Helping People to stay independent and live at home
Lots of work has been going on across the Frimley Health and Care system to ensure health and care services provide support to allow people to stay healthy and independent in their own homes for as long as possible.
Plans are coming together to have a single telephone number which will allow professionals to make just one call to access co-ordinated support for the people they are working with. This will provide access to teams of health and social care professionals who will tailor support to the needs of those whose health or independence is likely to worsen. The teams will also include mental health workers and people from the voluntary sector. The telephone line will be launched across the localities in North East Hampshire and Farnham in October and in East Berkshire in November. To start with this telephone line will only be available to people working in health and care. In time local people will be able to call directly to access help and support ands benefit from co-ordinated care.
Surrey Heath has been piloting a frailty panel which brings together a range of experts to review the cases of people diagnosed with frailty. The panel will pull together a plan to keep the person as well as possible. This model is also being developed in North East Hampshire and Farnham.
Across the whole Frimley Health and Care area, GPs are being encouraged to identify people whose health and care needs are likely to increase. The idea is that measures can be put in place to help to keep people well, so they can stay as independent as possible and remain in their own home for as long as possible.