Where the group have identified gaps, they have instigated work to address this. Subgroups of the SBC Delivery Group have initiated the following projects:
Agreeing Priorities and Delivering Outcomes (APDO)
The SBC team developed a programme to look at integrated whole system planning to enable shifts in the balance of care for the future. The APDO programme involved senior professionals and managers working within CHPs who participated in a behavioural simulation process, CareShift, which was designed to help participants understand the future dynamics and challenges involved in shifting the balance of care across local health, social care and housing systems.
Integrated Resource Framework
In early 2008, the SBC Delivery Group commissioned a two year project to concentrate on one of the main barriers to SBC, namely the shifting of resources. NHS Highland have been developing a model locally (The Cost Cube model) and will build on this, with NHS Tayside, to develop an Integrated Resource Framework that can be used in any Health Board.
Emergency Access Delivery Programme
The Emergency Access Delivery Programme works towards a range of improvements in the area of unscheduled care. Key to shifting the balance of care in this sector is the development of locally agreed targets for the reduction of attendances at A&E. Other responsibilities are Winter Planning and monitoring and support to maintain the achievement of waiting times in A&E. The Team is adopting a whole system approach to shifting the balance of unscheduled care.
Multi Agency Approach to Integrated Care
The SBC Delivery Group has established a project to concentrate on professional boundaries and lack of communication and team working between different sections of the care system. Jointly agreed qualitative and quantitative priority outcomes / improvements will be delivered by care partners through a community-based, multi-agency system.
Workforce Support and Development
Nurses, midwives, allied health professionals and other health professionals will have a far bigger role in the delivery of care in future, empowering patients. For example, the new Community Health Nursing model was developed following an extensive review of nursing in Scotland and is now in the process of being tested in four Health Board areas. It will establish a single point of contact for people receiving care in their own homes and increase emphasis on anticipatory and community based care.