Transforming community neurology

New commissioning brief for community neurology services

Thames Valley Strategic Clinical Network (SCN) has launched a new commissioning brief for local commissioners, to help them to improve the services provided in community settings to people diagnosed with a long-term neurological condition.

The report is in three parts:

This report is aimed primarily at local clinical commissioning groups and contains information on:

  • Identifying the needs and priorities of people living with a long-term neurological condition and their carers
  • Neurology datasets and benchmarking
  • Delivering integrated care pathways
  • Integrating good mental health into care pathways
  • Technologies to enable community care models for long-term neurological conditions

The report has been produced as part of a collaborative project between the Thames Valley Strategic Clinical Network (SCN), Sue Ryder, Southampton and Royal Holloway London Universities, Windsor Ascot and Maidenhead Clinical Commissioning Group, Neural Pathways (UK), and the Neurological Alliance. The project supports the aims set out in NHS England’s Five Year Forward View to explore the potential of new models of care to deliver locally-provided, integrated care, organised around the patient.

Arlene Wilkie, chief executive of the Neurological Alliance, said: “Good community care services are crucial to people living with neurological conditions. They can support improved wellbeing and better health outcomes for patients, help people to self-manage their conditions more effectively and maintain good mental health. There is great potential for better community care to reduce pressure on hospitals by helping people maintain their good health and independence for longer.”

Community neurology conference 29th June

The Royal Holloway is hosting a conference which will focus on improving neurological services provided in the community and will outline the content of the commissioning brief above, discuss developments in community neurology, and scope future direction and actions through a series of workshops.

The conference will be held on Wednesday 29th June at Royal Holloway, University of London, Egham, Surrey TW20 0EX. You can register for the event via eventbrite here. For more information you can also contact Kate Moules..

About the community neurology project

The NHS Five Year Forward View sets out the vision for the future, describing a healthcare system that is facing major challenges and which needs to change and evolve to meet these challenges. It describes a future NHS that focuses on locally-provided, integrated care, organised around the patient. Part of that is a vision for forms of new models of care that will, ultimately, contribute to preventing some neurological conditions and improving the quality of life for people who acquire or develop such conditions. The Five Year Forward View has a clear focus on empowering patients and communities, and both primary and secondary prevention.

The aim of the programme is to:

  • Stimulate the delivery of person centred co-ordinated care for people with neurological conditions by encouraging the adoption of community based care model(s)
  • Develop an evidence base to demonstrate and help commissioners understand the value and benefits of good community neurology.

This will be achieved by building capacity and capability within the community and better utilising existing community resources to support:

  • care planning
  • self-management and promote independence
  • the provision of proactive care for people with long term conditions, especially those with complex care needs.
  • Demonstrating different ways of organising and delivering care, particularly when harnessed to investment in technology innovations. This will support the wider new care models work and ensure appropriate and timely access to services when patients require them.
  • Exemplifying how investment in well-co-ordinated community services can reduce pressures on the acute system through admission avoidance and reduced length of stay, to deliver better outcomes and value for money.

The objective for this year is to develop a commissioning toolkit to support local commissioning of new models of community-based care.

Thames Valley SCN was been appointed to provide the leadership and project co-ordination to utilise the capacity and resources of SCN colleagues, the Neurological Alliance and partners to deliver a series of work-packages to address key aspects and achieve the project objectives. Please see here for information and contact details on the different work-packages.

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