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Partnership at home

The aim of the project is to integrate domiciliary care staff into community teams

The project is a six month pilot between North Somerset Community Partnership (NSCP) and Brunelcare (domiciliary care agency) whereby domiciliary care staff will be integrated into community teams. 

The care staff will receive on-going education to provide low level health care tasks under supervision from registered nursing and therapy staff.  A Professional Education Facilitator will work alongside the community teams and care staff to provide support in practice, education and training and competency development.

The pilot will take place in two community healthcare teams, Marina and Tyntesfield, and will impact on approx. 50 community staff both nursing and therapists employed by NSCP.  It will involve four care staff, employed by Brunelcare, who will work alongside existing community teams. 

The target audience for the pilot will be patients on community teams’ caseload which traditionally has been older aged, housebound individuals.

An analysis of community nursing caseloads within NSCP identified that many people are seen by both health and domiciliary care services, with some people having up to four visits per day from care staff.  This can lead to fragmented and inefficient care.  It was identified that a lot of people had low complexity healthcare needs which could be provided by appropriately trained domiciliary care staff. 

Additionally, it was identified that domiciliary care agencies are finding it increasingly difficult to recruit and retain staff as, due to the way they care currently commissioned, staff are effectively on zero hours contracts.  Shortage of available home care, not only impacts on patients, but delays discharge from hospitals (patients are waiting for packages of care), community health (patients often cannot get care they need which may risk admission to hospital unnecessarily) and the Council (unable to commission services).

The project is aiming to be completed in January 2016.

For more details, please contact Jane Impey, Service Redesign Manager at North Somerset Community Partnership.


Jane Impey, Service Redesign Manager at North Somerset Community Partnership said: Surveyed the NSCP staff 3 months into the project and amongst other things asked them what they saw where the benefits of the project:

“”frees up time to spend with more unwell patients”

“Gives more time to concentrate on more complex care”

“Less pressure with less low complex visits. Better communication with carers which improves care and continuity”

“Allows me more time to spend on patient care”

Anticipated benefits:

  • Release skilled nursing time from low complexity healthcare activities into more complex care.
  • Reduction in the number of people visiting patients – more continuity of care
  • Positive impact on the sustainability for the care provision sector as easier to recruit and retain staff.
  • Improved patient experience through sharing skills and knowledge through enhanced communication.
  • Enhanced partnerships enabling the most appropriate professional to support the person.
  • Reduction in time waiting for care package.
  • Increase prevention and early intervention of frail older people thereby increasing their resilience and ability to be maintained within community settings.
  • Provision of whole person care – less fragmented and inefficient.
  • Reduction in social isolation – care assistants will support people to engage with local community assets.
  • Supporting and educating patients to be self-caring.
  • Co-ordinated care across organisational boundaries.

This Page was last updated on: 26 November 2015

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