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You mentioned these as part of your pathway. Can you say how this works please- it can be a huge cultural change for older people and their carers? And how it overlaps with care which would be discharge?

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Do you have a named individual for liaison/partnership management with the voluntary sector? If not how do you maintain relationships and collaborative working?

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This continues to be an issue - recruitment and retention. How have you managed this?

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really like the idea of social prescribing in the hospital

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really like the idea of social prescribing in the hospital

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Where would the 293 referrals to the social prescribing pilot have gone if the pilot wasn’t active - what aspect of your system had “benefitted” the most?

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What are the top 3 things people use phbs for?

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What does YAWR stand for please?

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The focus of CTH needs to be wider than the acute trust and that was referenced today

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The focus of CTH needs to be wider than the acute trust and that was referenced today

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Are there opportunities to work as a joint system due to the complexity that are occurring in a more local setting.

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The complexity in North Yorkshire is scary!! BUT you if you've cracked it in one site then the opportunity for learning is great

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The complexity in North Yorkshire is scary!! BUT you if you've cracked it in one site then the opportunity for learning is great

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Aware of people getting stuck and how IC beds are being used and who should go where

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Is it solely for discharge from an acute bed or could it be accessed from ED as well?

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Doesn’t your system get confused by the inclusion of PHB in the title of your service?

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How are the VCS involved in North Yorkshire at a strategic level?

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How did you set your budget for PHBs for the financial year? It's a kind of unknown need/opportunity

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How did you set your budget for PHBs for the financial year? It's a kind of unknown need/opportunity

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Be interested to know about frailty service and how it links in with falls.

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Do you have any examples of where intermediate tier has been stepped up into and down from VCSE? & how this works?

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How do your next steps account for your new geographical council patch - how will you roll out across the population?

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Concerned that there is a reduction in admission avoidance at all levels. Too much pressure on getting people out not enough on keeping people out, safe and well.

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How have the PHB engaged with the wider network/ hospital team to embed the service?

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How have the PHB engaged with the wider network/ hospital team to embed the service?

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People have far more complex conditions and have many needs.

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You mentioned that you spoke about intermediate care and also preventing admissions what is your intention for referral pathway to prevent an admission do you have any proactive care schemes to support people at home

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Great to hear recognition that there is such a value on local place delivery of the outcomes - getting there is different for different populations and methodology is different.

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language is important as some areas would use "grant" as the vehicle to purchase the list of equipment or intervention described

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language is important as some areas would use "grant" as the vehicle to purchase the list of equipment or intervention described

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Could you advise how better to communicate our place based offer to build resilience for vulnerable people?

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Does your social prescribing service work from the A&E as well as discharge hub?

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Supporting people with learning disabilities and/or autism do you have any proactive/preventative schemes to support this group in your region/locality

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Is there an opportunity to engage the ambulance service to support patients at the start of the pathway to avoid admission.

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Is there an opportunity to engage the ambulance service to support patients at the start of the pathway to avoid admission.

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What were the challenges in getting the Personal Health Budgets pilot off the ground?

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Re personal health budget what is the criteria is it awarded to anybody. Can you access a PHB in community for admission avoidance purposes as well supporting discharge

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What do the trusted assessor roles cover for the Age UK service in Rotherham? 

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What do the trusted assessor roles cover for the Age UK service in Rotherham? 

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Rotherham keen to hear more about this and how you mobilised it. Can you share your SOP please? Standard Operating Procedure

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Returns always say it helps with integration but how real is this?

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Returns always say it helps with integration but how real is this?

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What metrics are you using to measure impact of the scheme

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Great to hear your adapting approach to the PHB project - responding to what comes out of the findings.

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What metrics are you using to measure impact

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Do you SP? How do you maximise capacity of beds?

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Thoughts on the over reliance on beds? Is this something effecting all areas?

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Have you considered the use of PHBs for Mental Health discharges too?

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Could you share more information on frailty services

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I like the PHB aspect of discharge planning.

Can I ask as to the adult social care / PBH crossover? In our area a declutering and cleaning of a property falls to a stretched social work team leading to significant delay in DC. Do you any overlap with adult social care and the PHB fund?

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What is the pathway alignment and referral routes from UCR/virtual wards etc in to intermediate care etc

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How can BCF reinvent itself - to not just be about post covid focused

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HWB driving integration is a centrally held view but not necessarily a regionally shared view as 'centrally' is not where things are done and it's also more complicated since ICS's formed

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What would your pathway look like for someone experiencing homelessness? could they access an intermediate care bed if no home?

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What would your pathway look like for someone experiencing homelessness? could they access an intermediate care bed if no home?