Croydon Health and Care Plan​


One Croydon, a partnership between the local NHS, Croydon Council and Age UK Croydon, has launched a new five-year plan to support residents to stay well for longer by making services more accessible in the heart of their communities.

The Croydon Health and Care Plan outlines a fresh vision for how health and social care will be delivered across the borough, particularly for those with the greatest need, to transform the health and wellbeing of local people.

The plan emphasises three clear priorities:

  1. Focus on prevention and proactive care: supporting people to stay well, manage their own health and maintain their wellbeing by making sure they can get help early.
  2. Unlock the power of communities: connecting people to their neighbours and communities, who can provide unique support to stay fit and healthy for longer.
  3. Develop services in the heart of the community: giving people easy access to joined up services that are tailored to the needs of their local community

The Health and Care plan builds on a number of successful schemes already in place in Croydon, including social prescribing, which makes it easier for GPs and nurses to connect people with a range of non-clinical services and Personal Independence Coordinators, who support people with long term conditions to stay out of hospital by providing a link between the NHS, council and voluntary sector.

In addition to a focus on locality-based care, the Health and Care plan outlines proposals for Croydon's acute and mental health trusts.  We seek to enable patients to be treated closer to home and it would support our local hospital trusts, making them more financially sustainable providers of excellent care locally.

You can read about how we developed the plan here.

We have produced a video to launch the health and care plan, made with partners from across Croydon's public sector services, you can watch this below.

 


Below is a short case study about how joint working in Croydon is making a difference to residents' lives

LIFE team

Norman, 85, was recovering in hospital from hip replacement surgery, when he was introduced to the LIFE team. 

"I Norman and Irene.jpgwanted to get back my fitness in time to attend a charity dinner. After the surgery, the team arranged for me to go from hospital to a care home, where I had physiotherapy, rehabilitation and occupational therapy each day," Norman adds; "The support workers were great, really helpful. They worked at it and so have I – all the exercises they asked me to do, I have done."

The Living Independently For Everyone (LIFE) service brings together social workers, community geriatricians, nurses, therapists and their shared health and social care expertise. Launched in September 2017, as part of the One Croydon Alliance, the team has grown to more than 30. Their focus is on supporting patients to improve their health and wellbeing, by maintaining their independence and staying active and social once they get back home.

Within two weeks Norman was back with his wife, Irene, receiving LIFE team visits at home. Norman explains, "The team was always professional and made me comfortable. I got advice on my medication and treatment and that helped me continue to get better and stay independent after the surgery. The therapy continued every day when I was back home and equipment to keep me mobile was delivered and fitted and in place by the time I returned. To be back at home is really important and I am getting more confident each day."

LIFE senior community physiotherapist, Steve Shevel explains: "For someone like Norman, after hospital, with round the clock care after in the care home, it boosted him a lot more. As a team together, we can ensure there is the joined-up support of health and social care."

LIFE receive referrals from hospital and community teams and make an initial assessment before providing care for up to 6 weeks. Their rapid response service is available for anyone whose health deteriorates and may need to go to hospital. At LIFE team meetings, staff update each other on individual cases then visit patients across Croydon including in care homes where people like Norman, receive specialist support and treatment before going home.

Norman's wife Irene, 76, says: "It was a great weight off my mind that they were following up with him and his care and that he was not just left to look after himself with me to help where I could. When he had a spell in hospital before he was discharged and that was it. The support he has had this time round has given him a lot more confidence."

LIFE Matron Angela Morrissey said: "Most patients need some extra support as they go home, whether it is housing, understanding family dynamics or arranging for a key safe to be fitted - I can cross the office floor and get that advice from social service colleagues. Meeting with the whole team means we can address the medical side as well as getting recommendations from social services."

LIFE statistics

  • The LIFE care team assessed more than 2,300 patients between September 2017 and August 2019.
  • After support from LIFE, approximately 46% of patients seen before August 2019, required no follow up care and treatment
  • More than 80% of patients referred to LIFE via A&E in July 2019, avoided hospital admission.
  • More than 90% of patients referred to the Rapid Response team in July 2019, avoided hospital admission.