Integrated locality teams

Our new, integrated approach to delivering health and social care is paying dividends for people in East Sussex.

What is an integrated locality team?

Integrated locality teams (ILTs), made up of nurses, therapists, social workers and proactive care practitioners from East Sussex Health Care Trust (ESHT) and East Sussex County Council, have been rolled out across Eastbourne, Hailsham and Seaford and Hastings and Rother CCG areas.

There are six teams, each of which is aligned to a small number of GP practices. This means GPs can also work together to provide consistent care for patients.

How is care delivered?

People receiving care and support from the integrated teams will have a care co-ordinator who is the patient’s main point of contact and will make arrangements to ensure that the person’s changing needs can be met.

What are the benefits?

The new approach is leading to better outcomes for people as well as improved information-sharing and less duplication.

By working more closely together, the teams are able to deliver more cohesive and appropriate care and support more quickly.

New services to complement new ways of working

Therapists from East Sussex Healthcare NHS Trust and the county council’s adult social care department will provide an enhanced service to prevent people from falling, and support those people who have experienced a fall. The aim is to ensure local people see the right therapist, at the right time, to meet their individual needs and to help them stay independent.

Frailty Practitioners are offering patients frailty specialist assessments and coordinating their care under the guidance of consultants to provide additional support to complex patients, both out in the community and within acute hospitals.

A new Crisis Response team will treat people safely in their homes so they don’t have to go to hospital. By working in such an integrated way, we believe that we are able to serve patients in the local community much more effectively. The emphasis is on wrapping individualised care around the patient in a way that meets their specific needs and the feedback about the service that our health professionals have received so far has been very positive.

A Proactive Care Practitioner service is being introduced into our integrated locality teams to identify patients and support them to better manage their long term conditions to prevent unnecessary A&E attendances, as well as hospital admissions.