A Therapy Strategy for Cornwall and the Isles of Scilly.

Size: px
Start display at page:

Download "A Therapy Strategy for Cornwall and the Isles of Scilly."

Transcription

1 A Therapy Strategy for Cornwall and the Isles of Scilly. The contribution of Therapy services to transforming the delivery of Health Care in Cornwall and the Isles of Scilly Sally Kennedy. AHP Strategic Lead RCHT/CFT September 2016

2 Table of Contents 1. Executive Summary Context Purpose and Objectives of the Strategy Scope of the Strategy Definitions/Glossary Ownership and Responsibilities Benefits Risks The Strategic Themes Implementation and Action Plan Responsible persons Monitoring compliance and effectiveness Updating and Review...22 Appendix 1. Governance Information Appendix 2. Initial Equality Impact Assessment Form

3 1. Executive Summary This is the first Therapy Services Strategy for Cornwall and comes at a point where significant change is taking place across the health and social care sector. It sets out the valuable contribution that Therapy services can, and already do, make to delivering high quality care for the people of Cornwall and provides key actions and objectives. This strategy relates specifically to Therapists employed by CFT and RCHT. There is around 560 Therapy staff employed across CFT and RCHT with each of the professions having its own unique knowledge and core skill set. Therapists work both individually and in multidisciplinary and multiagency teams. They work in a variety of settings including community locations, hospitals and service users homes. They provide in and outreach services, straddle organisational boundaries and help the avoidance of admissions in the Emergency Department through to early discharge of patients back to their own homes. The Therapy Services included within this strategy are Physiotherapy, Occupational Therapy, Speech and Language Therapy, Podiatry and Dietetics. These services provide assessment, treatment, rehabilitation, support and advice for adults and children across the whole physical, social and psychological spectrum of well- being, health improvement, ill health prevention, illness, injury and disability. It is acknowledged that current systems of health provision are not sustainable and with the combined challenges of rising demand, and significant financial constraints, all providers are required to plan for delivery of sustainability and transformation to address the gaps in Health and Wellbeing, Care and Quality and Finance and Efficiency. Collaboration between Therapy services across Cornwall will improve re-ablement, patient flow, facilitate further admission avoidance and reduce variation across patient pathways. It will also give an opportunity to design overarching Therapy management and Professional Lead structures. Therapy services in Cornwall are modelled in line with historical unilateral organisational service developments and reconfigurations that have taken place over several years. This has resulted in disparate developments in service provision and a mismatch of Therapy provision across the county. The formation of the Coalition of organisations in Cornwall, the requirement by NHS England to have a whole system plan (Sustainability and Transformation Plan) in place for the next 5 years, the need to improve patient flow across the system countywide and the need to avoid unnecessary hospital attendance and admission all provide the perfect platform for a Therapy Strategy to be developed. This strategy has been developed with the involvement of the Therapy Integration Project Steering Group and through a Listening into Action event, held on 12/10/16, attended by Page 2 of 28

4 65 members of staff representing all the 5 professions and a patient representative. 3 student Occupational Therapists were also in attendance. This strategy sets out the key objectives that will guide the continued development of the Therapy services over the next 3 5 years. 1.1 The Professions as described by the HCPC AHPs are graduates who are statutorily regulated by the Health Professions Council (HPC) which holds an individual register for each of the Allied Health Professions. They are autonomous practitioners from the point of registration. Podiatrists diagnose and treat disorders, diseases and deformities of the feet. Dietitians use the science of nutrition to devise eating plans for patients to treat medical conditions. They promote good health by helping to facilitate a positive change in food choices. Occupational Therapists use specific activities to limit the effects of disability and promote independence in all aspects of daily life. Physiotherapists deal with human function and movement and help people to achieve their full physical potential. They use physical approaches to promote, maintain and restore wellbeing. Speech and Language Therapists assess, treat and help to prevent speech, language, communication and swallowing difficulties. 1.2 The national AHP mandate The emerging mandate defines how England would be different if AHPs were genuinely used effectively and what they need to stop, start or do differently to make this happen. The emerging mandate describes: 4 ways AHPs will impact health and the wider care system. 4 areas of commitment to achieve this change. 4 themes which AHPs need to focus on to deliver this. (The national mandate is still in draft so does not as yet inform this strategy directly.) Page 3 of 28

5 2. Context The strategic Context and Vision for Therapy services is informed by the Visions of both RCHT and CFT. 2.1 The vision set out by RCHT: 2.2 The vision set out by CFT As an organisation, our vision is Delivering high quality care. To ensure we do this our services: involve users and carers in the planning and delivery of care aim to be accessible so that help can be obtained when and where it is needed promote the safety of service users, carers and staff and the wider public provide well co-ordinated services between all staff and agencies aim to do this by delivering high quality treatment and care which is both effective and acceptable. 3. Purpose and Objectives of the Therapy Strategy: Page 4 of 28

6 In December 2015, the NHS shared planning guidance 16/17 20/21 outlined a new approach to help ensure that health and care services are built around the needs of local populations. To do this, every health and care system in England will produce a multi-year Sustainability and Transformation Plan (STP), showing how local services will evolve and become sustainable over the next five years ultimately delivering the Five Year Forward View vision of better health, better patient care and improved NHS efficiency. The integration of Therapies forms part of the Cornwall and the Isles of Scilly STP under Priority 3, Redesigning pathways and provider and commissioner reform. This strategy sets out the key objectives that will guide the continued development of the Therapy services over the next 3-5 years. 3.1 Alignment with the strategies of CFT and RCHT. Strategic Aim To provide compassionate, safe, effective care (RCHT) Attract, develop and retain excellent staff (RCHT) Offer integrated care as close to home as possible (RCHT) Make the best use of all of our resources (RCHT) Involve users and carers in the planning and delivery of care (CFT) Aim to be accessible so that help can be obtained when and where it is needed (CFT) Promote the safety of service users, carers and staff and the wider public (CFT) Provide well co-ordinated services between all staff and agencies (CFT) Aim to do this by delivering high quality treatment and care which is both effective and acceptable (CFT) Aligned If yes, how is it aligned? Yes/No Y This proposal introduces a robust governance framework and management/professional lead structure to support the operational delivery of high quality AHP services Y As part of the development of integrated Therapy services, a 5 year Therapy Strategy is also being created with a robust workforce plan addressing these issues. Y The Therapy teams in the Acute setting will be engaging with community teams to develop improved, integrated ways of working that are more efficient, reduce duplication and improve access for patients. Y This proposal enables a flexible approach to service delivery with a senior Therapy team who will focus on productivity, efficiency and patient safety across clinical Therapy teams. Y The redesign of Therapy patient pathways will be done through the Listening into Action (LiA) approach involving users and carers. Y The Project Team will use newsletters and a dedicated web page to keep all Therapists up to date on project progress and also to gain their input and answer any queries. Y Therapy services will provide integrated services that are evidence based and will engage with pathway redesigns, ensuring that patient safety and provision of quality service delivery is a key priority for all staff. Y This proposal enables a flexible approach to service delivery with a senior Therapy team who will focus on productivity, efficiency and patient safety across clinical Therapy teams. Y The development of consistent and efficient patient care which will deliver the best possible evidenced based, standardised pathways of care at the very best price, do things once and avoid duplication of effort and resources and ensure the most effective possible use of existing resources. Page 5 of 28

