOC) performance. This example of how local areas are working to implement overall system change forms part of our managing transfers of care resource.