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Community-based health and care support

Our vision is for a joined-up health and care system that has the individual at the centre and empowers them to remain independent and well for as long as possible.

How will we work?

Our focus will be on people, their stories, their needs and aspirations. We recognise that everyone is different so our response will vary from person to person but as a minimum we will:

  • listen to your story
  • connect you with your community and help you access local support groups and sources of information
  • ensure you get the health and social care you need, when you need it, in a way that supports your goals
  • put your needs before those of the organisation
  • prevent ill-health wherever we can

When will the changes start?

There’s already a lot going on to help realise our vision, including district-wide initiatives to expand and enhance community health services, improve information sharing between care professionals, enhance the role of our care homes and promote a more ‘dementia friendly’ South Gloucestershire.

The new service model comes in to force on the 9 April 2018 and is based on aligning services to six different geographic areas within South Gloucestershire referred to as ‘clusters’.  These were originally formed to provide a locality structure for community health, but have since been built on by GP practices, Adult Social Care and now Community Based Support.

Contracts for the provision of Community Based Support services in each cluster have been awarded to a cluster provider that will be responsible for organising all reablement, domiciliary care and non-specialist 1:1 community based support in the cluster area.

The clusters have been awarded as set out below;

Cluster 1 GL12, GL13, BS10, BS32, BS35 Wotton-under-Edge, Charfield, Cromhall, Tytherington, Wickwar, Hinton, Alveston, Severn Beach, Pilning , Thornbury, Rudgeway, Almondsbury, Bradley Stoke
Cluster 2 BS7, BS10, BS16, BS32, BS34, BS80 Filton, Almondsbury, Bradley Stoke, Patchway
Cluster 3 GL9, BS37 Badminton, Hawkesbury Upton, Yate, Chipping Sodbury
Cluster 4 BS15, BS30 Hanham, Kingswood, Longwell Green, Cadbury Heath, Warmley, Wick
Cluster 5 BA1, BS15, BS16, BS30, GL9, SN14 Hanham, Kingswood, Downend, Frenchay, Emersons Green, Longwell Green, Cadbury Heath, Warmley, Wick, Marshfield
Cluster 6 BS16, BS36, BS37 Downend, Emersons Green, Frenchay, Winterbourne, Frampton Cotterell, Coalpit Heath, Yate, Chipping Sodbury

This approach will introduce a more integrated way of working, with GPs, community matrons, district nurses, therapists and social workers meeting regularly to review complex patients, identify gaps in provision and explore new approaches to care that could improve services for patients.

The clusters also provide a focus to connect people with the voluntary support and networks available within their communities.

The lead providers responsible for providing all reablement, domiciliary care and support to access the community are:

  • Nobilis is the lead provider for clusters 2 and 3
  • Brunel Care is the lead provider for community-based health and care support in the South Gloucestershire Clusters 4 and 5 areas

Clusters 1 and 6 currently have no organisation with a lead provider contract and instead are served by a variety of providers on the standard community based support framework contract.

For more information on each of the providers please see their individual websites.

The lead providers have put together detailed plans covering how and when changes will take place. There will be a managed transition period for people moving to the new provider and you and your carer/family will be involved in discussions between your current provider and new provider who will be able to answer these questions.

For further information on the changes and transitional arrangements, please see our frequently asked questions in the download section.

To find out more information about the provider working in my Cluster, how do I do this?

The Care Quality Commission monitor, inspect and regulate health and social care services. They publish their findings, including ratings to help people choose care.

If you would like to find the inspection report for the provider in your cluster please visit:

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