7 Improvements are needed in rehabilitation, re-ablement and continuing care services to enable people to regain, retain and maximise their independence in their own environment. There is a huge opportunity in Cornwall through the integration of Therapy services to harness the skills, expertise and experience of the Therapy services. They are well established in their ability to lead on health improvement and to manage ill health, dysfunction, impairment and disability. The integration of Therapy Services provides the opportunity to deliver sustainable improvements and efficiencies, provides a focus for professional support and challenge and focuses energy on key performance deliverables to support strategic aims. It aligns with the strategic objectives of both RCHT and CFT. Therapy professionals will make an essential contribution to creating, delivering and developing a successful modern, integrated health system in Cornwall. They will take on a wider range of roles and functions to deliver timely and accessible person centred services across Cornwall. 3.2 Underpinning Values of the Therapy Strategy: Person- centred, safe and high quality services for all Equitable service provision which also meet local needs Strong clinical, professional and strategic leadership Robust CPD and performance management processes Evidence-based practice with associated participation in research activity New ways of working explored and maximised Sustainable provision of appropriately skilled workforce 3.3 Drivers for Therapy integration: PRIMARY DRIVERS SECONDARY DRIVERS 1.The Coalition between CFT/RCHT/Kernow Health which won the bid for Community Services 2. The requirement by NHSE to have Sustainability and Transformation Plan for next 5 years 3. The need to improve patient flow across the whole system countywide 4. The need to avoid unnecessary hospital attendance 1. The need to develop standardised patient care pathways and drive down variation. 2. The need to standardise Therapy referral systems 3. The need to share resources such as professional leadership. 4. The need to standardise Therapy assessment documentation 5. The need to avoid unnecessary 5. The need to maximise therapy Page 6 of 28

8 hospital admission 6. The need to facilitate appropriate early discharge resources countywide 6. The need to use specialist therapy skills maximally 3.4 Plan on a Page Strategic Aims 4. Scope of the Therapy Strategy: The development of a Therapy strategy and integrated workforce plan will result in streamlined and integrated Therapy services, and the opportunity to deliver efficiencies and sustainable improvements countywide. The strategy will be owned by all AHPs and the delivery of it by the AHP senior management team and professional leads from each of the 5 professions. 4.1 Currently Therapy services are delivered as follows: How existing Therapy services are currently configured at RCHT and CFT Service Host organisation(s) Physiotherapy RCHT/CFT Occupational Therapy RCHT/CFT Dietetics RCHT provides a countywide service Speech & Language Therapy RCHT/CFT Podiatry CFT provides a countywide service Page 7 of 28

9 The overall aim of therapy integration across CFT and RCHT is to develop a single management, professional advisory and clinical structure which is resilient and which will lead, support and empower staff as well as delivering recurrent efficiencies. 4.2 Adding Value Health and Wellbeing A greater focus will be placed on prevention of avoidable illness, to counter pressure on existing services, and the promotion of well-being and resilience. Care and quality Our aim is to decrease variation in care by establishing key Therapy pathways. The first 5 of these are identified as the Frailty, MSK/Orthopaedics, Neurology Rehabilitation, Respiratory and Stroke pathways. We will base the revised pathways on safe, evidencebased care which maximises choice for patients. Funding and efficiency We have opportunities and responsibilities to make a difference in narrowing these gaps and will specifically look at management and professional lead structures, skill mix opportunities and how we can maximise the deployment of therapy services countywide, including the provision to community hospitals. 5. Definitions / Glossary AHP CFT RCHT CPD STP CSCS DFM Neuro-Rehab HEI Allied Health Professional Cornwall Foundation Trust Royal Cornwall Hospitals Trust Continuing Professional Development Sustainability and Transformation Plan Clinical Support and Cancer Services Divisional Finance Manager Neurological Rehabilitation Higher Education Institution 6. Ownership and Responsibilities This document is owned by the Senior Therapy Management Team which is responsible for the development, management and implementation of the strategy. Page 8 of 28

10 7. Benefits Description of Benefit Before integration After integration Improved efficiency Challenge historical ways of working and facilitate sharing of best practice Flexibility of resources Workforce review and planning Development and implementation of shared training and education Provides opportunity for the improved efficiency and effectiveness of Therapy services countywide Leadership of whole systems is key to driving out these efficiencies. Provides opportunity for increased Professional support and challenge to improve governance and patient safety. Different management structure arrangements across both organisations Historical ways of working. Local services do not have a sharing of best practice Local services do not have a history of sharing best practice and resources Previously been done in silos within separate organisations Previously been done in silos within separate organisations with no sharing of existing expert knowledge and skills Previously been done in silos within separate organisations with no sharing of existing expert knowledge and skills Different management structure arrangements across both organisations Different management and governance structures across both organisations The proposed single AHP management and professional leadership arrangements will reduce duplication and create opportunities for efficiencies Clinical teams will be supported to share best practice and improve clinical pathways to reduce variation in service provision. Review of current ways of working and access to services will align resources to areas of highest demand and clinical priority/need Sharing of existing competency frameworks, generic job descriptions and development of one AHP workforce plan. Integrated training and development and sharing of expert knowledge and skills Review of current ways of working and access to services will align resources to areas of highest demand and clinical priority/need The proposed single AHP management and professional leadership arrangements will reduce duplication and create opportunities for efficiencies The proposed single AHP management and professional leadership arrangements will reduce variation in professional and governance structures Page 9 of 28

11 8. Risks Description of risk Risk ID Risk score (INITIAL) Existing controls in place Action plan details (L) (C) Total 1 2 Therapy Strategy Risks The degree of Therapy change management needed to implement is high Partners do not remain engaged with direction of travel Project support through Strategic Lead role until end March 2017 Project Team in place with reps from each organisation New management structure to be put in place by April 2017 Project plans and Pathway review processes inclusive of Therapy users and staff. LiA events Senior Therapy Management Team decisions and review processes are not made/completed in a timely fashion The Therapy Strategy governance structure does not function effectively Appropriate senior finance support is not available to support Project business and governance arrangements Staff morale is currently variable but the process may cause it to deteriorate Therapy Strategy not supported by one or both organisations Therapy Project team meetings arranged monthly.submission of proposals in line with meetings schedules Managed through Therapy Project Group Finance support via CSCS DFM at RCHT and STP Project Manager at CFT Therapy management support and communications continue to staff Both organisations signed up to integration agenda through STP Action Plan in place for all elements of Therapy Strategy Divisional and executive oversite in place in RCHT/CFT Finance support via CSCS DFM at RCHT and STP Project Manager at CFT Continue with regular staff communications and engagement through LiAs, Newsletter, Website Action Plan in place for all elements of Therapy Strategy Page 10 of 28

12 9. The Strategic Themes 1. QUALITY The future AHP workforce will be fully equipped with the skills, knowledge and attributes to provide outstanding collaborative therapy services for our service users 2. PEOPLE Effective leadership at every level will support AHPs to be an integral part of multidisciplinary teams working together to deliver the best care possible for our service users 3. PARTNERSHIP The future AHP workforce will be configured to deliver seamless end to end therapy pathways delivering the right care to the right patient at the right time 4. RESOURCES To make efficient use of all of our therapy resources across the county to underpin service transformation Page 11 of 28

13 Theme 1: QUALITY The future AHP workforce will be fully equipped with the skills, knowledge and attributes to provide outstanding collaborative therapy services for our service users The AHP workforce includes all qualified and non-qualified staff from 5 professions Occupational Therapy, Physiotherapy, Dietetics, Podiatry and Speech and Language Therapy New therapies, techniques and evidence for improved ways of working which are integrated into practice The AHP workforce relates to all staff from the 5 professions above who are employed by either CFT or RCHT Page 12 of 28

14 Theme 1: QUALITY Therapy Strategy Key Actions: By: Development of joint Training and Education programme for all staff Development of an AHP specific Recruitment and Retention policy Development of a Return to Practice programme Further development of Preceptorship roles Further development of Apprentice roles Development of joint Outcome Measures Development of a single referral point for Therapy services Hold Change events for shared learning Sept 2017 June 2017 Dec 2017 Sept 2017 Sept 2017 Sept 2017 Sept 2017 Annual Page 13 of 28

15 To provide Theme 2: PEOPLE Effective leadership at every level will support AHPs to be an integral part of multidisciplinary teams working together to deliver the best care possible for our service users Leadership is not about authority or hierarchy but about finding a way through and building consensus around solutions. (Kathy Burne, CEO RCHT) Continuing Professional Development and Life Long learning User involvement at all levels Page 14 of 28

