Reducing demand on health and social care services

There was a real energy to collaborate and create fresh thinking at the recent marketplace innovation ‘hack’ day, organised by the TCA programme. Representatives from the fields of health, care, IT and the voluntary sector explored different ways we could reduce demand on emergency departments in Cornwall.

They came up with outline briefs for five ‘experiments’ which the groups will now try out in their own areas and report on progress at a follow-up meeting on 15 July. The ideas and their leads are as follows:

  • Reablement Navigator: a person – for example a professional or neighbour – who takes responsibility for identifying and understanding an individual’s objectives, articulating and championing them until they are achieved/delivered (West Cornwall initially, Frazer Underwood, RCHT,
  • Home First + Home Fast: using digital solutions, for example social media, to connect people within communities, linking those who need help with those who are offering help, in real time (Penwith, Denbigh Cowley, CC,
  • Community Hub: test whether community resources can be used to help people who are ‘bed trapped’ in a community hospital get home and stay home (Bude and Stratton, Denbigh Cowley, CC,
  • Me Plan: a care plan written with an individual that stays with them, capturing their story, preferences and the support they need in the community and from services (Newquay, Sue Greenwood, CPFT, (
  • Urgent Falls Response: test an urgent falls response in the community and possibly in residential homes, which should increase SWAST capacity and prevent admissions (Tish Berriman, Trelawney Care,

We will keep you posted on how the experiments get on - if you would like to know more, contact the lead for each experiment named above, or email

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