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The health service and social services in Dudley have come up with a partnership operation which the government bel...
The health service and social services in Dudley have come up with a partnership operation which the government believes other areas should follow, BBC Radio Four's Today programme reported this morning.

The Dudley 'model of care' is a collaboration between GPs, social services, community nurses and the hospital. The aim is to support patients in their home and so reduce the numbers that have to go into hospital, Today reported. Extra money has been invested in community nursing teams who make regular home visits to elderly people and people with chronic illnesses.

One of the barriers to this way of working is that fewer admissions means less money for the hospital trust. But Dudley hospital says freeing up beds means it can treat other patients, Today reported.

A joint press release from the local authority and the primary care trust follows.

Patients and carers are at the very heart of our model of care with

the emphasis being to provide care at the right place, at the right

time by the right people. We started this journey two years ago when

our doctors and nurses- with the help and input from patients and

carers- designed a revolutionary new model of care that aimed to

prevent people going into hospital unnecessarily by providing more

services closer to home.

The cornerstone to our model has been the introduction of a

nurse-consultant led service, which has focused on those patients with

long term conditions who have traditionally found themselves going in

and out of hospital on a regular basis. Our nurse consultant and our

team of assertive case managers provide patients with a personalised

package of care, you can see this example and others here.

Claire Old, director of nursing, quality & commissioning said:

'None of this would have been possible without our partners in social care at Dudley Council who have been key to us being able to provide patients with a seamless service that meets all of their health and social care needs.'

Valerie Beint, Dudley MBC's assistant director for older people

and people with Physical Disabilities, said:

'The key to success in Dudley has been the strong commitment to

robust partnerships between health and social care. We do challenge

one another but we share the same aim which is to provide the right

level of health and social care services which support people to live

at home.

'What is different in Dudley is that intensive short term services for

people in a crisis are provided at no cost to the client. These

services, such as the primary care response 72 hour service and the

reablement service (at home or in a residential unit), are free

because we believe that the right help at the right time in the right

place is what matters most to local people in keeping them independent

and as well as possible.'

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