Integrated Neighbourhood Teams Service - Market Engagement Event for NHS HMR CCG

Tender description

NHS SBS on behalf of NHS Heywood, Middleton and Rochdale Clinical Commissioning Group (the CCG), working with RBC would like to invite expressions of interest to attend a Market Engagement Event on Friday, 14th August 2015, to provide an Integrated Neighbourhood Teams (INTs) Service which will inform the market of the intentions to provide the INTs Service. It is proposing a new service model for Integrated Community Nursing, Therapies and Specialist Nurses to support INTs that will improve the delivery of care for people in the community by integrating systems to enable staff to work more effectively across organisational boundaries. The INTs Service aims to improve integration between Primary Care, Community Adult Health Services and Adult Social Care to ensure a single integrated pathway of care providers and the voluntary sector to ensure timely, safe transfer from hospital to home to address the rising tide of unnecessary ‘default’ admissions in all our local hospitals. The INTs Service will accept referrals and use risk stratification i.e. identifying the patients within each GP practice who have, or are at risk of developing, the most acute healthcare needs. Patients will see their care managed through multidisciplinary teams which will include the 3rd sector and Mental Health services across the Borough. It will also provide preventative and lifestyle interventions. The Provider will understand the health needs of this population and through a process of assessment, planning and support, will improve the health and wellbeing outcomes and will be accountable for ensuring that outcomes improve and inequalities in health are reduced. The Provider will deliver a highly visible and accessible service that takes advantage of developments in the digital world. The Provider will need to work across all local health and wellbeing services in an integrated way to improve outcomes and will work in close partnership with other Providers in Rochdale, including other NHS organisations, RBC, and the voluntary sector. This integrated approach seeks to ensure that the Provider thinks in terms of delivering care pathways and outcomes rather than services labelled by the name of the profession providing them, and they will have the freedom to configure cross cutting teams to achieve joint outcomes.