Overview of the programme of work
Local Care Networks (LCNs) aim to join up care between GP practices, hospitals, community services, social services and the voluntary sector. There is one LCN in north Southwark and one LCN in south Southwark. In north Southwark Quay Health Solutions (QHS) represents GP practices’ views and ideas.
The purpose of the programme of work
On a daily basis, the health and social care system across Lambeth and Southwark does amazing things. With a range of world-class services available across our major hospital sites and in our community, supported by a strong and committed workforce, together we look to support the health and wellbeing of our population.
But we know that things can improve further. Feedback from citizens and service users has indicated that they find the health and care system difficult to navigate and that it is not always responsive to their needs. Communication between different parts of the system is not always as good as it should be, and service users can feel unsupported and isolated. We want to fundamentally change this, and move towards a system which arranges services around the service user and responds to their range of needs – whether physical, emotional or social.
To do this, we have setup Local Care Networks (LCNs). LCNs bring together local health and social care providers (including the voluntary sector and citizen forums) to work collaboratively to try and address common challenges.
What has been done so far?
Who has been involved?
- QHS directors and staff
- Practice staff from across north Southwark
- NHS Southwark Clinical Commissioning Group
- Guy’s and St Thomas’ NHS Foundation Trust
- Guy’s and St Thomas’ Community Trust
- Southwark Council
- Community Southwark
What positive outcomes have been achieved?
- An LCN Board has been established in north Southwark with key people from QHS, Guy’s and St Thomas’ NHS Foundation Trust, Guy’s and St Thomas’ Community Trust, Southwark Council, Community Southwark and NHS Southwark Clinical Commissioning Group. This is to ensure decisions can be made across the whole system.
- A Local Care Record is now available so that patients’ health records can be shared across the system.
- The LCN has agreed to work together to improve coordinated care for people in Southwark with three or more long term conditions.
- We have held engagement events with local patients with three or more long term conditions to design coordinated care.
What are the plans for the future?
We now know what we want coordinated care to look like in north Southwark, so we need to plan how we are going to start doing it! This will include:
- Identifying patients via GP practices
- Developing a holistic health assessment
- Developing a care plan for patients
- Ensuring each patient has a named health professional
- Setting up meetings with hospital doctors, GPs, nurses, social care and the voluntary and community sector (multi-disciplinary teams) to discuss the care and needs of patients
- Developing methods of self-care so that patients are empowered to look after their health