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Do you use/share via digital records with partners?

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How do you recruit and maintain the workforce that you need to deliver your services?

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Have you got any templates/tools that can be shared on how you are reviewing services?

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What’s the most challenging aspect of conducting this review?

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What are the key ingredients of reviewing BCF schemes? 

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What are the key ingredients of reviewing BCF schemes? 

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As Rosie says we are aware that many systems are undertaking this - we have a range of support and tools available, please do contact your BCM or BCFSupport@local.gov.uk

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How are you able to flex your approach for winter pressures? 

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How are you able to flex your approach for winter pressures? 

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How do you recruit and maintain staff?

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You have a team working within hospital in-reach for people experiencing homelessness in Bradford and intermediate care for this cohort, are these integrated or seen as separate services?

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What is the level of therapy that they can get? And the actual rate for patients to their original home?

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Prior to the closer working, was there a gap in understanding other roles and processes between housing, health and care etc?  If so, how was this overcome.

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Prior to the closer working, was there a gap in understanding other roles and processes between housing, health and care etc?  If so, how was this overcome.

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How have the Leeds system calculated bed days saved?

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How have the Leeds system calculated bed days saved?

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Lots of food for thought and reflections on this.

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How was this piece of work initiated? Was there a pilot?

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Keen to see dashboards esp live bed base

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How does the independent working then become collaborative effort?

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How does the independent working then become collaborative effort?

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What sort of roles / backgrounds to your trusted assessors come from?

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Be interested in understanding more about the TA model eg skill set in pathway 1.

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Be interested in understanding more about the TA model eg skill set in pathway 1.

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Brilliant to have homelessness team within TOC and example of MDT working. Do we still have a way to go to level up the offer of intermediate care and "homefirst care" to those without a home? Is there any plans for this to be a priority?

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You said 10 extra people supported home ~ what resource is allocated?

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You said 10 extra people supported home ~ what resource is allocated?

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Patients go in with complex needs and come out with even more complex needs/deconditioning

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Patients go in with complex needs and come out with even more complex needs/deconditioning

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mention of goal tracking ~ can you expand? does the MDT track on behalf of the patients?

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mention of goal tracking ~ can you expand? does the MDT track on behalf of the patients?

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Is the VCS part of the joined up working?

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Can we see the Home First documentation and the SOP?

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Can we see the Home First documentation and the SOP?

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What sort of skill mix do your trusted assessors have to undertake CHC assessments / low level OT etc?

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How do PHBs help support discharge in Bradford?

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How do PHBs help support discharge in Bradford?

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A lot of discussion on hospital discharge and support to prevent re admissions What proactive care schemes do you have to support admission avoidance and what community alignment do you have with UCR, IrtuL ward hospital @ home and wider teams

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How are systems challenging the over prescription of care?

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We've seen other places really show improvement when support like Newton are in .... but the million dollar question is what is the plan for long term implementation and continued improvement? 

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We've seen other places really show improvement when support like Newton are in .... but the million dollar question is what is the plan for long term implementation and continued improvement? 

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What is the communication route between the integrated discharge team and the wards? 

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What is the communication route between the integrated discharge team and the wards? 

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The idea of the BCF being a programme of work rather than a "pot of money" really resonated with the group.

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Trusted assessments for housing are incredibly powerful - but ONLY if the assessments are really trusted.