Specialised Services Service Specification. Adult Congenital Heart Disease

Save this PDF as:
Size: px
Start display at page:

Download "Specialised Services Service Specification. Adult Congenital Heart Disease"

Transcription

1 Specialised Services Service Specification Adult Congenital Heart Disease Document Author: Executive Lead: Approved by: Issue Date: Review Date: Document No: Specialised Planner Director of Planning Insert Committee To be obtained from Corporate Services Manager or Corporate Governance Manager Page 1 of 14

2 Document History Revision History Version Revision date Summary of Changes No. Updated to version no.: Date of next revision Consultation Name Date of Issue Version Number Approvals Name Date of Issue Version No. Distribution this document has been distributed to Name By Date of Issue Version No. Page 2 of 14

3 Table of Contents 1. Aim 1.1 Introduction 1.2 Relationship with other Policy and Service Specifications Page 2. Scope 2.1 Service Model 2.2 Care Pathway 3. Quality and Patient Safety 3.1 Quality and Patient Safety 3.2 Quality Indicators (Standards) 3.3 Putting Things Right: Raising a Concern 4 Performance Monitoring and Information Requirements 4.1 Performance Monitoring 4.2 Key Performance Indicators 4.3 Referral Pathway 5. Equality Impact and Assessment Page 3 of 14

4 1. Aim 1.1 Introduction The document has been developed as the service specification for the planning of services for adults with congenital heart disease resident in Wales. The purpose of this document is to: detail the specification for services for adults with congenital heart disease who are resident in Wales; and identify which organisations are able to provide a congenital heart disease service for Welsh patients. 1.2 Relationship with other Policy and Service Specifications This document should be read in conjunction with the following documents: Commissioning policy for #########. Page 4 of 14

5 2. Service Delivery se 2.1 Service Model This section should describe the service, i.e. the service provided, the model of delivery, location and sites, etc. Overarching model The overarching model of care for adults with congenital heart disease is based on a network of services linking local, intermediate and specialist levels of care. In this model, specialist centres provide all ACHD surgery and catheter interventions, complex diagnostics and management of complex patients; intermediate centres provide ongoing management, diagnostics and management of ACHD in pregnancy; local centres provide long term follow up and onward referral to the appropriate level of service. Specialist services for patients in Wales are provided by designated ACHD specialist centres in England; intermediate and local level services are provided within Wales. For South Wales, specialist ACHD services are provided by University Hospital Bristol NHS Foundation Trust. Intermediate level services are organised via a hub and spoke model, with the hub based at University Hospital of Wales, Cardiff, and through outreach clinics held at DGHs in each LHB across South Wales. Hub and spoke Services for patients with ACHD are organised around a hub and spoke model. The hub is provided at University Hospital of Wales, Cardiff and Vale University Health Board. The following services are provided at the hub centre: General clinics for patients with simple, moderate and some complex ACHD Obstetrics clinics Page 5 of 14

6 Transition clinics Diagnostics and imaging Doc 2a Some surgery and catheter based interventions (following discussion with the specialist centre on the most appropriate location for intervention) Arrhythmia service Links with paediatric cardiology Links with specialist ACHD centre at Bristol Links with other specialist services: pulmonary hypertension, transplantation Outreach service General ACHD clinics will take place in each LHB. They will be delivered at the following locations: [optimal location for these clinics is to be confirmed] General clinics will be staffed by: ACHD specialist cardiologist Cardiologist with an interest in ACHD ACHD specialist nurse Cardiac physiologist Obstetric clinics All obstetric clinics will be held at the hub. Obstetric clinics will be staffed by an ACHD specialist cardiologist or cardiologist with a special interest in ACHD, obstetrician with expertise in ACHD, obstetric anaesthetist with expertise in ACHD. Transition clinics Transition clinics will be held in the hub and at Singleton Hospital, Swansea. Transition clinics will be staffed by: paediatric cardiologist, ACHD specialist cardiologist or cardiologist with a special interest in ACHD, transition specialist nurse. Page 6 of 14

7 Specialist ACHD cardiologist The service will be led by a specialist ACHD cardiologist based at the hub in University Hospital of Wales. The specialist ACHD cardiologist will maintain close links to the specialist ACHD service in Bristol for their continued professional development. Cardiac Surgery and Interventional Cardiology Most surgery and catheter interventions for patients with ACHD will be undertaken at the designated specialist centre. In some circumstances, it may be appropriate to undertake interventions locally at the University Hospital of Wales. The appropriate location for intervention will be agreed with the specialist centre MDT. Page 7 of 14