16 Theme 2: PEOPLE Therapy Strategy Key Actions: By: Joint management and professional leadership of RCHT and CFT AHP staff Identification and implementation of new AHP roles/ways of working April 2017 Dec 2017 Redefine and restructure Band 7 roles across CFT and RCHT into Team Lead roles and Clinical Specialist roles September 2017 Collaboration of therapy Clinical Specialists delivering the right treatment to the right patient at the right time September 2017 Page 15 of 28

17 Theme 3: PARTNERSHIP The future AHP workforce will be configured to deliver seamless end to end therapy pathways delivering the right care to the right patient at the right time 5 initial therapy pathways have been identified for redesign Frailty, MSK/Orthopaedics, Respiratory, Stroke and Neurology Rehab Therapy integration is one of the clinical projects prioritised for rapid action by the Coalition partners (RCHT, Kernow Health and CFT) following the integration of Adult Community Services into CFT on 1/4/16. Clinical leadership of these pathways is key Page 16 of 28

18 Theme 3: PARTNERSHIP Therapy Strategy Key Actions: By: Further development of the therapy specific pathways including Frailty, MSK/Orthopaedics, Respiratory, Stroke and Neuro-Rehab Band 5 rotations across CFT and RCT Band 6 rotations across CFT and RCHT Creation of shadowing opportunities across teams and organisations Physical co-location of staff where Possible and appropriate Closer working with GPs at practice/cluster level Creation of a Directory of Therapy Services June 2016 April 2016 April 2016 December 2016 June 2017 June 2017 July 2017 Page 17 of 28

19 Theme 4: RESOURCES To make efficient use of all of our therapy resources across the county to underpin service transformation The need to maximise therapy resources countywide The need to use registered and nonregistered therapy staff skills maximally Recruitment, retention and return to practice Page 18 of 28

20 Theme 4: RESOURCES Therapy Strategy Key Actions: By: Identification of skill mix opportunities Adoption of Social Prescription Bulletin of training to be made available to all staff Standardisation of assessment tools Standardisation of outcome measures Identification financial savings Increase in use of Group work where appropriate across both organisations June 2017 June 2017 January 2017 June 2017 June 2017 April 2017 June 2017 Page 19 of 28

21 10. Implementation and Action Plan Responsible persons Areas for joint action By when Who? Date achieved Development of joint training and education for Sept 2017 all Therapy staff Identification of new AHP roles/ways of working December 2017 Development of an AHP specific Recruitment June 2017 and Retention policy Development of a Return to Practice December programme 2017 Further development of Preceptorship roles Sept 2017 Further development of Apprentice roles Sept 2017 Development of joint, standardised professionspecific Sept 2017 outcome measures Development of a single referral point Sept 2017 Hold annual change events for shared learning Annual Adopt the Social Prescription methodology June 2017 Further development of MSc opportunities Dec 2017 through improved links with HEIs Review/development of the MSK Interface April 2017 service Further development of the Therapy Frailty April 2017 Pathway Therapy Respiratory Pathway redesign April 2017 Therapy Stroke Pathway redesign Sept 2017 Therapy Neuro-Rehabilitation Pathway redesign Sept 2017 Joint management of RCHT and CFT therapy April 2017 staff Joint professional leadership of RCHT and CFT April 2017 therapy staff Redefine and restructure Band 7 roles across July 2017 CFT and RCHT into Team lead roles and Clinical Specialist roles Closer working with GPs at practice and cluster June 2017 level Creation of a single Directory of Services July 2017 Opportunities to make some financial savings April 2017 Standardisation therapy care and paperwork for July 2017 all of our service users Co-location of therapy teams countywide June 2017 An opportunity to include Adult Social Care April 2017 Therapy services into the integration arrangements Identification of skill mix opportunities June 2017 Development of research agenda for AHPs Sept 2017 Creation of shadowing opportunities across April 2017 teams and organisations Page 20 of 28

22 Bulletin of IST to be made available to all staff April 2017 Increased use of Group work across both June 2017 organisations Development of joint clinical meetings schedule June 2017 Development of joint management meetings June 2017 schedule Identification of further Band 5 and 6 staff June 2017 rotation opportunities 10.1 What next? The Therapy Integration Steering Group is already working on all 4 themes You can keep up to date with the work in progress through the monthly Therapy integration newsletter. Or, you can contact any of the Project Team: Sally Kennedy, Strategic Lead for Therapies RCHT/CFT (Chair) Tracey Willshee, Head of Nursing and AHPs. CFT. Clare Rotman, Inpatient Therapy Manager. RCHT Vicki Slade, Service Improvement Lead. CFT Celia Todd, AHP Lead (LD) CFT 10.2 Dissemination of the Strategy Once the Therapy restructure proposal has been agreed and implemented, this Therapy Strategy document will be shared widely with all Therapy staff across CFT and RCHT. The overarching aims of the Strategy have already been consulted on through the monthly Therapy Integration newsletter and the Therapy Strategy LiA event and the emerging themes have been captured within the final document. 11. Monitoring compliance and effectiveness Element to be monitored Lead Tool Frequency Reporting arrangements Acting on recommendations and Lead(s) Change in practice and lessons to be Page 21 of 28 The Action Plan AHP Directorate Lead CSCS PAF report at RCHT will report on the RCHT elements of the Action Plan Monthly PAF report Through the AD CSCS Division at RCHT and the Deputy COO at CFT AHP Directorate Lead A lead member of the Therapy Senior Management Team will be identified to take each change forward where appropriate. Lessons will be shared with all the relevant stakeholders

23 shared 12 Updating and Review 12.1 This strategy must be reviewed yearly in line with annual business planning Revisions can be made ahead of the review date when the document requires updating. Where the revisions are significant and the overall policy is changed, the author should ensure the revised document is taken through the standard consultation, approval and dissemination processes Where the revisions are minor, e.g. amended job titles or changes in the organisational structure, approval can be sought from the Executive Director responsible for signatory approval, and can be re-published accordingly without having gone through the full consultation and ratification process Any revision activity is to be recorded in the Version Control Table as part of the document control process. 13 Equality and Diversity 13.1 This document complies with the Royal Cornwall Hospitals NHS Trust service Equality and Diversity statement which can be found in the 'Equality, Diversity & Human Rights Policy' or the Equality and Diversity website Equality Impact Assessment The Initial Equality Impact Assessment Screening Form is at Appendix 1. NB: References and Associated Trust Documents Up-to-date references, including details of supporting or associated Trust or Cornwall Health Community documents, must be listed on the Governance Coversheet. Page 22 of 28

24 Appendix 1. Governance Information A Therapy Strategy for Cornwall and the Isles of Scilly. Document Title The contribution of Therapy services to transforming the delivery of Health Care in Cornwall and the Isles of Scilly Date Issued/Approved: Date signed Date Valid From: Date document becomes effective Date for Review: Directorate / Department responsible (author/owner): Contact details: Brief summary of contents Suggested Keywords: Target Audience Executive Director responsible for Policy: Date revised: This document replaces (exact title of previous version): Approval route (names of committees)/consultation: Divisional Manager confirming approval processes Name and Post Title of additional signatories Signature of Executive Director giving approval No more than 3 years from approval Name of author and Job Title Number in full, not extension only This strategy sets out the key objectives that will guide the continued development of the Therapy services over the next 3 5 years across RCHT and CFT. Therapy AHP Strategy Integration RCHT CFT KCCG Nursing Executive CFT and RCHT New Document Head of relevant Division If none enter Not Required {Original Copy Signed} Page 23 of 28

