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Stockton Borough Council's Multi-Disciplinary Service

Lead service provider/commissioner


Stockton-on-Tees Borough Council

Type of knowledge

Type of knowledge:

Project description only

Prevention service description

This has been critical to ensuring the success. The plan set out two main schemes, the MDS and pathways for dementia. The dementia scheme builds upon existing services but the MDS was a completely new concept. The results speak for themselves, since implementation the team have received over 1405 referrals and only 81 (6.5%) people have gone onto long term care. The MDS have referred 845 people to the voluntary sector for welfare checks with increases in annual income of £844,682.92. These figures are up to the end of January 2017.

People can access the MDS if they are over 65, living in the Borough of Stockton who have a health or social care need. The overall aims of the service are: 1) To keep people safely at home as long as possible; 2) Prevent non-elective admissions to hospital; and 3) Reduce the need for long term packages of social care and admissions of older people (65+) in to residential care. What makes the service different is that Stockton Borough Council have created a new team of professional people with skills across health, social care and the voluntary sector. The core Wellbeing team is staffed by six multi-professionals’, which includes physiotherapists, occupational therapists, social workers and nurses. The team has recently appointed a Wellbeing assistant.

Intervention/service type:

Intermediate care and reablement; Support at home; Telecare and telehealth; Befriending, mentoring and peer support; Information and advice; Community services; Low-level support; Carers support; Social prescribing; Self-care; Housing support; Community capacity building

Target client group(s):

Older people; Adults with long-term health conditions

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