8 2.2 Care Pathway This section should describe the care pathway for the service, including the relationship with Welsh and / or English NHS services as appropriate. South Wales Links with specialist services: Pulmonary hypertension Transplantation Paediatric cardiac centre Local GUCH centres DGH with cardiologist with GUCH experience (e.g. Neath-Port Talbot, Singleton) GUCH Specialist Centre (UHW). Invasive Ix TOE Percutaneous procedures Transition service Pregnancy management Genetics Arrhythmia service DGH with cardiologist but no GUCH expert 1 st adult presentation to GP Tertiary GUCH surgical centre (Bristol, Birmingham, London) Page 8 of 14

9 3. Quality and Patient Safety 3.1 Quality and Patient Safety The Provider must work to written quality standards and provide monitoring information to the lead purchaser. The centre must enable the patient s, carer s and advocate s informed participation and to be able to demonstrate this. Provision should be made for patients with communication difficulties and for children. The service must meet the standards for patient centred care set out in the NHS Specialised Services standards for adult congenital heart disease (currently published as draft standards for consultation). 3.2 Quality Indicators (Standards) The Provider must work to written quality standards and provide monitoring information to the lead purchaser. Patients with adult congenital heart disease in Wales should access services that meet the following standards: NHS Specialised Services standards for adult congenital heart disease (currently published as draft standards for consultation) Cardiac Disease National Service Framework for Wales, standard 7. Children and Young People s Specialised Services Standards for Congenital Heart Disease. o Standard 4: transitional services for young people with congenital heart disease. o Standard 5: cardiac services for young people and adults with congenital heart disease The ACHD services within Wales will be delivered within a network of services linked to the designated specialist centre in England. ACHD Page 9 of 14

10 services in Wales will be delivered in accordance with the protocols and standards developed and agreed by the networks. Within South Wales, the service provided by the hub centre, University Hospital of Wales, Cardiff, should meet the standards for a level 2, intermediate centre, as set out in the NHS Specialised Services standards for adult congenital heart disease. Decisions over the appropriate location for surgery and catheter interventions should be undertaken in discussion with the specialist centre MDT. It is recognised that ACHD services are currently in a process of development towards meeting the service standards. A baseline audit against the standards should be undertaken in the first quarter of The ACHD services should develop an action plan, in conjunction with the cardiac networks, to outline how the ACHD service standards will be met and submit this to WHSSC by September An annual audit and progress report for 2014/15 should be submitted to WHSSC by June Putting Things Right: Raising a Concern Whilst every effort has been made to ensure that decisions made under this policy are robust and appropriate for the patient group, it is acknowledged that there may be occasions when the patient or their representative are not happy with decisions made or the treatment provided. The patient or their representative should be guided by the clinician, or the member of NHS staff with whom the concern is raised, to the appropriate arrangements for management of their concern: When a patient or their representative is unhappy with the decision, of the gatekeeper, that the patient does not meet the criteria for treatment and that the patient is not an exceptional case, the patient and/or their representative has a right to ask for this decision to be reviewed. The review should be undertaken, by the patient's Local Health Board, in line with section 7 of the All Wales Policy: Making Decisions on Individual Patient Funding Requests; When a patient or their representative is unhappy with the care provided during the treatment or the clinical decision to withdraw treatment provided under this policy, the patient and/or their representative should be guided to the LHB for NHS Putting Things Right. For services provided outside NHS Wales the patient or their representative should be guided to the NHS Page 10 of 14

11 Trust Concerns Procedure with a copy of the concern being sent to WHSSC. 4. Performance Monitoring and Information Requirements 4.1 Performance Monitoring WHSSC will be responsible for commissioning services in line with this service specification. This will include agreeing appropriate information and procedures to monitor the performance of organisations. For the services defined in this specification, the following approach will be adopted: Quality indicators (standards) Baseline audit against service standards in section 3.2 to be undertaken in the first quarter of 2014 and submitted to WHSSC. Annual audit and progress report for 2014/15 to be submitted to WHSSC by end of June Annual report by exception from 2016 onwards Key Performance Indicators Performance against the KPIs in section 4.2 will be reported to WHSSC on an annual basis. Annual Cardiac Audit Data from the ACHD service will be presented at the annual Cardiac Audit Day held in November each year. Page 11 of 14

