Personal Independence Co-ordinators Service on behalf of NHS Croydon CCG (2)

Tender description

NHS Croydon CCG is looking for suitable providers to engage with this Market Engagement exercise. The aim of this market engagement exercise is also to gauge potential interest in this contract opportunity and field for innovative service solutions. This advert is an updated and more detailed market engagement from October 2018 (https://www.contractsfinder.service.gov.uk/Notice/4d6015ea-ebb5-4364-9794-42c4e7a8f4e0) to validate if a competition is optimal. The Personal Independence Coordinator service provides personalised care support to individuals who are frail, vulnerable and in need of proactive, preventative planning; and/or support to improve self-management and access to voluntary and community services. This will enable individuals to receive the right health and social care to meet their needs, with the service model focusing on improving self-management wherever possible. PICs work alongside health and care professionals, adopting a multidisciplinary approach to working with adults who have long term health and social care needs. The PICs provide critical links between formal health and social care services and the wider community support networks to provide a holistic integrated care programme. The PICs will work with volunteer support workers and the core ICN team to help avoid medium to high risk people attending hospital unnecessarily. They will also help medium risk people become better informed about how to maintain their health through the development of their own person-led preventative care plans. The objectives of the service are as follows: • To recruit a team of 18 or more Personal Independence Coordinators who will support delivery of the ambitions set out in the Croydon Out-of-Hospital Business case • To ensure that individual throughput of the service is aligned with the minimum level set out in the Out-of-Hospital Business case, in line with the KPIs • To support individuals to be cared for in the most appropriate care setting as close to their home as possible • To undertake face to face assessments & guided conversations with individuals and their carers • To work in partnership with individuals and their carers to agree appropriate goals and plans to achieve them • To signpost to services that can best meet the patients' needs in the community • To facilitate 'Hospital to Home' for patients in an acute setting who meet the service criteria • To work with both the over 65 and under 65 cohort (all adults) • To bring all services together in 1 integrated model providing a seamless single point of referral for other professionals • To offer different levels of intervention dependent on client need and referrer preference • To engage in proactive case finding and risk stratification Please see the service specification for more information on service delivery requirements.