25 Publication Location (refer to Policy on Policies Approvals and Ratification): Document Library Folder/Sub Folder Links to key external standards Related Documents: Training Need Identified? Internet & Intranet Intranet Only Therapy Therapy Strategy Governance Team can advise Reference and Associated documents Yes / No Select Yes if any staff will need to carry out training to achieve successful implementation of this policy and also state that the Learning and Development department have been informed. Version Control Table Date Version No Summary of Changes Changes Made by (Name and Job Title) [Please complete all boxes and delete help notes in blue italics including this note] All or part of this document can be released under the Freedom of Information Act 2000 This document is to be retained for 10 years from the date of expiry. This document is only valid on the day of printing Controlled Document This document has been created following the Royal Cornwall Hospitals NHS Trust Policy on Document Production. It should not be altered in any way without the express permission of the author or their Line Manager. Page 24 of 28

26 Appendix 2. Initial Equality Impact Assessment Form Name of Name of the strategy / policy /proposal / service function to be assessed (hereafter referred to as policy) (Provide brief description): A Therapy Strategy for Cornwall and the Isles of Scilly. The contribution of Therapy services to transforming the delivery of Health Care in Cornwall and the Isles of Scilly Directorate and service area: Therapy Is this a new or existing Policy? New policy Name of individual completing assessment: Sally Kennedy 1. Policy Aim* Who is the strategy aimed at? Telephone: All Therapy staff across RCHT and CFT: Occupational Therapists Speech and language Therapists Dietitians Podiatrists Physiotherapists 2. Policy Objectives* The future AHP workforce will be fully equipped with the skills, knowledge and attributes to provide outstanding collaborative therapy services for our service users Effective leadership at every level will support AHPs to be an integral part of multidisciplinary teams working together to deliver the best care possible for our service users The future AHP workforce will be configured to deliver seamless end to end therapy pathways delivering the right care to the right patient at the right time To make efficient use of all of our therapy resources across the county to underpin service transformation 3. Policy intended Outcomes* 4. *How will you measure the outcome? 5. Who is intended to benefit from the policy? 1. Strong clinical, professional and strategic leadership 2. Robust CPD and performance management processes 3. Evidence-based practice with associated participation in research activity 4. New ways of working explored and maximised 5. Sustainable provision of appropriately skilled workforce 1. Single management and professional leadership structure in place across RCHT and CFT 2. Standardised, robust Therapy CPD and performance management structures in place across both organisations 3. Increase in research participation across Therapies 4. New roles identified and in place 5. Skill mix reviews undertaken and staffing bench marks well nationally Service users and staff Page 25 of 28

27 6a) Is consultation required with the workforce, equality groups, local interest groups etc. around this policy? b) If yes, have these *groups been consulted? C). Please list any groups who have been consulted about this procedure. This policy was developed in conjunction with 65 people from across all of the 5 professions and including an Expert Patient and 3 student OTs from Plymouth. Yes, see above Yes, see above 7. The Impact Please complete the following table. Are there concerns that the policy could have differential impact on: Equality Strands: Yes No Rationale for Assessment / Existing Evidence Age This strategy applies to all Therapy staff equally Sex (male, female, transgender / gender reassignment) Race / Ethnic communities /groups Disability - learning disability, physical disability, sensory impairment and mental health problems Religion / other beliefs Marriage and civil partnership This strategy applies to all Therapy staff equally This strategy applies to all Therapy staff equally This strategy applies to all Therapy staff equally This strategy applies to all Therapy staff equally This strategy applies to all Therapy staff equally Pregnancy and maternity This strategy applies to all Therapy staff equally Sexual Orientation, Bisexual, Gay, heterosexual, Lesbian This strategy applies to all Therapy staff equally You will need to continue to a full Equality Impact Assessment if the following have been highlighted: You have ticked Yes in any column above and No consultation or evidence of there being consultation- this excludes any policies which have been identified as not requiring consultation. or Major service redesign or development 8. Please indicate if a full equality analysis is recommended. Yes No Page 26 of 28

28 9. If you are not recommending a Full Impact assessment please explain why. Consultation has involved 65 people and applies to all Therapy staff equally Signature of policy developer / lead manager / director Date of completion and submission Names and signatures of members carrying out the Screening Assessment Keep one copy and send a copy to the Human Rights, Equality and Inclusion Lead, c/o Royal Cornwall Hospitals NHS Trust, Human Resources Department, Knowledge Spa, Truro, Cornwall, TR1 3HD A summary of the results will be published on the Trust s web site. Signed Date Page 27 of 28

Clinical Guideline for Post-Operative Nausea and Vomiting 1. Aim/Purpose of this Guideline

Clinical Guideline for Post-Operative Nausea and Vomiting 1. Aim/Purpose of this Guideline Clinical Guideline for Post-Operative Nausea and Vomiting 1. Aim/Purpose of this Guideline 1.1. The purpose of this guideline is to provide anaesthetists with an algorithm to work with when dealing with

More information

CLINICAL GUIDELINE FOR REFERRAL TO PAIN SERVICE 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR REFERRAL TO PAIN SERVICE 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR REFERRAL TO PAIN SERVICE 1. Aim/Purpose of this Guideline To provide guidance for appropriate referral to the acute pain service for in-patient review. 2. The Guidance PAIN SERVICES

More information

Loading Dose Worksheet for Oral Amiodarone

Loading Dose Worksheet for Oral Amiodarone This applies to adult patients only Key: General Notes ED/MAU/SRU/Acute GP/Amb-Care GP/SWASFT In-patient wards Start Prescribe as per loading dose worksheet below End 1. Aim/Purpose of this Guideline 1.1.

More information

Diagnostic Testing Procedures in Urodynamics V3.0

Diagnostic Testing Procedures in Urodynamics V3.0 V3.0 09 01 18 Table of Contents Summary.... 1. Introduction... 3 1.1. Diagnostic testing information... 3 2. Purpose of this Policy/Procedure... 3 2.1. Approved Document Process... 3 3. Scope... 3 3.1.

More information

Policy on Governance Arrangements Relating to Medicines V2.0

Policy on Governance Arrangements Relating to Medicines V2.0 V2.0 August 2015 Summary. The policy outlines the governance arrangements for medicines within the Trust, specifically; 1. The committee structure in the Trust and the county for medicine related matters

More information

CLINICAL GUIDELINE FOR THE MANAGEMENT OF SEPSIS IN ADULT PATIENTS 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR THE MANAGEMENT OF SEPSIS IN ADULT PATIENTS 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR THE MANAGEMENT OF SEPSIS IN ADULT PATIENTS 1. Aim/Purpose of this Guideline 1.1. This guideline aims to improve outcomes for patients presenting with sepsis or developing sepsis

More information

Diagnostic Test Reporting & Acknowledgement Procedures. - Pathology & Clinical Imaging

Diagnostic Test Reporting & Acknowledgement Procedures. - Pathology & Clinical Imaging Diagnostic Test Reporting & Acknowledgement Procedures V2.0 November 2014 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5.

More information

Policy for the authorising of blood components by the Haematology Clinical Nurse Specialist V1.0

Policy for the authorising of blood components by the Haematology Clinical Nurse Specialist V1.0 Policy for the authorising of blood components by the Haematology Clinical Nurse Specialist V1.0 January 2016 Summary. This policy applies only to selected staff within the Haematology Department at the

More information

CLINICAL GUIDELINE FOR THE ASSESSMENT AND DOCUMENTATION OF PAIN (ADULTS)

CLINICAL GUIDELINE FOR THE ASSESSMENT AND DOCUMENTATION OF PAIN (ADULTS) CLINICAL GUIDELINE FOR THE ASSESSMENT AND DOCUMENTATION OF PAIN (ADULTS) 1. Aim/Purpose of this Guideline 1.1. Pain is whatever the experiencing person says it is, existing whenever the experiencing person

More information

A list of authorised referrers will be retained by the Colposcopy team and the Clinical Imaging Department.

