Case studies

This case study shows the excellent work that public health in local government is doing to commission for quality and best value across all areas.

Support is provided to homeless people while they are in hospital. It ensures when they are ready to be discharged they will not return to the streets. Over the past two years no-one has been released without accommodation to go into.

Sutton Health and Wellbeing Board (HWB) has been proactive in driving and overseeing extensive developments in integration, prevention and tackling the wider determinants of health, and in holding partners to account. This case study forms part of our integrated care systems (ICS) resource.

Norfolk Health and Wellbeing Board (HWB) is the forum for system leaders across the wider local health and care system and works closely with the Norfolk and Waveney Sustainability and Transformation Partnership (STP) (Waveney is an area in East Suffolk). This case study forms part of our integrated care systems (ICS) resource.

Plymouth Health and Wellbeing Board (HWB) takes a system leadership role, setting the ambition, shaping local priorities and signing off key strategic documents, including commissioning strategies. This case study forms part of our integrated care systems (ICS) resource.

Kent County Council and Medway Council are coterminous with Kent and Medway Sustainability and Transformation Partnership (STP), which is developing into an integrated care system. The system has eight clinical commissioning groups (CCGs) which share an accountable officer and are working to establish a single strategic or system commissioner. This case study forms part of our integrated care systems (ICS) resource.

To provide an equitable hospital discharge experience for residents whilst improving performance associated to delayed transfers, a bespoke Hospital Discharge Service was established in October 2017, with the use of iBCF monies to expand the council’s ‘discharge team’ located at the hospital where the greater number of admissions historically occurred. This example of a local initiative forms part of our managing transfers of care resource.

The hospital avoidance response team – HART – service is delivered by members of the Lincolnshire Independent Living Partnership and takes referrals from secondary care discharge hubs, A&E in-reach teams, the ambulance service, primary care and community health providers. This example of a local initiative forms part of our managing transfers of care resource.

Prior to the move into the discharge hub, work had already taken place to replace the ward discharge Officers with a more administrative role, new staff were recruited at band 4 on each ward within the Trust. A decision was also made that each directorate would have a supervisor Band 5 post to over-see the work of the discharge officers. This example of a local initiative forms part of our managing transfers of care resource.

‘Transforming our Communities’ was a consultation undertaken by Hambleton, Richmondshire and Whitby, and helped to provide a mandate for the local system to develop new models of care closer to home. This example of a local initiative forms part of our managing transfers of care resource.