LS25 & LS26 Local Care Partnership is a well-established partnership which covers areas of Garforth, Kippax, Rothwell and all in-between. This is a rich partnership of primary care, community health and care services and community groups, who are focused to work together to improve the lives of their local population.
Ageing Well Population Health Management
During Wave 1 of the Population Health Management work, LS25/26 targeted work at people living with severe frailty and dementia. 221 people were identified, and out of this 221, 40-50 people were reviewed, which showed a high percentage of this review cohort did not have an advanced care plan recorded in Systm1.
To rectify this, the LCP aimed to get an up to date, agreed, shared and visible Advanced Care Plan (ACP) in place for these individuals in order to reduce hospital admissions and make sure people were cared for in the way they wanted. In order to do this and use the expertise of people involved in a person’s care, a full MDT was tried in care homes with care home staff, the resident, carers and health professionals to discuss ACP. Although very time consuming, outcomes were very positive.
Hence to support this model, it has been agreed it would be beneficial to trial a coordinator role to pull all of this together, known as a Planning Ahead Coordinator.
We are currently finalising this role and will be taking it to advert soon. Once the coordinator is in place, we will be able to share learning and consider the longevity of this role.
Work has been going on under the LS25 & LS26 Local Care Partnership to work together around Obesity. As an LCP, we are an outlier in the city for obesity data. This means we have a higher percentage of people who are registered as obese (with a BMI over 30) in this locality. This information comes from GP practices in this PCN. A sub-working group has been in place for a few months, to pick up this work again.
A few years ago, the PCN undertook a survey with all of their patients to understand their attitudes to diet and exercise. This data showed us that we had a priority population of women who were 45-60 living with obesity, but also showed us that the top way people felt they could improve their lifestyle was by taking part in more physical activity. However, this work took a pause due to the scale of work needed to deal with this issue and other more pressing issues such as the frailty work.
In July 2020 we agreed as a working group to continue with having Obesity as an LCP priority, especially in light of the COVID pandemic. We felt our next logical step was to start to understand how people’s attitudes to diet and exercise have changed in light of this, as a comparison to the wealth of information collected B.C. (before COVID). We also wanted to find out what mattered to people locally to help us find a local narrative for whatever next steps we take in this project. For the last couple of months, we have been planning to hold a mini, localised ‘Big Leeds Chat’ to have conversations with local folk to understand their current attitudes, if they still feel they want to make changes to their lifestyles, and importantly how as an LCP we could support that. We had always planned to schedule this mid-September, to allow things to get back to being more ‘normal’ again. However, in light of the current restrictions and infection rates, we followed guidance to not stop and speak to people in the street, so instead have launched an online survey.
The survey will close in November and we will be analysed and presented in a shareable report in early 2021. Results will influence our next steps on how to tackle this in 2021.
As a partnership, we are keen to learn more about each other’s services and roles in the community. We are also keen to have varied focuses so are open to new opportunities to develop as a partnership whilst improving the lives of the local population.
Local Care Partnership Meetings
The LCP meets on the first Thursday of every month, 1-2.30pm, via Zoom. Working groups as mentioned above have separate meeting schedules to progress actions.
How to get involved
If you are in this local footprint and are keen to be involved in local decision making about health and wellbeing, we would love for you to join us. For more information or to join us, please contact email@example.com