CQC Local System Reviews

We are writing to you as CQC has been commissioned to carry outa programme of targeted reviews of local health and social care systems, lookingspecifically at how people move between health and social care, with a particular focus on people over 65 years old. Delayed transfers of care are a specific focus in these reviews. The reviews will not include mental health services or specialist commissioning but, through case tracking, will look at the experiences of people living with dementia as they move through the system.

Our intention is that these reviews will provide a useful reflection for each of the local areas highlighting what is working well and where there are opportunities for improving how the system works for people using services. Following each review we will produce a report for each area which you will be able to access online.

Once we have completed all of the reviews, we will also be producing a national report of our findings, which will identify key themes and recommendations.

The local authority area of Sheffield has been selected for review, commencing on 5 March 2018.

This call for evidence

This call for evidence has been sent to local stakeholder groups (for example, local voluntary and community sector groups) to inform the review ofSheffield.This is your opportunity to tell us how you think the health and social care services in your area are working for people over 65. We are particularly interested in understanding:

  • where there are examples of good practice
  • where there are areas for improvement

The information you provide will help the review team to understand the local system, inform the planning and delivery of review activities and help develop the findings of the review.

Evidence sought

Set out below are four sections covering the specific points on which CQC would like to gather evidence. Please submit evidence in relation to as many questions as you wish to address. There is no obligation to respond to any or all questions.

We have set a word limit for each question, though if you would like to refer to other relevant materials you have published you can provide links to these within the text or attach with your response.

When answering the questions please be mindful of the scope of the local system review, described at the beginning of this introduction, and only include evidence directly relating to the geographical area of Sheffield.

The information you provide will be used solely for the purpose of informing the review of how people over 65 move between health and social care. It will not be used to inform our regulatory activity around specific providers and we will not be providing a rating.

Confidentiality

Please do not include any personal data, or any information that would identify an individual as part of your response. The information you provide will be treated in accordance with CQC’s information governance policy.

How to respond

Please answer the 4 questions below and send your responses by23 February 2018, by email to:health&

If you have any questions about completing the call for evidence or would like further information about the system reviews programme, pleasevisit our website or email health&d a member of the review team will get back to you.

Thank you for your support in responding to this call for evidence

Kind regards,

Ann Ford

Local Systems Review Delivery Lead

1

About you

Please tell us who you are responding on behalf of (for example, an individual, a representative group, or organisation).

  1. Please tell us about any arrangements between services in your area that enable the provision ofpersoncentred and coordinated care to people over 65 as they move across different parts of the health and social care system.

As far as possible please structure your answer using the sub-headings below as these are the key areas around which we are focusing our review.

(max 600 words)

Maintaining older people in their usual place of residence and providing support that will prevent a crisis
Offering alternatives to/avoiding older people entering acute hospital care as a result of a changing need or crisis
Ensuring smooth discharge planning and access to ongoing health and social care for older people
Ensuring that older people receiving support to restore their independence following discharge from hospital (i.e. reablement) reach their maximum goals/ have a timely return to their normal place of residence or a new place of residence that meets their needs
  1. Please describe where you think there areareas for improvement in how people over 65 are experiencing personcentred, coordinated and appropriate care as they move across different parts of the health and social care system.

As far as possible please structure your answer using the sub-headings below as these are the key areas around which we are focusing our review.

(max 600 words)

Maintaining people in their usual place of residence and providing support that will prevent a crisis
Offering alternatives to/avoiding older people entering acute hospital care as a result of a changing need or crisis
Ensuring smooth discharge planning and access to ongoing health and social care for older people
Ensuring that older people receiving support to restore their independence following discharge from hospital (i.e. reablement) reach their maximum goals/ have a timely return to their normal place of residence or a new place of residence that meets their needs
  1. Please tell us about any local arrangementsthat your group/organisation is involved in that supportsperson-centred coordinated care of people over 65 across different parts of the health and social care system(s). (max 300 words)
  1. Please use this space to provide any other informationabout health and social care that isdirectly relevant to the scope of the review. (max 300 words)