A list of authorised referrers will be retained by the Colposcopy team and the Clinical Imaging Department. Clinical Guideline for Clinical Imaging Referral Protocol for Nurse Colposcopist within Colposcopy Dept. Royal Cornwall Hospital 1. Aim/Purpose of this Guideline 1.1 This protocol applies to Nurse Colposcopist

More information

CLINICAL GUIDELINE FOR USE OF BED AND CHAIR SENSOR ALARM MATS FOR PREVENTING FALLS IN ADULT PATIENTS

CLINICAL GUIDELINE FOR USE OF BED AND CHAIR SENSOR ALARM MATS FOR PREVENTING FALLS IN ADULT PATIENTS CLINICAL GUIDELINE FOR USE OF BED AND CHAIR SENSOR ALARM MATS FOR PREVENTING FALLS IN ADULT PATIENTS 1. Aim/Purpose of this Guideline This guideline is to support the use of bed and chair sensor alarm

More information

CLINICAL GUIDELINE FOR THE USE OF INTRAVENOUS SLIDING SCALE REGIMEN FOR ADULTS 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR THE USE OF INTRAVENOUS SLIDING SCALE REGIMEN FOR ADULTS 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR THE USE OF INTRAVENOUS SLIDING SCALE REGIMEN FOR ADULTS 1. Aim/Purpose of this Guideline This guideline is for the management of for the management of Adult patients with Mellitus

More information

1.3 Referrer: in the context of this protocol the term referrer refers to a health care worker who is authorised to refer individuals for X-rays.

1.3 Referrer: in the context of this protocol the term referrer refers to a health care worker who is authorised to refer individuals for X-rays. Clinical Guideline for Clinical Imaging Referral Protocol for Nurse Endoscopist (Lower GI) within the Royal Cornwall Hospitals Trust 1. Aim/Purpose of this Guideline 1.1 This protocol applies to Nurse

More information

The initial care and management of patients admitted to RCHT with a Ventricular Assist Device (VAD). V2.0

The initial care and management of patients admitted to RCHT with a Ventricular Assist Device (VAD). V2.0 The initial care and management of patients admitted to RCHT with a Ventricular Assist Device (VAD). V2.0 October 2016 Summary. Start See section 6.2 of this document for important information regarding

More information

CLINICAL GUIDELINE FOR THE ADMISSION OF PATIENTS TO PAEDIATRIC HIGH DEPENDANCY UNIT V4.0

CLINICAL GUIDELINE FOR THE ADMISSION OF PATIENTS TO PAEDIATRIC HIGH DEPENDANCY UNIT V4.0 CLINICAL GUIDELINE FOR THE ADMISSION OF PATIENTS TO PAEDIATRIC HIGH DEPENDANCY UNIT V4.0 Page 1 of 13 Abbreviation (P/A)HDU (P/A)ICU GCS IPPV CPAP BiPAP DKA Reg Meaning (Paediatric/Adult) High Dependency

More information

Clinical Guideline for Clinical Imaging Referral Protocol for Upper & Lower GI Non medical Endoscopist within RCHT. 1. Aim/Purpose of this Guideline

Clinical Guideline for Clinical Imaging Referral Protocol for Upper & Lower GI Non medical Endoscopist within RCHT. 1. Aim/Purpose of this Guideline Clinical Guideline for Clinical Imaging Referral Protocol for Upper & Lower GI Non medical Endoscopist. 1. Aim/Purpose of this Guideline 1.1 This protocol applies to upper & lower GI Non medical Endoscopist

More information

CLINICAL GUIDELINE FOR IPRATROPIUM BROMIDE NEBULISER INHALER PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR IPRATROPIUM BROMIDE NEBULISER INHALER PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR IPRATROPIUM BROMIDE NEBULISER INHALER PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline 1.1. This Patient Group Direction (PGD) applies to all nursing and clinical

More information

PARACETAMOL PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline

PARACETAMOL PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline PARACETAMOL PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline 1.1. This Patient Group Direction (PGD) applies to all nursing and clinical staff in the Child Health Department and its

More information

Clinical Guideline for Nurse-Led Indocyanine Green Angiography Summary.

Clinical Guideline for Nurse-Led Indocyanine Green Angiography Summary. Clinical Guideline for Nurse-Led Indocyanine Green Angiography Summary. Obtain brief medical history including allergies & renal function. Informed verbal consent gained and documented and procedure and

More information

CLINICAL GUIDELINE FOR CLINICAL IMAGING REFERRAL PROTOCOL FOR NURSE SPECIALISTS IN HEART FUNCTION WITHIN RCHT Summary. Start

CLINICAL GUIDELINE FOR CLINICAL IMAGING REFERRAL PROTOCOL FOR NURSE SPECIALISTS IN HEART FUNCTION WITHIN RCHT Summary. Start CLINICAL GUIDELINE FOR CLINICAL IMAGING REFERRAL PROTOCOL FOR NURSE SPECIALISTS IN HEART FUNCTION WITHIN RCHT Summary. Start The non-medical practitioner has received sufficient training to make clinical

More information

Newborn Hearing Screening Programme Policy

Newborn Hearing Screening Programme Policy Newborn Hearing Screening Programme Policy V3.0 December 2015 Page 1 of 16 Summary - Screening Pathway for Newborn Hearing Screening Newborn hearing screening Check eligibility Eligible for screening Not

More information

School Vision Screening Policy V2.0

School Vision Screening Policy V2.0 School Vision Screening Policy V2.0 05 April 2016 Summary. Vision screening test in school PASS Visual acuity LogMAR 0.2 both eyes Kays 0.1 both eyes Outcome letter sent home Test result information put

More information

IBUPROFEN PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline

IBUPROFEN PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline IBUPROFEN PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline 1.1. This Patient Group Direction (PGD) applies to all nursing and clinical staff in the Child Health Department and its

More information

Diagnostic Testing Procedures in Neurophysiology V1.0

Diagnostic Testing Procedures in Neurophysiology V1.0 V1.0 10 September 2012 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities... 3 5.2. Role of the

More information

Diagnostic Testing Procedures for Ophthalmic Science

Diagnostic Testing Procedures for Ophthalmic Science V4.0 01/08/17 Table of Contents 1. Introduction... 3 2. Purpose of this Policy... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities... 3 5.2. Role of the Managers... 3 5.3.

More information

WARD CLOSURE POLICY V

WARD CLOSURE POLICY V WARD CLOSURE POLICY V3.0 29.07.15 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities... 4 5.1.

More information

2.1. Applicable areas: Royal Cornwall Hospitals Trust; Neonatal Unit and Delivery Suite

2.1. Applicable areas: Royal Cornwall Hospitals Trust; Neonatal Unit and Delivery Suite ADVANCED NEONATAL NURSE PRACTITIONERS (ANNPs) BLOOD COMPONENT AND BLOOD PRODUCT REQUESTING PROTOCOL NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1 The purpose of this protocol is to guide

More information

CLINICAL GUIDELINE FOR THE USE OF RECTUS SHEATH CATHETERS IN CHILDREN. 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR THE USE OF RECTUS SHEATH CATHETERS IN CHILDREN. 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR THE USE OF RECTUS SHEATH CATHETERS IN CHILDREN. 1. Aim/Purpose of this Guideline 1.1. Guidelines for the use of rectus sheath catheters for the management of pain following laparotomy

More information

This guideline is for nursing staff within the Pain Services assisting with the administration of botulinum toxin.

