Option 1: 16 beds plus six chairs on Carlton Ward
This option is in line with the current service model which has been delivered at Louth since June 2017. The 16 beds on Carlton Ward would continue to deliver the existing service specification, delivering “step-up” (admission from home for care), “step-down” (admission from a hospital ward for extra care to facilitate a safer return home), palliative and end of life care.
This option also includes a bay with six chairs for day case therapy, which would include intra-venous (IV) therapies, such as fluids and antibiotics.
This option would mean Manby Ward would not re-open to beds but there may be opportunities for the space to be used differently. Opportunities might include the ability to co-locate other services, such as those delivered by community staff, which would support Neighbourhood Working; a key programme within Lincolnshire’s Sustainability and Transformation Partnership (STP) which sees professionals from different organisations working together to deliver patient-centred care. Hours of operation would remain the same, including Monday to Friday 9am – 5pm for the chairs.
Option 2: 20 beds on Carlton Ward, plus six chairs on Manby Ward
Carlton Ward would continue offer 16 beds in-line with the current service model, as described above in Option 1, with a further four “flexible” beds. This model of care builds on that which was delivered by LCHS on Digby Ward at Lincoln County Hospital.
These four beds could be used for those in need of assessment overnight or a more complex care package, aiming for a fast turnaround of up to 72 hours. This means patients will have access to a wider range of health professionals within the community, such as pharmacists, therapists, specialist nurses, advanced nurse practitioners or doctors, to quickly evaluate their needs.
On Manby Ward, there would be six chairs for day case assessment, treatment and care planning, underpinned by a new Frailty Assessment, Stabilisation and Treatment (FAST) pathway - these chairs will be in operation seven days a week. A fully-equipped gym would support the assessment of patient mobility and development of personalised therapy plans. It is anticipated that Manby Ward could also host staff contributing to Neighbourhood Working, a key programme within Lincolnshire’s Sustainability and Transformation Partnership (STP) which sees professionals from different organisations working together to deliver patient-centred care.
Patients should be better supported through this change in approach, which also promotes personalised care planning and the involvement of the wider integrated team of professionals. It would also enable those patients in need of supportive palliative care to be identified earlier and additional services, including IV therapy, to be offered for people requiring day intervention to return home following treatment.