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Statement of Purpose Bristol Community Health CIC South Plaza, Marlborough Street Bristol BS1 3NX Bristol Community Health Community Interest Company (CIC) became registered with Companies House as a Social Enterprise on the 1st April 2011 with our Head Office situated at South Plaza, Marlborough Street, in the centre of the city of Bristol. The organisation commenced trading on 1st October 2011 and currently provides: A wide range of Community Health Services across Bristol, North Somerset and South Gloucestershire: • Community Services for People with Learning Difficulties across Bristol; • Urgent Care Services from our Urgent Care Centre which is situated alongside South Bristol Community Hospital; • Prison Healthcare Services at Her Majesty’s Prison (HMP) Bristol, HMP Leyhill, HMP Eastwood Park and HMP Ashfield • Diabetic Retinopathy Screening and Diabetes Education Services in Bristol, South Gloucestershire • Continuing Healthcare Assessment and Review Teams in Bristol and South Gloucestershire; • Palliative Home Care Service for people registered with Bristol and South Gloucestershire GPs. Bristol Community Health Services CIC works closely with Bristol City Council to provide integrated services in intermediate care sites based in the north and south of the city. Our staff also provide health services to disabled children receiving respite care and support at New Belbrook residential facility which is a Bristol City Council facility registered with Ofsted. Services currently provided by Bristol Community Health are listed on our website at http://www.briscomhealth.org.uk/our-services where people using our services can obtain information about accessing the service and how it is delivered. Urgent care, community health and learning difficulty services are commissioned by: • NHS Bristol Clinical Commissioning Group (CCG), North Somerset CCG and South Gloucestershire CCG. Continued/... Version 13 16/03/2015 Bristol Community Health CIC - CQC statement of purpose v13 Page 1 of 7 Prison healthcare services are commissioned by: • The NHS Specialist Commissioning Board - South Region and Bristol, North Somerset, Somerset & South Gloucestershire local area teams. Bristol Community Health is classified as an independent sector provider in its registration under the Health and Social Care Act 2008 and subsequent regulations in 2009 and 2010. Its regulated activities across services in each registered location are identified in our CQC registration certificates and include: 1. Treatment of Disease, Disorder and Injury 2. Diagnostics and Screening The organisation’s mission is that patients, customers and the community will experience Bristol Community Health as: • • • A high quality provider of services recognised for its quality of service from its patient-focused staff, value for money, innovation and excellence; A locally cherished organisation with excellent relationships with our community, patients, customers and partners; An organisation that is really good to work with and is the natural local partner for local government, primary care, mental health and acute providers. The Board’s pledge to staff is that they will experience a Social Enterprise which is: • • • • • Proudly staff-owned, where staff enjoy security, development opportunities, fair rewards and benefits; Delivering consistent, personalised care on a daily basis to people in their homes and communities; Working with colleagues in other sectors to offer seamless and integrated care to patients; An expert at the forefront of training, innovation and delivery in the community; A sustainable business – here for the long term. The organisation’s strategy focuses on four themes: 1. Being the best – investing in individual and organisation learning and development, listening to patients and customers, innovating and managing performance; 2. Time to care – improving efficiency and productivity through technology so that more time is available to deliver improved quality and quantity of direct patient care and additional value to patients and commissioners. 3. Managing our money – good financial management securing confidence for the long term, contributing to staff retention, good commercial relationships, effective internal management of resources and establish a resilient business capable of investment. 4. Making their day – delivering and developing the quality strategy, producing ‘Charters’ for Care and Customer Service which set out what patients can expect from the organisation, supporting communities and growing partnerships. Our Community Learning Difficulties Teams and Disabled Adult Resource Teams provide specialist nursing and therapist support that helps to promote equal access to 16/03/2015 Bristol Community Health CIC - CQC statement of purpose v13 Page 2 of 7 mainstream health services for adults with learning difficulties. The service also provides direct nursing and therapy assistance to people using the service who are visited in their own homes or in care homes. A limited service is also offered to children. Examples of the assistance given to people and to their families include epilepsy management, management of medication and support when people exhibit behaviours that challenge others. For people with a learning difficulty we operate an open referral system to GP-registered patients, accepting referrals from health and social care professionals, carers and service users themselves (subject to a service eligibility assessment if required). Our teams are made up of the following professionals: • • • • • • • • Community Nurses Dieticians Specialist Intensive Response Nurses Occupational Therapists Physiotherapists Psychologists Arts Therapists Speech and Language Therapists The organisation’s current revenue is £45.6 m with circa 1,100 staff, the majority of whom are directly involved in patient care in community settings ranging from people’s homes to our Urgent Care Centre. Our staff are specialist nurse practitioners, community matrons and nurses, healthcare support workers, GPs with a special interest, consultant physiotherapists, physiotherapists, occupational therapists, podiatrists, phlebotomists, diagnostics and learning difficulties teams combining nursing, therapy and psychology services. The clinical teams work alongside their management, clerical and administrative support workers from bases in health centres, clinics and other sites run by our partner organisations throughout Bristol, Bath and South Gloucestershire. Healthcare is provided in partnership with