About the Jersey Care Model
Your health and social care in Jersey is changing over the next few years as we strive to provide the best quality services for islanders.
This work is being done by Health and Community Services in consultation with other stakeholders like:
- community pharmacists
- our colleagues in the community and voluntary sector
The Council of Ministers have approved this project and it’s called Jersey Care Model.
Approval of the Jersey Care Model
The Jersey Care Model proposition was approved by the States Assembly in Nov 2020 through proposition P114/2020 and the Government Plan for 2021-24. This marks an important step in developing a sustainable model of care for Islanders. The programme of work will commence in 2021 and be guided by these the core objectives:
To ensure care is person-centred with a focus on prevention and self-care, for both physical and mental health
To reduce dependency on secondary care services by expanding primary and community services. Working closely with all partners, in order to deliver more care in the community and at home
To redesign health and community services so that they are structured to meet the current and future needs of Islanders
Why our health and social care needs to change
We know our health and social care services need to change to meet the needs of islanders for the future. People are living for longer than in past generations. But older people often have more complex health needs to manage, which could require more care and treatment as a result.
If we are to continue to give Islanders the high-quality health and social care you expect, we need to keep up to date with how we provide it.
This means that we’ll make some changes over the next 5 years to the way we work. This will ensure; we can continue to provide timely, effective and safe care, that meet everyone’s needs.
We need to do some work now to update our health and social care services. For instance, by moving services that don’t need to be provided in the hospital into the community, so care is easier to access.
Making the changes
To make these changes, we have to work differently with our current community providers:
- GPs and dentists
- opticians and pharmacists
- community and mental health nurses
- care homes
- community and voluntary sector partners
We won’t be increasing costs to Islanders. We’ll develop a new way of commissioning and paying for services from those community providers.
What this change means
This change will mean that Islanders won’t need to come into the hospital for some appointments. More care will be based closer to where you live. And it means that our new hospital, when it’s built, concentrates on the specialist and emergency care that only a hospital can provide.
We want Islanders to enjoy great physical and mental health for as long as possible. Regardless of age, Islanders have the right to expect easy access to the best care and services, including mental health services which are on a par on those offered for physical health.
We want to work with the other people in Jersey who provide great care, like:
- care homes
- charities (the community and voluntary sector)
Together, we can offer you all you need, in a place that’s convenient to you.
There will be an emphasis on prevention of ill health wherever possible and an ambition that islanders will only need to be admitted to hospital when they need acute care. (Care that can only be provided in a hospital).
This isn’t about paying more for your services, but getting the best quality and value from those services.
Over the past few months, Health and Community Services has been working to design this new model with:
- our own clinical specialists, surgeons, consultants, doctors and nurses
- GPs and dentists
- optometrists and pharmacists
- community and voluntary organisations
- care homes
It has their support as the Island’s health and care experts.
How care looks now
Currently, too much routine treatment and care is focused on the hospital.
Because of this, last year (2018) the hospital dealt with:
- around 30,000 Emergency Department patient visits that weren’t emergencies
- at least 40,000 outpatient visits to treat long-term conditions that could have been better managed by GPs
We don’t provide good preventative care, and we don’t do enough to help Islanders to manage their own long-term conditions.
Our mental health services aren’t integrated with physical health services. We often keep people in hospital longer than we should, because we’re not providing ongoing care at home. At night, there’s very little help and care for people to access, apart from the hospital and the GP Co-op and one late-night pharmacy.
Our current model of care is summarised in this diagram, which shows the hospital in the centre of care, and all the other types of care as secondary.
Current Jersey Care Model illustration
How care will look in future
The new Jersey Care Model will put Islanders at the very heart of care. This will start with better self-care and preventative care, supported by a range of community health services. The hospital will still provide those critical services that are needed to protect life and limb.
So patients will get the care they need, but not necessarily in hospital like they do now.
Under the new model, we will:
- do more work to help Islanders to look after their own health, so they need less healthcare
- provide thousands of outpatient appointments in the community, so Islanders don’t have to come into the hospital
- do more for people with long-term conditions, by offering Islanders treatment through GP practices
- work with our expert partners in the community and voluntary sector to boost our Island-wide care services
- establish an urgent treatment centre, to offer Islanders the urgent care they need, while ensuring that our Emergency Department only treats genuine emergencies
- do more day surgery to keep people out of hospital
- do more work with people with cancer in the hospital, so we don’t need to send so many people to the UK for treatment
Future Jersey Care Model illustration
What the hospital will provide
The hospital will continue to be a place where safe care is delivered in an excellent clinical environment. The hospital will offer:
- Emergency Department
- Acute floor
- Operating theatres
- Medical specialities
- Intensive care
- Diagnostic services
- Maternity services including a Special Care Baby Unit
- Urgent treatment centre
- Outpatients clinics for complex cases
Services that will move out into the community
Our detailed work shows that we could provide many services for Islanders that are currently based in the hospital in the community instead, closer to your home. Your care wouldn’t change, just where you receive it.
Email health and community services for more information.
Jersey Care Model Proposition
Jersey Care Model Briefing Paper
Jersey Care Model Leaflet
Jersey Care Model (Polish)
Jersey Care Model (Portuguese)
Review summary of the Jersey Care Model
You can read the review summary of the Jersey Care Model below.