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WELCOME Thursday 4 June 2015 Webinar Manchester Fire & Rescue – Prevention Home Checks

LTC Lunch & Learn: Manchester Fire & Rescue - Prevention home checks

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WELCOME

Thursday 4 June 2015 WebinarManchester Fire & Rescue – Prevention

Home Checks

 Manchester Fire & Rescue – Prevention Home Checks

 Thursday 4 June 201512.30pm – 1.30pm

Peter O’Reilly, Chief Fire Officer

Geoff Harris, Assistant County Fire Office&

Beverley MatthewsLTC Programme Lead, NHS Improving Quality

@GMFRS_PeteOR @GMFRS_Geoff #firesummit #LTCImp

Beverley Matthews

LTC Programme Lead

NHS Improving Quality

[email protected]

@GMFRS_PeteOR @GMFRS_Geoff #firesummit #LTCImp

LTC Year of Care Commissioning Developing a Year of Care Capitated Budget approach for those with Complex Care Needs

• 5 Early Implementer sites

• 35 Fast Followers

• Whole Population Datasets

• Implementation Guide

• Simulation Modelling

• Specialist Support Team

@GMFRS_PeteOR @GMFRS_Geoff #firesummit #LTCImp

LTC Person Centred Care:Delivering Person Centred Care for People with LTCs

• 40 Early Adopter sites

• 4 regional learning networks

• Snapshot Survey

• Simulation Modelling

• Specialist Support Team

@GMFRS_PeteOR @GMFRS_Geoff #firesummit #LTCImp

LTC Learning CommunityEstablishing a Virtual Community for All to Share and Learn

• LTC Dashboard

• Case Studies

• Lunch and Learn Series

• The Bulletin

• Specialist Support Team

@NHSIQ @bev_j_matthews #LTCImp #LTCyearofcare

@GMFRS_PeteOR @GMFRS_Geoff #firesummit #LTCImp

To request registration details contact [email protected]

Date Webinar Hosted by Bev Matthews &9 June 201512 noon – 1pm

Health 1000 Rob MeakerBarking, Havering & Redbridge

Coming soon… Why Care Planning is not happening in the NHS?

Angela CoulterHealthcare analyst/researcher

Nuffield Department of Population Health, University of Oxford, 

Informed Medical Decisions Foundation

Coming soon… Health Pilots – Bromford Lab Paul TaylorInnovation Coach

Coming soon… Health coaching for people with long term conditions

Penny NewmanColchester Hospital University NHS FT

LTC Lunch & Learn E-SeminarsEstablishing a Virtual Community for All to Share and Learn

@GMFRS_PeteOR @GMFRS_Geoff #firesummit #LTCImp

NHSIQ Long Term ConditionsWebEx, Lunch & Learn

Fire as a Health Asset

4th June 2015

Peter O’ReillyChief Fire Officer CFOA Lead Officer for Health

Our Purpose To protect and improve the quality of life

of the people in Greater Manchester

“A thousand lives a year could be saved if firefighters responded to cardiac arrests with defibrillators”

Professor Andy Newton

Director of Clinical Operations, South East Coast Ambulance Service

On average 5% of those that suffer a cardiac arrest in Greater Manchester will survive, when relying on

ambulance attendance aloneNWAS Paramedic Trainer

“250,000 people a year cross the threshold of Accident and Emergency units as a result of falls”

Simon Stevens, CEO NHS England

The Historical Drivers• 1995 – ‘In The Line Of Fire’• 1997 – ‘Safe as Houses’• 1998 – ‘Out Of The Line Of Fire’• 2002 – ‘IRFS, The Future of the Fire Service: reducing

risk, saving lives’ (Bain Review)• 2002/03 – ‘Industrial dispute’• 2004 – ‘Fire and Rescue Services Act’

– Duty to promote Fire Safety• 2013 – The Knight Review• 2014 – Five Year Forward View (Simon Stevens,

Chief Executive, NHS)?

Performance – Home Safety Check Activity

Impact of Home Safety Checks?

