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sounds like a very interesting joint role, and would love to hear more about that

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What’s the impact (admission rate reduction) of the Front door coordinator and social worker?

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How do you measure success/maintain the commitment? 

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How do you measure success/maintain the commitment? 

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Good to see how impact is being measured - how big is the dataset collected from November? What are the service user no's?

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love this - would love to hear more about the various skills you've developed

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Was there much investment in workforce to achieve the impact being demonstrated?

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How sustainable is the model from a financial perspective? To what extent is the funding in the BCF and wider budgets sufficient to meet the demand? How do you manage the risks (e.g,. workforce challenges and capacity, access to therapies, timely assessments, early discharge and complexity of people being discharged home with support from social care and community health services and the knock on effect for Local Authority and Community Health budgets?

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whats the role for Vol sector workers in the Bromley discharge model? Like visiting professionals too?

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Is “home first” perceived by patients as the hospital eviction team? Do patients understand the benefits or just think you want the bed back?

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would love an SOPs/TORs for these to share wider

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What level of costs were needed from BCF to support the Enhanced Care Team (live in care rather than care home)? Was this additional capacity or existing services?

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sure you have this, but in case not -

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NHS London has launched a new Carers and Hospital Discharge Toolkit to improve the experiences of carers and the people they care for during the hospital discharge journey.

Designed for London hospitals and community providers in partnership with Carers UK, Mobilise, Carers First, Carers Trust and the London Association of Directors of Adult Social Services (ADASS), the co-produced resource provides action-orientated top tips to better support Londoners when someone they care for is being discharged from hospital.

A carer is anyone who provides help to a family member, partner or friend who needs help because of their illness, frailty, a mental health problem or an addiction and cannot cope without their support.

2021 census data revealed there are almost 600,000 Londoners providing unpaid care in the capital. Where unpaid carers of patients are identified, recognised and involved in discharge planning, re-admissions to hospital are reduced, patient outcomes improved and carers wellbeing sustained.

With this in mind, almost 400 London carers, NHS and care sector professionals have contributed to the development of the Carers and Hospital Discharge toolkit, highlighting tried and tested best practice measures and providing a basis for operationalising the new hospital discharge and community support guidance and supporting information for Integrated Care Systems on virtual wards.

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Can you say a bit more about this? Is the half a million taken out of the acute contract notional or real? Has this money been transferred from acute system to community to bolster/invest in community based services? IMHO - we need to see real transfers of funding to support our transition from reactive to proactive/preventative community-based models of care

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How do you reassure the Council about taking on financial risk where there are Continuing Health Care needs? Is there effective and timely assessment and agreement for CHC?

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how do you make small orgs aware of BCF funding so that they will put forward proposals, and how do commissioners enable that in their tight budgets?

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love to hear how you use small amounts of money to learn with

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What is the impact of your work? How is it measured? 

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What is the impact of your work? How is it measured? 

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Is Surrey exploring how this can be replicated?

How does discharging residents to other LAs work?

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Does In reach nursing service apply to all ages and is anything additional in place for older / more complex people e.g. more tailored in reach to improve discharge for older service users?

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Does the discharge team integrate with social care ad housing? 

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Does the discharge team integrate with social care ad housing? 

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How are your pathway 1s funded and what is your local set up for this?

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How are your pathway 1s funded and what is your local set up for this?

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could we offer local teams from national funding more opportunities for comms work/videos like this

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Model of working and impact on size of package of model

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Model of working and impact on size of package of model

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Simplifying D2A pathway-how did you do this?

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Simplifying D2A pathway-how did you do this?

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What was key to turning the work you’ve done into a tangible sum that you could shift to another area? How did you account for that funding

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How much of the work was achieved through the support programme that BCF sponsors

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We are seeing the opposite - how did you achieve the reduction?

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does having this great bridging nursing service create any capacity gaps elsewhere?

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Simplifying pathways 1, 2, 3-please could we have more information on what this looks like?

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Simplifying pathways 1, 2, 3-please could we have more information on what this looks like?

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What care homes are you seeing the reduction in? And how?

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How did you establish connection to acute trusts

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Have any of the places  in these workshops gone down the integrated pathway?

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Have any of the places  in these workshops gone down the integrated pathway?

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Patient flows-not all patient flows are so simple

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Patient flows-not all patient flows are so simple

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is there a way that you've managed the governance above those posts manage accountability to your leadership?

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How did you secure senior leadership for change? 

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How did you secure senior leadership for change? 

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How much does the funding for this MDT pull funding from other community/any data on savings?

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Joint posts were interesting for accountability - how did they get permission for this?

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Joint posts were interesting for accountability - how did they get permission for this?

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Do these figures account for the disproportionate number of people’s we’ve lost due to Covid? Or is it a temporary lull in numbers that will be increase in a few years

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Taking your approach is data- examples of before and after.

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do you manage to keep your list on one manageable spreadsheet that all have access to? Have you considered any alternatives?

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How do you demonstrate the change that is needed?

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Can you say a bit more about the relationship between the CND Team and Community Health Teams / District Nurses? You hear alot about the pressures on District Nursing? Do these challenges lead to bottlenecks and delays? Can you say a bit more about the challenges your teams have faced and how these have been overcome? Also the relationships with wider system partners are an important consideration, incl. social care and GPs. How reliant are GPs on the District Nurses? How do you ensure referrals / pathways operate as smoothly as possible when community health services are also under immense pressure?

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How do you secure - recruit and retain the reablement workforce? Including care

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how did the PRUH manage to afford funding 500k in community services, and how was that case made?

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What is the plan to make this sustainable/BAU when there is a non-recurrent fund?

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What is the plan to make this sustainable/BAU when there is a non-recurrent fund?

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More information on jobs/job descriptions would be welcomed. 

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More information on jobs/job descriptions would be welcomed. 

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Can there be a pot of money dedicated to innovating in the BCF?

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ASC discharge fund-have they played into any of these schemes or processes? 

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ASC discharge fund-have they played into any of these schemes or processes? 

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is this shareable?