Health and Care Portsmouth is an ambitious programme that is already changing the way we plan and provide health and social care in Portsmouth.

At the heart of the programme is partnership working to take down 'walls' between organisations, so that people experience better care, seamless services, and receive the support they need.

It was established in 2015 and feeds into the NHS Long Term Plan, which encourages NHS organisations work more closely with local partners as an Integrated Care System. Now, it's a partnership of six organisations working together to provide better care for people in Portsmouth.

The vision for Health and Care Portsmouth is to support people to live healthy, safe and independent lives, by developing and offering services that are joined up and provided in the right place, at the right time.

The partners involved in Health and Care Portsmouth are:

  • HIVE Portsmouth - a cooperative of people and organisations in the community and voluntary sector, working together to improve the health and wellbeing of local residents
  • NHS Hampshire and Isle of Wight Integrated Care Board - responsible for buying NHS functions and services, and accountable for NHS spend and performance across Hampshire and Isle of Wight.
  • Portsmouth City Council - central provider of social care in the city to support vulnerable residents, and home to the city's Public Health team; working to improve and protect the health of the whole population in Portsmouth.
  • Portsmouth Hospitals University NHS Trust - key provider of local hospital care, providing treatment to 675,000 people across Portsmouth and South East Hampshire.
  • Portsmouth Primary Care Alliance - a group of GP Practices in the Portsmouth area, set up to support the sustainability of General Practice and the delivery of services.
  • Solent NHS Trust - key provider of community, mental health and learning disability services to communities in Hampshire and the Isle of Wight.

Find out more on the Health and Care Portsmouth website.

The impact of COVID and seasonal pressures has resulted in high bed occupancy at Queen Alexandra Hospital and, as a result, the hospital has been experiencing ambulance handover delays.

A range of different initiatives has been put in place to provide support, including:

  • The launch of NHS 111 First in 2020/21
  • Schemes to reduce the level of minor injury attendance at the Emergency Department at Queen Alexandra Hospital
  • A clinical assessment service to review ED dispositions arising from 999 and 111 calls as well as opportunities to bring hospital and primary care clinicians together for advice and guidance, or to facilitate direct patient admission to reduce flow through ED.

Partners across Portsmouth and South East Hampshire (PSEH) have taken a proactive, multi-agency response through the PSEH Urgent and Emergency Care Improvement Programme, which includes taking part in two national pilot schemes to:

  • Improve timeliness of ambulance handover, and
  • Improve the ease of discharge.

The PSEH Urgent and Emergency Care Improvement plan focuses on:

  • Admissions Avoidance - includes increasing capacity in primary care, maximising capacity in urgent treatment centres, delivering a communications campaign around 'choose well' messaging, increasing capacity and uptake of virtual wards and more.
  • Increasing capacity and flow - includes an ambulance rapid release national pilot and increasing bed capacity through Southern Health NHS Foundation Trust, Solent NHS Trust and other partners.
  • Timely discharges - includes national pilot on increasing efficiency in appropriate patient discharge.

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