This guideline is for nursing staff within the Pain Services assisting with the administration of botulinum toxin. CLINICAL GUIDELINE FOR THE SAFE ADMINISTRATION OF BOTULINUM NEURO TOIN FOR INJECTION within the PAIN SERVICE. Botox and eomin (trade names) 1. Aim/Purpose of this Guideline This guideline is for nursing

More information

CLINICAL IMAGING REFERRAL PROTOCOL FOR REGISTERED NURSE PRACTITIONERS IN THE EMERGENCY DEPARTMENT, URGENT CARE CENTRE AND AMBULATORY CARE

CLINICAL IMAGING REFERRAL PROTOCOL FOR REGISTERED NURSE PRACTITIONERS IN THE EMERGENCY DEPARTMENT, URGENT CARE CENTRE AND AMBULATORY CARE CLINICAL IMAGING REFERRAL PROTOCOL FOR REGISTERED NURSE PRACTITIONERS IN THE EMERGENCY DEPARTMENT, URGENT CARE CENTRE AND AMBULATORY CARE CLINICAL GUIDELINE V4. Summary. Start The non-medical practitioner

More information

Patient Experience Strategy

Patient Experience Strategy POLICY UNDER REVIEW Please note that this policy is under review. It does, however, remain current Trust policy subject to any recent legislative changes, national policy instruction (NHS or Department

More information

OXYGEN THERAPY AND SATURATION MONITORING OF THE NEONATE - CLINICAL GUIDELINE V3.0

OXYGEN THERAPY AND SATURATION MONITORING OF THE NEONATE - CLINICAL GUIDELINE V3.0 OYGEN THERAPY AND SATURATION MONITORING OF THE NEONATE - CLINICAL GUIDELINE V3.0 1. Aim/Purpose of this Guideline 1.1 To provide guidance on the assessment and management of infants requiring oxygen therapy

More information

2.1. It is essential that promoting and safeguarding the welfare of children and young people is integral to all NHS Trust policies and procedures.

2.1. It is essential that promoting and safeguarding the welfare of children and young people is integral to all NHS Trust policies and procedures. Was Not Brought, Cancellation and Refusal of Appointments Policy for Children and Young People up to the Age of 18 Years (up to the age of 25 years for people with a Learning Disability) 1. Aim/Purpose

More information

Tissue Viability Referral Pathway. April 2017

Tissue Viability Referral Pathway. April 2017 Tissue Viability Referral Pathway V4 April 2017 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities...

More information

Safe Bathing Policy V1.3

Safe Bathing Policy V1.3 V1.3 April 2018 Summary Safe hot water temperatures The hot water distribution temperatures, which are required for the control and prevention of Legionella, can lead to discharge temperatures in excess

More information

ESCALATION PLAN PAEDIATRICS AND NEONATAL UNIT 1. Aim/Purpose of this Guideline

ESCALATION PLAN PAEDIATRICS AND NEONATAL UNIT 1. Aim/Purpose of this Guideline ESCALATION PLAN PAEDIATRICS AND NEONATAL UNIT 1. Aim/Purpose of this Guideline 1.1. This guidance is designed to aid staff to monitor capacity and staffing in Child Health. 2. The Guidance 2.1. The majority

More information

Procedure for the Application of a Cast and its subsequent care V1.3

Procedure for the Application of a Cast and its subsequent care V1.3 Procedure for the Application of a Cast and its subsequent care V1.3 May 2015 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary...

More information

MANAGEMENT OF HEREDITARY SPHEROCYTOSIS IN THE NEONATAL PERIOD CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline

MANAGEMENT OF HEREDITARY SPHEROCYTOSIS IN THE NEONATAL PERIOD CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline MANAGEMENT OF HEREDITARY SPHEROCYTOSIS IN THE NEONATAL PERIOD CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1 This guideline aimed at all clinical staff responsible for the management of infants

More information

Solent. NHS Trust. Allied Health Professionals (AHPs) Strategic Framework

Solent. NHS Trust. Allied Health Professionals (AHPs) Strategic Framework Solent NHS Trust Allied Health Professionals (AHPs) Strategic Framework 2016-2019 Introduction from Chief Nurse, Mandy Rayani As the executive responsible for providing professional leadership for the

More information

Health and Safety Policy and Guidance for Staff Working During Night Time Hours V2.0

Health and Safety Policy and Guidance for Staff Working During Night Time Hours V2.0 Health and Safety Policy and Guidance for Staff Working During Night Time Hours V2.0 January 2016 Summary Purpose of the document: The purpose of this policy is to provide an outline of the requirements

More information

Safeguarding Children Supervision Policy V4.0. November 2016

Safeguarding Children Supervision Policy V4.0. November 2016 Safeguarding Children Supervision Policy V4.0 November 2016 Page 1 of 20 Summary Part 1 Part 2 Safeguarding supervision for Nursing and Midwifery staff, Paediatricians, Medical Staff and other Allied Health

More information

Occupational Health Surveillance Policy V2.1

Occupational Health Surveillance Policy V2.1 Occupational Health Surveillance Policy V2.1 May 2016 Table of Contents 1. Introduction... 2 2. Purpose of this Policy... 2 3. Scope... 2 4. Definitions/Glossary... 3 5. Ownership and Responsibilities...

More information

CLINICAL GUIDELINE FOR THE EMERGENCY DEFILL OF AN ADJUSTABLE GASTRIC BAND

CLINICAL GUIDELINE FOR THE EMERGENCY DEFILL OF AN ADJUSTABLE GASTRIC BAND CLINICAL GUIDELINE FOR THE EMERGENCY DEFILL OF AN ADJUSTABLE GASTRIC BAND 1. Aim/Purpose of this Guideline The aim of this guideline to enable the effective care of patients needing emergency defill of

More information

DRAFT. Rehabilitation and Enablement Services Redesign

DRAFT. Rehabilitation and Enablement Services Redesign DRAFT Rehabilitation and Enablement Services Redesign Services Vision Statement Inverclyde CHP is committed to deliver Adult rehabilitation services that are easily accessible, individually tailored to

More information

CEREBRAL FUNCTION MONITORING (aeeg). NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline

CEREBRAL FUNCTION MONITORING (aeeg). NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline CEREBRAL FUNCTION MONITORING (aeeg). NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1. To provide guidance on the operation and interpretation of Cerebral Function Monitoring (CFM) in neonates.

More information

PRESCRIBING, DISPENSING AND ADMINISTRATION OF CHEMOTHERAPY TO CHILDREN AND YOUNG PEOPLE - CLINICAL GUIDELINE V4.0

PRESCRIBING, DISPENSING AND ADMINISTRATION OF CHEMOTHERAPY TO CHILDREN AND YOUNG PEOPLE - CLINICAL GUIDELINE V4.0 PRESCRIBING, DISPENSING AND ADMINISTRATION OF CHEMOTHERAPY TO CHILDREN AND YOUNG PEOPLE - CLINICAL GUIDELINE V4.0 Clinical Guideline Template Page 1 of 14 1. Aim/Purpose of this Guideline 1.1. This guideline

More information

A Therapy Strategy for Wales

A Therapy Strategy for Wales A Therapy Strategy for Wales The Contribution of Therapy Services to Transforming the Delivery of Health and Social Care in Wales Therapies for Modernisation November 2006 Therapy wales cover eng.indd

More information

Severe Weather Plan V5.5 March 2018

Severe Weather Plan V5.5 March 2018 V5.5 March 2018 Table of Contents 1. Introduction 3 2. Purpose of this Plan. 3 3. Scope. 3 4. Ownership and Responsibilities. 3 5. Escalation Levels and Actions 5 6. Staffing Contingency and Guidance.

More information

Westminster Partnership Board for Health and Care. 17 January pm pm Room 5.3 at 15 Marylebone Road

Westminster Partnership Board for Health and Care. 17 January pm pm Room 5.3 at 15 Marylebone Road Westminster Partnership Board for Health and Care 17 January 2018 4.30pm - 6.00pm Room 5.3 at 15 Marylebone Road Agenda Item # Item and discussion points Lead Papers Timing 1 Preliminary business Welcome

More information

NHS England (Wessex) Clinical Senate and Strategic Networks. Accountability and Governance Arrangements

NHS England (Wessex) Clinical Senate and Strategic Networks. Accountability and Governance Arrangements NHS England (Wessex) Clinical Senate and Strategic Networks Accountability and Governance Arrangements Version 6.0 Document Location: This document is only valid on the day it was printed. Location/Path

More information

Executive Summary / Recommendations

Executive Summary / Recommendations Learning Disability Change Programme A Strategy for the Future Proposed Service Specification for Adult Learning Disability Services in Greater Glasgow & Clyde Executive Summary / Recommendations 1 1.