others, including Bristol City Council, South Gloucester Council and fifty-five local GP Practices. The population continues to rise and projections show this is likely to continue across all age groups; furthermore the ethnic diversity of Bristol also continues to broaden. Bristol Community Health helps support local people to maintain healthy lifestyles in a home setting and to overcome illness so far as is possible outside of hospital care. It continues to develop local services with our partners to meet identified needs of the communities it serves. Claire Madsen Deputy Clinical Director (CQC Nominated Individual) Bristol Community Health 6th Floor, South Plaza, Marlborough Street Bristol, BS1 3NX Tel: 0117 900 2396 Fax: 0117 900 2587 [email protected] 16/03/2015 Bristol Community Health CIC - CQC statement of purpose v13 Page 3 of 7 Our Registered Locations are:South Plaza, Marlborough Street, Bristol, BS1 3NX Function at this location: Headquarters for all management, infection prevention and control, safeguarding, governance, risk management, clinical effectiveness, library, human resource, training and development, finance and administration activities. Base location for Community Learning Difficulty Services in Bristol (registered for Treatment of Disease, Disorder and Injury only) and Community Health Services, Domiciliary Physiotherapy and Occupational Therapy, Diabetes and Nutrition Service, Diabetic Retinopathy Screening, Diabetes Education, Palliative Home Care, Intermediate Care and Re-ablement, Specialist Services in the community (e.g. Dermatology, Musculo-Skeletal Outpatient Physiotherapy, Continence, Wound Care, Falls, Heart Failure, Telehealth, Chronic Obstructive Pulmonary Disease, Infection Prevention and Control), Palliative Home Care Support, Podiatry, Phlebotomy, Tuberculosis Nurse Service, The Haven (specialist service for asylum-seekers), Rapid Response and Out of Hours Services. Most services are accessed by adults and older people whilst some are accessed by the whole population. Urgent Care Centre, South Bristol NHS Community Hospital, Hengrove Promenade Whitchurch Lane, Whitchurch, Bristol, BS14 OJZ. Function at our Urgent Care Centre: Our Urgent Care Centre provides Urgent Care Services typical of a walk-in centre with the addition of being able to refer for on-site X-rays and other diagnostic tests. No appointment is necessary; patients can just turn up to during opening hours (currently 08:00-20:00 hrs). Nurse led assessment for conditions such as suspected broken bones, diagnosis and treatment of minor injuries and minor illnesses (e.g. sprains and strains, cuts and grazes and minor burns and scalds). The Urgent Care Service is accessed by the whole population. HMP Eastwood Park, Falfield, Wotton-under-Edge, Gloucestershire, GL12 8DB. Function at HMP Eastwood Park: Prison Healthcare Services are provided within this local closed secure environment for remand and longer stay female prisoners. Our teams deliver award-winning, nurse-led, prison healthcare and substance misuse health support in partnership with Mental Health, Pharmacy and Primary Care providers. Our 24-hour service provides prison healthcare services for younger adults, adults and older females. Babies up to twelve months old with their mothers in HMP Eastwood Park are under the care of the GP practice. Continued/... 16/03/2015 Bristol Community Health CIC - CQC statement of purpose v13 Page 4 of 7 HMP Bristol, Cambridge Road, Horfield, Bristol, BS7 8PS Function at HMP Bristol: Prison Healthcare Services are provided at this site, which takes remand and longer stay male prisoners and is a Category B facility for the West of England. Our teams deliver high quality prison healthcare, pharmacy and substance misuse health support services in partnership with Mental Health and Primary Care providers. The 24hour nurse-led service provides prison healthcare services for young adults, adult and older males. HMP Leyhill, Wotten-under-Edge, Gloucestershire, GL12 8BT Function at HMP Leyhill: Prison Healthcare Services are provided at this site, which takes longer stay and Category D male prisoners. Our teams deliver high quality prison healthcare and substance misuse health support services in partnership with Mental Health, Pharmacy and Primary Care providers. The Monday to Friday 8.00 am – 4.30 pm nurse-led service provides prison healthcare services for adults and older males and also provides an ‘ad-hoc’ service should the situation demand e.g. palliative care. HMP Ashfield, Shortwood Road, Pucklechurch, Bristol, BS16 9QJ Function at HMP Ashfield: Prison Healthcare Services are provided at this site, which is a Category C prison for adult males. Until July 2013, the site was registered as a Young Offenders Institute before prison health services transferred to Bristol Community Health CIC under new registration. Our teams deliver high quality prison healthcare, personal care and health support services in partnership with Mental Health, Pharmacy and Primary Care providers. The nurse-led service provides prison healthcare services for adult and older males, 7 days per week from 07.30 – 20.30 hrs. Continued/ 16/03/2015 Bristol Community Health CIC - CQC statement of purpose v13 Page 5 of 7 Registered Manager Details Trust Headquarters All Community Health Services (Bristol, Bath & N.E. Somerset, South Gloucestershire) Jo Hudson Bristol Community Health 6th Floor, South Plaza Marlborough St Bristol BS1 3NX Tel: 0117 984 1566 Email: [email protected] Learning Difficulties Bristol Lin Blight Bristol Community Learning Difficulties Teams Bristol Community Health CIC 6th Floor, South Plaza Marlborough St Bristol BS1 3NX Tel: 0117 958 5666 Email: [email protected] Urgent Care Centre Sarah Brierley Urgent Care Centre South Bristol Community Hospital Hengrove Promenade, Bristol BS14 ODE Tel: 0117 342 9692 Email: [email protected] Prisons Laura Darrie Clinical Services Manager HMP Bristol Cambridge Road, Bristol, BS7 8PS Tel: 0117 372 3051 Email: [email protected] 16/03/2015 Bristol Community Health CIC - CQC statement of purpose v13 Page 6 of 7 Debbie Millar Clinical Services Manager HMP Eastwood Park Wotton-Under-Edge Gloucestershire GL12 8DB Tel: 01454 382014 Email: [email protected] Debbie Millar Clinical Services Manager HMP Ashfield Shortwood Road Pucklechurch Bristol BS16 9QJ Tel: 0117 303 8000 Email: [email protected] Janet Mountford Head of Healthcare HMP Leyhill Wotton-under-Edge Gloucestershire GL12 8BT Tel: 01454 264094 Email: [email protected] 16/03/2015 Bristol Community Health CIC - CQC statement of purpose v13 Page 7 of 7