The model of care

The aim of East Sussex Better Together is to develop a fully-integrated local health and social care system that ensures patients receive proactive, joined-up care, supporting them to live as independently as possible and achieving the best outcomes.

To achieve this we have developed a framework describing the services and support required throughout the whole cycle of a patient’s care. Prescribing and planned care are two additional areas where we want to improve the quality and affordability of services.

1. Healthy living and wellbeing: This is about preventing ill health, promoting independence and improving awareness of and access to services and activities that support healthy lifestyles.

2. Proactive care: This will be focussed on patients with long-term conditions and illnesses. The aim is to support people to manage their own health and help individuals and the community to play a part.

3. Crisis intervention and admissions avoidance: We want to ensure the right services in the right place at the right time to help people regain their independence and wellbeing quickly following a period of illness.

4. Maintaining independence: Supporting users of health and social care services, and their carers, to live independent lives.

5. Discharge to assess: Ensuring patients in hospitals and care homes are discharged as quickly as possible to an appropriate place, with a package of care to support their recovery.

6. Bedded care: Making sure that people who require in-hospital care receive the best possible services.

7. Prescribing: Research shows 50% of people don’t take their medicines as prescribed. Across East Sussex, £90million is spent on medicines prescribed by local GPs. This means up to £45million of this might not be making the difference it should to the health of local people. We are bringing together clinicians and pharmacists from across the spectrum to develop ways of working with local patients to ensure they receive effective medicines as and when they need them.

8. Planned care: This relates to care that is planned in advanced opposed to emergency treatment. We want to streamline this for patients and clinicians, ensuring local people have choice and are able to make informed decisions about their care.