12 4.2 Key Performance Indicators The providers will be expected to monitor against the following target outcomes on an annual basis: Follow-up and monitoring % of patients with simple / moderate/ complex disease reviewed in outpatients department at the optimal time interval OPD DNA rate Care in Pregnancy % of pregnant women with ACHD suffering unexpected complication or death in pregnancy Adverse fetal or neonatal outcome related to CVS complication of pregnancy in women with ACHD Transition % of patients who have had an introduction to either a transition nurse or GUCH nurse In-patient care % of admitted patients with congenital heart disease seen by a GUCH specialist during their admission % of patients undergoing procedures that have been discussed in a MDT setting Outcomes Acute arrhythmia requiring emergency intervention in patients with ACHD Admission with acute heart failure with ACHD New neurological deficit in patients with ACHD Unexpected death/years lost The service will provide commissioners with the following information on a monthly basis by LHB: Page 12 of 14

13 List monitoring information, e.g. Number of patients awaiting assessment, waiting times, DNAs, etc. Page 13 of 14

14 5. Equality Impact and Assessment The Equality Impact Assessment (EQIA) process has been developed to help promote fair and equal treatment in the delivery of health services. It aims to enable Welsh Health Specialised Services Committee to identify and eliminate detrimental treatment caused by the adverse impact of health service policies upon groups and individuals for reasons of race, gender re-assignment, disability, sex, sexual orientation, age, religion and belief, marriage and civil partnership, pregnancy and maternity and language (welsh). This policy has been subjected to an Equality Impact Assessment. The Assessment has shown that there will be add in what the outcome was. Page 14 of 14

Specialised Services Service Specification: Inherited Bleeding Disorders

Specialised Services Service Specification: Inherited Bleeding Disorders Specialised Services Service Specification: Inherited Bleeding Disorders Document Author: Assistant Specialised Services Planner Cardiac and Cancer Specialised Services Planner Cancer and Blood Executive

More information

Specialised Services Service Specification: CP57b. Genetic Testing for Inherited Cardiac Conditions

Specialised Services Service Specification: CP57b. Genetic Testing for Inherited Cardiac Conditions Specialised Services Service Specification: CP57b Genetic Testing for Inherited Cardiac Conditions Document Author: Specialised Planner Executive Lead: Director of Finance Approved by: Management Group

More information

Specialised Services: CPL-008 Referral Management Policy

Specialised Services: CPL-008 Referral Management Policy Specialised Services: CPL-008 Referral Management Policy 2017 Version 2.0 Document information Document purpose Document name Policy Referral Management Policy Author Welsh Health Specialised Services

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

Specialised Services Service Specification: Hepatobiliary Cancer Surgery

Specialised Services Service Specification: Hepatobiliary Cancer Surgery Specialised Services Service Specification: Hepatobiliary Cancer Surgery Document Author: Specialised Services Planner, Cancer and Blood Executive Lead: Medical Director, WHSSC Approved by: Management

More information

NORTH EAST ESSEX CLINICAL COMMISSIONING GROUP CONSULTANT TO CONSULTANT REFERRAL POLICY

NORTH EAST ESSEX CLINICAL COMMISSIONING GROUP CONSULTANT TO CONSULTANT REFERRAL POLICY PLEASE NOTE POLICY IS UNDER REVIEW NORTH EAST ESSEX CLINICAL COMMISSIONING GROUP CONSULTANT TO CONSULTANT REFERRAL POLICY Target Audience Brief Description (max 50 words) Action Required Providers, Commissioners

More information

Congenital Heart Disease Services

Congenital Heart Disease Services Congenital Heart Disease Services We are changing the way care is delivered across the North West of England, North Wales and Isle of Man for people living with congenital heart disease. Please read below

More information

Congenital Heart Disease: Draft Standards and Service Specifications for consultation

Congenital Heart Disease: Draft Standards and Service Specifications for consultation Congenital Heart Disease: Draft Standards and Service Specifications for consultation Contents Contents... 2 1 Draft Paediatric Service Specification... 3 2 Draft Paediatric Standards... 29 3 Draft Adult

More information

Classification: Official. Adult Congenital Heart Disease Standards: Level 3 Local ACHD Centres

Classification: Official. Adult Congenital Heart Disease Standards: Level 3 Local ACHD Centres Congenital Heart Disease s: Level 3 Local ACHD Centres 1 NHS England INFORMATION READER BOX Directorate Medical Commissioning Operations Patients and Information Nursing Trans. & Corp. Ops. Commissioning

More information

ACHD Adult Congenital Heart Disease

ACHD Adult Congenital Heart Disease CHD dult Congenital Heart Disease dult Congenital Heart Disease Review - Engagement Improving everyday life for adults with congenital heart disease review into NHS services we want your views This document

More information

PARTICULARS, SCHEDULE 2 THE SERVICES, A Service Specification. 12 months

PARTICULARS, SCHEDULE 2 THE SERVICES, A Service Specification. 12 months E09/S(HSS)/b 2013/14 NHS STANDARD CONTRACT FOR VEIN OF GALEN MALFORMATION SERVICE (ALL AGES) PARTICULARS, SCHEDULE 2 THE SERVICES, A Service Specification Service Specification No. Service Commissioner

