Inspiring, Achieving Success and Keeping it Going

Friday 25th March 2011University of Warwick, Coventry

Angela Anderson, Service ManagerBarbara Skinner Senior Development Manager Public Health

Children’s Outreach Assessment and Support Team(C.O.A.S.T)

• Community Children’s Nursing Service

• 2008 – Early Discharge

• 2010 – Out of Hours GP

• 2010 – June – August GP Pilot

• 2010 (September) – All GP practices, Portsmouth City

C.O.A.S.T

• Generic Protocols

• Clinical Decision Making Tools

• Governance

• 0.8 WTE Band 7

• 3 WTE Band 5

•Skills and Knowledge

C.O.A.S.T ACTIVITY

2009/10 Activity: new – 529 follow up - 1053

2010/11 YTD Activity: new – 843 follow up – 2,361

Total GP referrals since September 2010 : 130

Potential Cost Savings as result of GP referrals to COAST service

Number of GP referrals

Number of children GP would have sent to Hospital if COAST did not exist

Number of children GP would review in surgery if COAST did not exist

Possible cost saving based on £800 per admission

Cumulative Total Savings to date

September 2010 9 4 3 3,588 (3,412) 3,588 (3,412)

October 2010 13 5 7 4,485 ( 4,265) 8,073 (7,677)

November 2010 18 3 10 2,691 (2,559) 10,764 (10,236)

December 2010 34 19 22 17,043 (16,207) 27,807 ( 26,443)

January 2011 24 9 12 8,073 (7,677) 35,880 (34,120)

February 2011 32 15 18 13,455 (12,795) 49,335 (46,915)

49,335 (46,915)

Partnership with Commissioners

• Portsmouth City project to reduce paediatric admissions

• 76% admissions zero length of stay (of these 52% less than 4 hours)

• One aspect of change in 2010/11

• Multi agency, Multi professional Partnership working

• Monitoring and plans for 2011/12