More information

You said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18

You said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18 Commissioning Intentions Engagement for 2017/18 You said We did Care Closer to home Acute and Community Care services Top three priorities were: Shifting hospital services into the community Community

More information

Safe Staffing Levels for. Midwifery, Nursing and Support Staff. For Maternity Service - Approved. Document V1.5. June 2017

Safe Staffing Levels for. Midwifery, Nursing and Support Staff. For Maternity Service - Approved. Document V1.5. June 2017 Safe Staffing Levels for Midwifery, Nursing and Support Staff For Maternity Service - Approved V1.5 June 2017 Jan Walters Head of Midwifery Women, Children and Sexual Health Division CONTENTS Section Page

More information

Living With Long Term Conditions A Policy Framework

Living With Long Term Conditions A Policy Framework April 2012 Living With Long Term Conditions A Policy Framework Living with Long Term Conditions Contents Page Number Minister s Foreword 3 Introduction 4 Principles 13 Chapter 1 Working in partnership

More information

SWLCC Update. Update December 2015

SWLCC Update. Update December 2015 SWLCC Update Update December 2015 Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth NHS Clinical Commissioning Groups and NHS England Working together to improve the quality of care in South West

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Procedure for Monitoring of Delayed Transfers of Care

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Procedure for Monitoring of Delayed Transfers of Care The Newcastle upon Tyne Hospitals NHS Foundation Trust Procedure for Monitoring of Delayed Transfers of Care Version No.: 2.2 Effective From: 17 March 2015 Expiry Date: 17 March 2018 Date Ratified: 25

More information

DELIVERING THE LEFT SHIFT IN ACUTE ACTIVITY THE COMMUNITY MODEL

DELIVERING THE LEFT SHIFT IN ACUTE ACTIVITY THE COMMUNITY MODEL DELIVERING THE LEFT SHIFT IN ACUTE ACTIVITY THE COMMUNITY MODEL 1. Introduction The Strategic Outline Case (SOC) and subsequent developing Outline Business Case (OBC) for the reconfiguration of acute hospital

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Implementation Policy for NICE Guidelines

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Implementation Policy for NICE Guidelines The Newcastle upon Tyne Hospitals NHS Foundation Trust Implementation Policy for NICE Guidelines Version No.: 5.3 Effective From: 08 May 2017 Expiry Date: 02 March 2019 Date Ratified: 23 February 2017

More information

CLINICAL GUIDELINE FOR TRANSFERS AND DISCHARGES IN THE LAST FEW WEEKS OF LIFE 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR TRANSFERS AND DISCHARGES IN THE LAST FEW WEEKS OF LIFE 1. Aim/Purpose of this Guideline POLICY UNDER REVIEW Please note that this policy is under review. It does, however, remain current Trust policy subject to any recent legislative changes, national policy instruction (NHS or Department

More information

NHS Equality Delivery System for Isle of Wight NHS Trust. Interim baseline assessment against the

NHS Equality Delivery System for Isle of Wight NHS Trust. Interim baseline assessment against the Interim baseline assessment against the NHS Equality Delivery System for Isle of Wight NHS Trust The NHS Isle of Wight has adopted the NHS Equality Delivery System as the framework to achieve compliance

More information

Integrated Care Systems. Phil Richardson NHS Dorset CCG

Integrated Care Systems. Phil Richardson NHS Dorset CCG Integrated Care Systems Phil Richardson NHS Dorset CCG Integrated care system? ICS were previously called accountable care systems Take the lead in planning and commissioning care for their populations

More information

Our Health & Care Strategy

Our Health & Care Strategy MO Our Health & Care Strategy 2015-2020 Norfolk Community Health and Care NHS Trust Final September 2015 Version control Date Changes 1 19 th July 2015 Initial document 2 29 th July 2015 Following feedback

More information

Specialised Services Commissioning Policy: CP160 Specialised Paediatric Neurological Rehabilitation

Specialised Services Commissioning Policy: CP160 Specialised Paediatric Neurological Rehabilitation Specialised Services Commissioning Policy: CP160 Specialised Paediatric Neurological Rehabilitation April 2018 Version 4.0 Document information Document purpose Document name Author Policy Specialised

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Access to Drugs Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Access to Drugs Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Access to Drugs Policy Version No.: 3.0 Effective From: 25 January 2016 Expiry Date: 25 January 2019 Date Ratified: 4 November 2015 Ratified By: Medicines

More information

ASPIRE. Allied Health Professions Supporting and Promoting Improvement, Rehabilitation and Enabling Others ADVANCED PRACTICE SPECIALIST GENERALIST

ASPIRE. Allied Health Professions Supporting and Promoting Improvement, Rehabilitation and Enabling Others ADVANCED PRACTICE SPECIALIST GENERALIST ASPIRE Allied Health Professions Supporting and Promoting Improvement, Rehabilitation and Enabling Others ADVANCED PRACTICE SPECIALIST GENERALIST ENABLING OTHERS AHP Strategy 2017 2021 CONTENTS Introduction

More information

Quality Governance and Risk Committee Safer Staffing Report January 2018

Quality Governance and Risk Committee Safer Staffing Report January 2018 Introduction Quality Governance and Risk Committee Safer Staffing Report January 2018 The Safe Staffing initiative is part of the NHS response to the Frances Report which called for greater openness and

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Protected Mealtime Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Protected Mealtime Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Protected Mealtime Policy Version No 3 Effective From 12 February 2018 Expiry date 12 February 2021 Date Ratified 01 November 2017 Ratified By Nutritional

More information

RCHT Non-Ionising Radiation Safety Policy

RCHT Non-Ionising Radiation Safety Policy V3.0 June 2015 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 4 4. Definitions / Glossary... 5 5. Ownership and Responsibilities... 5 6. Standards and Practice...

More information

Northumberland, Tyne and Wear, and North Durham Draft Sustainability and Transformation Plan A summary

Northumberland, Tyne and Wear, and North Durham Draft Sustainability and Transformation Plan A summary Northumberland, Tyne and Wear, and North Durham Draft Sustainability and Transformation Plan A summary This summary has been prepared to aid understanding of the draft STP technical submission. Copies

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Named Key Worker for Cancer Patients Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Named Key Worker for Cancer Patients Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Named Key Worker for Cancer Patients Policy Version No.: 4 Effective 07 December 2017 From: Expiry Date: 07 December 2020 Date Ratified: 17 October

More information

NON-MEDICAL PRESCRIBING POLICY

NON-MEDICAL PRESCRIBING POLICY NON-MEDICAL PRESCRIBING POLICY To be read in conjunction with the Medicines Policy, Controlled Drug Policy and the FP10 Prescribing Forms Policy Version: 5 Date of issue: August 2017 Review date: August

More information

Guideline scope Intermediate care - including reablement

Guideline scope Intermediate care - including reablement NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline scope Intermediate care - including reablement Topic The Department of Health in England has asked NICE to produce a guideline on intermediate

More information

End of Life Care Strategy

End of Life Care Strategy End of Life Care Strategy 2016-2020 Foreword Southern Health NHS Foundation Trust is committed to providing the highest quality care for patients, their families and carers. Therefore, I am pleased to

More information

REPORT SUMMARY SHEET

REPORT SUMMARY SHEET Meeting: Date: Title: REPORT SUMMARY SHEET Trust Board 11th June 2015 Executive Director of Nursing s presentation on the Nursing Quality Indicator (NQI) Framework Providing assurance on the quality of

More information

Wig and Hair Replacement Policy

Wig and Hair Replacement Policy Leeds CCGs Wigs and Hair Replacement Policy 2016-19 Wig and Hair Replacement Policy Version: 2016-19 Ratified by: NHS Leeds West CCG Assurance Committee on; 16 vember 2016 NHS Leeds rth CCG Governance

More information

Driving and Supporting Improvement in Primary Care

Driving and Supporting Improvement in Primary Care Driving and Supporting Improvement in Primary Care 2016 2020 www.healthcareimprovementscotland.org Healthcare Improvement Scotland 2016 First published December 2016 The publication is copyright to Healthcare