More information

Paediatric Cardiac and Adult Congenital Heart Disease: Standards Compliance Assessment

Paediatric Cardiac and Adult Congenital Heart Disease: Standards Compliance Assessment Hospital Trust: University Hospitals of Leicester NHS Trust RAG RATING: Amber/Red University Hospitals of Leicester has not demonstrated that it meets all of the requirements assessed and were considered

More information

Proposals to implement standards for congenital heart disease services for children and adults in England - Consultation Summary

Proposals to implement standards for congenital heart disease services for children and adults in England - Consultation Summary Proposals to implement standards for congenital heart disease services for children and adults in England - Consultation Summary Proposals to implement standards for congenital heart disease for children

More information

Interim service arrangements for patients with congenital heart disease

Interim service arrangements for patients with congenital heart disease Interim service arrangements for patients with congenital heart disease Background The Adult Congenital Heart Disease service in the North West of England is currently experiencing staffing pressures and

More information

Implementation of Quality Framework Update

Implementation of Quality Framework Update Joint Committee Meeting 26 January 2016 Title of the Committee Paper Framework Update Executive Lead: Director of Nursing & Quality Assurance Author: Director of Nursing & Quality Assurance Contact Details

More information

18 Weeks Referral to Treatment Guidance (Access Policy)

18 Weeks Referral to Treatment Guidance (Access Policy) 18 Weeks Referral to Treatment Guidance (Access Policy) CATEGORY: Guidelines CLASSIFICATION: Clinical PURPOSE: To provide guidance on the management of the 18 week referral to treatment pathway Controlled

More information

Provision of Adult Thoracic Surgery in South Wales Mid-Point Review

Provision of Adult Thoracic Surgery in South Wales Mid-Point Review Provision of Adult Thoracic Surgery in South Wales Mid-Point Review Status For Review Version Number 1.0 Publication Date 27th July 2018 V1.0 27 rd July 2018 2018 Contents 1. Introduction... 3 2. Context...

More information

AGENDA ITEM 17b Annex (i)

AGENDA ITEM 17b Annex (i) QUALITY AND PATIENT SAFETY COMMITTEE Minutes of the meeting held on 10 th April 2014 Welsh Health Specialised Services Committee Offices Unit 3a, Van Road Caerphilly Business Park Caerphilly CF83 3ED Present

More information

EMERGENCY PRESSURES ESCALATION PROCEDURES

EMERGENCY PRESSURES ESCALATION PROCEDURES OP48 EMERGENCY PRESSURES ESCALATION PROCEDURES INITIATED BY: Director of Therapies & Health Sciences / Chief Operating Officer APPROVED BY: Executive Board DATE APPROVED: 21 September 2016 VERSION: 3 OPERATIONAL

More information

Annex C: Notes of meeting between Liverpool and Manchester Hospitals

Annex C: Notes of meeting between Liverpool and Manchester Hospitals Annex C: Notes of meeting between Liverpool and Manchester Hospitals Email from Professor Huon Gray Dear Colleagues, It was very good to meet with you all on October 23 rd. I felt the discussion was constructive

More information

Classification: Official. Paediatric Congenital Heart Disease Standards: Level 1 Specialist Children s Surgical Centres

Classification: Official. Paediatric Congenital Heart Disease Standards: Level 1 Specialist Children s Surgical Centres Congenital Heart Disease s: Level 1 Specialist Children s Surgical Centres 1 NHS England INFORMATION READER BOX Directorate Medical Commissioning Operations Patients and Information Nursing Trans. & Corp.

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

Birmingham, Sandwell and Solihull Eligibility Criteria Policy for NHS Non-Emergency Patient Transport (NEPT)

Birmingham, Sandwell and Solihull Eligibility Criteria Policy for NHS Non-Emergency Patient Transport (NEPT) Birmingham, Sandwell and Solihull Eligibility Criteria Policy for NHS Non-Emergency Patient Transport (NEPT) Version: 0.1 Ratified by: Date ratified: 1 st June 2016 Name of originator/author: Name of responsible

More information

Consultant to Consultant Referral Policy

Consultant to Consultant Referral Policy Consultant to Consultant Referral Policy Version Author Date Comments Approved by No V1.0 Mel Sims 19 January 2017 To be APPROVED Governing Body Reader information Reference Document purpose COM002 This

More information

Implementation of the right to access services within maximum waiting times

Implementation of the right to access services within maximum waiting times Implementation of the right to access services within maximum waiting times Guidance for strategic health authorities, primary care trusts and providers DH INFORMATION READER BOX Policy HR / Workforce