2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/140

20,000

40,000

60,000

80,000

100,000

120,000

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

598

26,241

53,892

71,811

96,085

75,989

70,080 67,628

54,459

3,727

2,833

2,6642,461

2,429 2,3312,268

2,124 2,080

GMFRS Accidental Dwelling Fires & Completed HSCs(2005/06 - 2013/14)

HSCs Acc Dwelling Fires

HS

Cs

AD

Fs

Performance - Response Activity

What else can GMFRS offer a New Devolved Administration in Greater Manchester

StrategicCommitment

Access to 60,000 homes

Referral pathways

Community Budgets

Community Risk

Intervention Teams

Dedicated personnel

Use of firestations

Information sharing

Demand: Fire V Ambulance

43%

8%16%

4%1%

9%

5%

14%

Accidental deaths in the home

Falls

Fire / Burns

Poisoning by drugs

Other poisoning

Natural factors

Drowning / Suffocation

Other accidents

Undetermined

ROSPA (England & Wales) 1999

• Medic One/Emergency Medical Services (EMS) serves nearly 2 million people in King County, and

• provides life saving services on average every 3 minutes.• Each year, approximately 1 out of 10 residents will use Medic

One/EMS system.• Every year the Medic One/EMS System saves thousands of lives:• In 2013 firefighters responded to more than 172,000 calls in King

County.• In 2013, paramedics responded to more than 46,000 calls for

advanced life support in King County.• Compared to other US cities, cardiac arrest victims are 4 to 5

times more likely to survive.• In 2013, Seattle & King County achieved a 62% survival rate for

cardiac arrest.• This is currently among the highest reported survival rates.

Seattle Life Support Service

Supporting Health and Social Care across Greater Manchester

• Wigan: Firefighters trained as Public Health Champions

• Bolton: Firefighters preventing sudden infant death syndrome

• Salford & Bury: Firefighters completing Falls risk assessments and referring to Falls Teams

• 10 Community Risk Intervention Teams (CRITs) working across all of GM!!!

Community Risk Intervention Teams

• Multi-agency/Multi-disciplinary Prevention and Response Teams

• Targeted work based on agreed risk profiles

• Objectives set by GMFRS/NWAS/GMP/LAs

• Falls Prevention & Rescue, Cardiac Rescue, Crime Prevention, Fire & CO Prevention, Health & Well-being advice

• Recruitment from NWAS, GMP & GMFRS Volunteers & returning military personnel

• Vehicle design includes capacity for specialist equipment stowage e.g. lifting equipment for bariatric patients.

• Vehicles have facility to convey patients to GP Surgeries & Urgent Care Facilities

• Vehicles available for community resilience e.g. Doctor or care worker conveyance in adverse weather

• Pilot project taking place in Salford, Wigan & Manchester MBC areas, evaluated by Salford University

Challenges to new ideas designed to reduce risk and demand

Activity to 25 May 2015Community Risk Intervention Team Attendance Data

Borough

Response Activity

Total Response

Activity

Prevention Activity

Total Combined Activity

North West Ambulance Service Greater Manchester Police

Home Safety CheckCardiac Arrests Community First

Responder/other Falls Mental Health Welfare Concern

Bolton 5 11 12 0 2 30 2 32

Bury 2 17 3 0 2 24 1 25

Manchester 25 128 67 13 241 474 263 737

Rochdale 0 2 5 0 0 7 1 8

Salford 24 235 29 5 142 435 53 488

Stockport 5 16 14 0 0 35 6 41

Tameside 2 3 6 0 0 11 0 11

Trafford 5 48 12 1 5 71 35 106

Wigan 29 86 52 11 276 454 136 590

Oldham 2 0 2 0 0 4 1 5

Total 99 546 202 30 668 1545 498 2043

Does it really matter who the First Responder is?

Fire as a ‘Health Asset’

• FBU now considering a future role as part of the wider Public Health workforce

• GM Firefighters asking to be medical First Responders - Responding to Cardiac Arrests

• Fire Crews to deliver basic CPR and Health & Well-being awareness and training in schools?

• Firefighters & Community Risk Reduction Teams to complete Health, Falls, Crime and Fire risk assessments in the home – Safe & Well

• Innoculations?

The Future – One Greater Manchester Emergency Service?

Thank you

Peter O'Reilly Chief Fire Officer

‘To protect and improve the quality of life of the people in Greater

Manchester’

@GMFRS_PeteOR @GMFRS_Geoff #firesummit #LTCImp

To request registration details contact [email protected]

Date Webinar Hosted by Bev Matthews &9 June 201512 noon – 1pm

Health 1000 Rob MeakerBarking, Havering & Redbridge

Coming soon… Why Care Planning is not happening in the NHS?

Angela CoulterHealthcare analyst/researcher

Nuffield Department of Population Health, University of Oxford, 

Informed Medical Decisions Foundation

Coming soon… Health Pilots – Bromford Lab Paul TaylorInnovation Coach

Coming soon… Health coaching for people with long term conditions

Penny NewmanColchester Hospital University NHS FT

LTC Lunch & Learn E-SeminarsEstablishing a Virtual Community for All to Share and Learn

@GMFRS_PeteOR @GMFRS_Geoff #firesummit #LTCImp