Scrutiny Committee February 2021 - Andy Emerson, Thrive Tribe Head of Service Delivery Dan Rogers, One You Lincolnshire Head of Service
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Scrutiny Committee February 2021
Agenda Item 8
Page 1
Andy Emerson, Thrive Tribe Head of Service Delivery
Dan Rogers, One You Lincolnshire Head of Service
1 | SlideSalad | Date 2018
One You Lincolnshire
Year One In Review
8,000 Referrals
Despite mobilisation and Covid restrictions
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heavily reducing the practical delivery time in
year one, levels of referrals were encouraging.
Covid Restriction Impact
GP referrals dropped dramatically from March.
Key sub contractors ceased delivery and our
core team picked up additional delivery.
All Pathways Operational
The team have shown incredible resilience,
innovation and adaptability to keep all pathways
open and accept increased referrals.
2 | SlideSalad | Date 2018
Timeline Slides
Progress Through Year One
2019
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Quarter Two
One You Lincolnshire launches in July with 40
members of staff coming onboard in the first quarter.
The team undergo training and source clinic Quarter Three
locations. Referral generation begins as Primary and Secondary
care meetings are booked to present the benefits of
the integrated lifestyle service.
3 | SlideSalad | Date 2018
Quarter Four
3200 people joined the service and 1447 quit dates
are set across our stop smoking service as we
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2020 approached run rate on many of our pathways.
Innovative Man v Fat Leagues began.
Quarter One
Sub contractors such as Slimming World, WW and
smoking cessation partners in GP surgeries and
Pharmacies temporarily close their doors.
4 | SlideSalad | Date 2018
Referral Demographics
60 and
Breakdown Of Referrals 18 - 34
Over
Over 8,000 Lincolnshire residents accessed integrated lifestyle services 28%
23%
throughout the first year of operation.
45 - 59 35 - 44
32% 17%
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5 | SlideSalad | Date 2018
Balance Of
Referrals
Self
Referral
Primary Care Leads The Way
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22%
Almost half of all referrals coming from primary care. Primary
Awareness of the service is high across Lincolnshire. Care
49%
SATOD Supports Secondary Care Seconda
The majority of referrals from secondary care are from ry Care
midwives into the smoking in pregnancy service. 29%
Majority Of Smokers Still Self Refer
These are year one figures before self referral was an
option other than for smoking.
6 | SlideSalad | Date 2018
7
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| SlideSalad | Date 2018
Numbers
residents able to access the service.
High Flow From January
Recovery Stepped Up In July
Initial Six-Month Mobilisation
Year 1 Referral
we established ourselves within Lincolnshire.
Substantial Drop In Mid March
Lockdown measures had a significant impact as
Run rates were close across several pathways as
Referrals grew as the service recruited and trained
staff and presented to primary and secondary care.
The introduction of self referral saw more Lincolnshire
traditional visits to primary care changed dramatically.
500
200
300
400
100
0
01/07/2019 - 07/07/2019
15/07/2019 - 21/07/2019
29/07/2019 - 04/08/2019
12/08/2019 - 18/08/2019
26/08/2019 - 01/09/2019
09/09/2019 - 15/09/2019
23/09/2019 - 29/09/2019
07/10/2019 - 13/10/2019
21/10/2019 - 27/10/2019
04/11/2019 - 10/11/2019
18/11/2019 - 24/11/2019
02/12/2019 - 08/12/2019
16/12/2019 - 22/12/2019
Year 1
30/12/2019 - 05/01/2020
13/01/2020 - 19/01/2020
27/01/2020 - 02/02/2020
10/02/2020 - 16/02/2020
Year 2
24/02/2020 - 01/03/2020
09/03/2020 - 15/03/2020
23/03/2020 - 29/03/2020
06/04/2020 - 12/04/2020
20/04/2020 - 26/04/2020
04/05/2020 - 10/05/2020
18/05/2020 - 24/05/2020
01/06/2020 - 07/06/2020
15/06/2020 - 21/06/2020
Referral Pathways
Health Coaches
13%
Drink Less
Go Smoke Free Dominates 7%
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In line with the service specification, the majority of
Go Smoke Free
clients in the service are to stop smoking 45%
Drink Less Struggles Move More
18%
Those drinking more than 14 units without alcohol
dependency have not been identified in primary care
Health Coach support essential
Eat Well, Lose
A high number of clients with low motivation or Weight
confidence have been supported into other pathways 17%
8 | SlideSalad | Date 2018
Covid Response
Essential services continued to be delivered
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All Pathways Open NRT Delivered To The Door Offline Support
Our agile response meant that all Our remote service has supported Many of our clients are not IT
members of the team were able to over 2500 quit attempts with a literate. We have increased phone
host their sessions from home. success rate of 60%. support and traditional resources.
9 | SlideSalad | Date 2018Page 10
Covid Response
With the closure of leisure centres and gyms, there was reduced capacity across the
service to offer instructor led physical activity sessions at an appropriate intensity for our
clients. The Other Room was created inhouse as a platform to deliver structured
sessions for all abilities. Sessions from chair-based activity, yoga, mobility and even “The
Sweat Room” for more advanced users can be accessed with live instructors or
accessed later from the vault. This has been a hugely powerful tool with over 800 people
accessing the service to date.
10 | SlideSalad | Date 2018Notable Challenges
Further developments will assist in future outcomes
Health Checks
CHALLENGE 1
Only 52 people were referred following Health
Checks. Easier referral method needed to
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capture this essential audience.
NHS Optimisation Policy
CHALLENGE 2 Still not in operation. Those who need to
lose weight prior to operation would be a
key demographic from the original spec.
Low Levels Of Alcohol Screening
Identification of those drinking >14 units of
CHALLENGE 3
alcohol without dependency to refer into
the service has been low. Limitation of GP Referrals
Lower numbers of GP visits from March
CHALLENGE 4
hugely affected the service.
11 | SlideSalad | Date 2018Next Steps
Future developments to maximise service impact
Older Population Support
Explore opportunities to increase
Community Provision
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support for the healthy ageing
Development of community
post 60 agenda.
Health In Pregnancy support fund to maximise
Introduction of physical opportunities for those in
Evaluation of Targets activity through pregnancy areas of deprivation.
New targets to be set and and focused resource to
discussed in line with develop SATOD work. Step 4
significant changes to
delivery in year one. Step 3
Step 2
Step 1
12 | SlideSalad | Date 2018Page 13 13 | SlideSalad | Date 2018
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Questions
14 | SlideSalad | Date 2018You can also read