More information

Aneurin Bevan University Health Board Stroke Services Redesign Programme

Aneurin Bevan University Health Board Stroke Services Redesign Programme Aneurin Bevan University Health Board Services Redesign Programme 1 Introduction This report aims to update the Health Board on progress with the Services Redesign Programme of work which commenced in

More information

Central Alerting System (CAS) Policy

Central Alerting System (CAS) Policy Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified By Central Alerting System (CAS) Policy NTW(O)17 Gary O Hare Executive Director of Nursing and Operations Tony Gray

More information

NHS Bradford Districts CCG Commissioning Intentions 2016/17

NHS Bradford Districts CCG Commissioning Intentions 2016/17 NHS Bradford Districts CCG Commissioning Intentions 2016/17 Introduction This document sets out the high level commissioning intentions of NHS Bradford Districts Clinical Commissioning Group (BDCCG) for

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Patients Wills Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Patients Wills Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Version No: 5.0 Effective From: 7 September 2017 Expiry Date: 31 August 2018 Date Ratified: 30 August 2017 Ratified By: Executive Team 1 Introduction

More information

Equality & Rights Action Plan

Equality & Rights Action Plan Equality & Action Plan 2013-17 This document outlines the actions we will take to work towards our Equality & Outcomes. Outcomes not processes An outcome is an end result, for example having staff who

More information

Medicines Optimisation Strategy

Medicines Optimisation Strategy Medicines Optimisation Strategy 2014-2017 Contents Section Page 1 Foreword 3 2 Strategic Principles for Medicines Optimisation 4 3 Introduction 4 4 Trust Vision and Values 5 5 Strategy Development 5 6

More information

Improvement and assessment framework for children and young people s health services

Improvement and assessment framework for children and young people s health services Improvement and assessment framework for children and young people s health services To support challenged children and young people s health services achieve a good or outstanding CQC rating February

More information

South East Essex. Discharge to Assess Strategy

South East Essex. Discharge to Assess Strategy South East Essex Discharge to Assess Strategy 2018-2020 Version 3.5 27 th March 2018 Document Control: Revision: Name Date: Version 2.0 Shirley Regan 12 December 2017 Version 2.1 Amendments-Paul 19 December

More information

End Of Life Care Strategy

End Of Life Care Strategy End Of Life Care Strategy Document Control: Document Author: Director of Nursing Document Owner: Board Of Directors Electronic File Name: End of Life Care Strategy dated June 2016 Document Type: Corporate

More information

SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN

SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Appendix-2016-59 Borders NHS Board SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Aim To bring to the Board s attention the Scottish

More information

The Mental Health (Wales) Measure Part 1 Scheme. Local Primary Mental Health Support Services. for

The Mental Health (Wales) Measure Part 1 Scheme. Local Primary Mental Health Support Services. for The Mental Health (Wales) Measure 2010 Part 1 Scheme Local Primary Mental Health Support Services for BETSI CADWALADR UNIVERSITY HEALTH BOARD ANGLESEY COUNTY COUNCIL GWYNEDD COUNCIL CONWY COUNTY BOROUGH

More information

Bristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019

Bristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019 Bristol CCG North Somerset CGG South Gloucestershire CCG Draft Commissioning Intentions for 2017/2018 and 2018/2019 Programme Area Key intention Primary and community care Sustainable primary care Implement

More information

Staffordshire and Stoke on Trent Partnership NHS Trust. Operational Plan

Staffordshire and Stoke on Trent Partnership NHS Trust. Operational Plan Staffordshire and Stoke on Trent Partnership NHS Trust Operational Plan 2016-17 Contents Introducing Staffordshire and Stoke on Trent Partnership NHS Trust... 3 The vision of the health and care system...

More information

Consultation on proposals to introduce independent prescribing by paramedics across the United Kingdom

Consultation on proposals to introduce independent prescribing by paramedics across the United Kingdom Patient and public summary for: Consultation on proposals to introduce independent prescribing by paramedics across the United Kingdom The full consultation document is available on the NHS England consultation

More information

The Newcastle Upon Tyne Hospitals NHS Foundation Trust. Strategy for Non-Medical Prescribing

The Newcastle Upon Tyne Hospitals NHS Foundation Trust. Strategy for Non-Medical Prescribing The Newcastle Upon Tyne Hospitals NHS Foundation Trust Strategy for Non-Medical Prescribing Version No: 2.2 Effective From: 19 October 2016 Expiry Date: 19 October 2019 Date Ratified: 12 October 2016 Ratified

More information

PHARMACEUTICAL REPRESENTATIVE POLICY NOVEMBER This policy supersedes all previous policies for Medical Representatives

PHARMACEUTICAL REPRESENTATIVE POLICY NOVEMBER This policy supersedes all previous policies for Medical Representatives PHARMACEUTICAL REPRESENTATIVE POLICY VEMBER 2017 This policy supersedes all previous policies for Medical Representatives Policy title Pharmaceutical Representative Policy Policy PHA39 reference Policy

More information

Adult Therapy Services. Community Services. Roundshaw Health Centre. Team Lead / Service Manager. Service Manager / Clinical Director

Adult Therapy Services. Community Services. Roundshaw Health Centre. Team Lead / Service Manager. Service Manager / Clinical Director THE ROYAL MARSDEN NHS FOUNDATION TRUST Job Description Job Title Specialist Neuro Physiotherapist - Community Neuro Therapy Service Area of Specialty Adult Therapy Services Directorate Community Services

More information

Defining the Boundaries between NHS and Private Healthcare. MECCG Policy Reference: MECCG142

Defining the Boundaries between NHS and Private Healthcare. MECCG Policy Reference: MECCG142 Defining the Boundaries between NHS and Private Healthcare MECCG Policy Reference: MECCG142 Target Audience Brief Description (max 50 words) Action Required Equality Impact Assessment Providers of private

More information

Equality Information Introduction. 2. Our patients and our workforce

Equality Information Introduction. 2. Our patients and our workforce Equality Information 2018 1. Introduction NHS Kernow has legal duties to meet under the Equality Act 2010 and the Public Sector Equality Duty (PSED). This paper summarises our legal duties to our employees

More information

TEES, ESK & WEAR VALLEYS NHS FOUNDATION TRUST: DEVELOPING A MODEL LINE FOR RECOVERY- FOCUSED CARE

TEES, ESK & WEAR VALLEYS NHS FOUNDATION TRUST: DEVELOPING A MODEL LINE FOR RECOVERY- FOCUSED CARE TEES, ESK & WEAR VALLEYS NHS FOUNDATION TRUST: DEVELOPING A MODEL LINE FOR RECOVERY- FOCUSED CARE Summary Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV) adapted the model line concept from industry

More information

Non-Medical Prescribing Strategy

Non-Medical Prescribing Strategy Non-Medical Prescribing Strategy 2014-2017 Nursing & Partnerships Directorate Page 1 of 13 Section Contents Page No. 1. STATEMENT OF INTENT 3 2. PURPOSE 3 3. SCOPE 3 4. BACKGROUND 3 5. STRATEGIC GOALS

More information

Mandate for Change. Using AHPs to transform health, care and wellbeing. #AHPsMandate

Mandate for Change. Using AHPs to transform health, care and wellbeing. #AHPsMandate Mandate for Change. Using AHPs to transform health, care and wellbeing. #AHPsMandate Dr Joanne Fillingham Clinical Fellow to the Chief Allied Health Professions Officer @jkfillingham NHS Five Year Forward

More information

South Yorkshire and Bassetlaw Accountable Care System Chief Executives

South Yorkshire and Bassetlaw Accountable Care System Chief Executives South Yorkshire and Bassetlaw Accountable Care System PMO Office: 722 Prince of Wales Road Sheffield S9 4EU 0114 305 4487 23 June 2017 Letter to: South Yorkshire and Bassetlaw Accountable Care System Chief

More information