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NEW CITY-WIDE COMMUNITY BED APPROACH TO IMPROVE PATIENT CARE

More than 20, key front-line clinicians and senior managers recently attended a half-day workshop to discuss the development of a new city-wide community (P2) bed model to provide a consistent experience to the 1m+ population of Birmingham.

Under the theme of Developing a Future Medical Workforce in Non-Acute Beds, the face to face round table was held early June at The Saffron Centre in Moseley.  Delegates included Ben Richards, Lead for the Early Intervention Beds Workstream and Director of Adult and Specialist Rehabilitation at BCHC (ASR), ASR Medical Director, Geriatricians, SHOs, EICT lead, HR lead, senior Matrons, Senior Therapists and Service Leads.

A proposed new draft community bed model was shared at the event.  It responds to the needs of the system, new Discharge to Assess (D2A) guidance and adopts the city’s integrated care approach and Home First ethos. The three proposed phases within the draft include: exit from our pandemic response, a remodelling of bed numbers to meet the needs of a ‘steady state’ and adoption of the new generic P2 model.

To help further inform the approach, the workshop discussed a number of key areas including the definition of sub-acute and how does it differ from the ‘general’ rehab beds? What the medical/clinical model should be? What is our role with EICT? How do we make the best use of technology and what changes do we need to make to the estate to enable the model?

Ben Richards,  Lead for the Early Intervention Beds Workstream and Director of Adult and Specialist Rehabilitation at BCHC said “Birmingham’s health and social care system is well aware that as post pandemic ‘regular behaviours’ are re-established by the Early Intervention programme, there will be a reduced demand for P2 beds.  We also know that our current approach is fragmented and outdated.

“We have to do something about this and the workshop followed several earlier discussions that took place across the system about developing a consistent medical model across all bedded sites rather than continuing with the inconsistent approach we currently have. “The next steps will be to review the workshop feedback and integrate that into our draft model.  We will then meet again with a wider team including OPAL and EICT to look at how we strengthen our links with these areas to improve our approach and best benefit our patient outcomes.”

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