Barnsley community nursing service, provided by South West Yorkshire Partnership NHS Foundation Trust, will now be known as Barnsley neighbourhood nursing service. The service brings together the district nursing and community matron service reflecting the integrated care approach adopted as part of a new service specification issued by Barnsley Clinical Commissioning Group.
The service provides high quality nursing care for adults who have short term needs and who are housebound or who have long term conditions or complex needs from multiple conditions or who require palliative care at end of life. In providing closer alignment to primary care in the form of six neighbourhoods, the service will offer a more integrated focus on care, using resources more effectively and working ever closer with other partners such as, social services and the third sector.
The new six neighbourhood model is based around the local authorities local area councils and the establishment of multi-disciplinary teams (MDT) across the borough, closely linked in to GP practices. This has been achieved by improvements and development around enhanced systems and clinical leadership. There is also a strong focus on increasing the visibility of clinical leaders with stakeholders in primary care, social care and the third sector.
Barnsley neighbourhood nursing service receives more than 26,500 referrals annually and looks after more than 3,000 patients at any one time in their home environment. The team are also now providing enhanced support to care homes including nursing homes.
Innovation is key to the new offer with a focus on self-directed care. Other ongoing work streams include developing a live demand and capacity tool and developing an in-reach offer into secondary care setting in the form of a community matron. A move to agile working and embracing other assistive technologies is helping staff meet rising demand.
Andrea Dauris, community services manager, said: “The new neighbourhood model is a vital part of our response to the predicted increase in the number of people living with long-term conditions across the borough; the new name highlights a whole-system change. This is creating an integrated, well-defined, accessible, service that is person-centred and principled upon delivering the right care, at the right time, by the right person.”