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

Title of the Health Board Report

Title of the Health Board Report AGENDA ITEM 3.2 Title of the Health Board Report IMPLEMENTING THE OUTCOME OF THE SOUTH WALES PROGRAMME THROUGH ACUTE CARE ALLIANCES AND DEVELOPMENT OF THE SOUTH WALES HEALTH COLLABORATIVE Executive Lead:

More information

A National Model of Care for Paediatric Healthcare Services in Ireland Chapter 4: Vision for Paediatric Health Services

A National Model of Care for Paediatric Healthcare Services in Ireland Chapter 4: Vision for Paediatric Health Services A National Model of Care for Paediatric Healthcare Services in Ireland Chapter 4: Vision for Paediatric Health Services Clinical Strategy and Programmes Division Vision for Paediatric Health Services Introduction

More information

REPORT 1 PLANNED CARE

REPORT 1 PLANNED CARE REPORT 1 PLANNED CARE Contents Planned care vision c-3 Definition - Planned Care c-3 Current planned care services c-4 What patients say about current planned care services c-7 Vision c-8 Principles c-9

More information

PATIENT ACCESS POLICY (ELECTIVE CARE) UHB 033 Version No: 1 Previous Trust / LHB Ref No: Senior Manager, Performance and Compliance.

PATIENT ACCESS POLICY (ELECTIVE CARE) UHB 033 Version No: 1 Previous Trust / LHB Ref No: Senior Manager, Performance and Compliance. Reference No: PATIENT ACCESS POLICY (ELECTIVE CARE) UHB 033 Version No: 1 Previous Trust / LHB Ref No: Trust 364 Documents to read alongside this Policy. Ministerial Letter EH/ML/004/09 WAG Rules for Managing

More information

1 Introduction 2 2 Definitions of levels of care 3 3 Common principles 4 4 Admission criteria 5 5 Referral procedure

1 Introduction 2 2 Definitions of levels of care 3 3 Common principles 4 4 Admission criteria 5 5 Referral procedure ADMISSION & DISCHARGE POLICY FOR ADULT CRITICAL CARE SERVICES CONTENTS Page 1 Introduction 2 2 Definitions of levels of care 3 3 Common principles 4 4 Admission criteria 5 5 Referral procedure 5-7 5.1

More information

CWM TAF LOCAL HEALTH BOARD

CWM TAF LOCAL HEALTH BOARD CWM TAF LOCAL HEALTH BOARD TOGETHER FOR HEALTH - A HEART DISEASE DELIVERY PLAN A DELIVERY PLAN UP TO 2016 FOR CWM TAF LHB AND ITS PARTNERS DECEMBER 2013 Page 1 of 24 1. BACKGROUND AND CONTEXT Together

More information

Quality Assurance Framework. Powys thb provided and commissioned services Quality and Safety Committee November 2013

Quality Assurance Framework. Powys thb provided and commissioned services Quality and Safety Committee November 2013 Quality Assurance Framework Powys thb provided and commissioned services Quality and Safety Committee November 2013 1 Background Together for Health vision for NHS Wales 6 domains of quality Effectiveness

More information

PATIENT RIGHTS ACT (SCOTLAND) 2011 ACCESS POLICY FOR TREATMENT TIME GUARANTEE

PATIENT RIGHTS ACT (SCOTLAND) 2011 ACCESS POLICY FOR TREATMENT TIME GUARANTEE NHS Board Meeting Tuesday 16 October 2012 Chief Operating Officer (Acute Services Division) Board Paper No. 12/45 PATIENT RIGHTS ACT (SCOTLAND) 2011 ACCESS POLICY FOR TREATMENT TIME GUARANTEE Recommendation:

More information

Wandsworth CCG. Continuing Healthcare Commissioning Policy

Wandsworth CCG. Continuing Healthcare Commissioning Policy Wandsworth CCG Continuing Healthcare Commissioning Policy Document Control Title Originator/author: Approval Body Wandsworth CCG Continuing Healthcare Commissioning Policy Alison Kirby / Munya Nhamo Wandsworth

More information

They are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:

They are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see: overview bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They are updated regularly as new NICE guidance is published. To view

More information

How NICE clinical guidelines are developed

How NICE clinical guidelines are developed Issue date: January 2009 How NICE clinical guidelines are developed: an overview for stakeholders, the public and the NHS Fourth edition : an overview for stakeholders, the public and the NHS Fourth edition

More information

EQUALITY ANALYSIS FORM

EQUALITY ANALYSIS FORM NHS Birmingham Cross City Clinical Commissioning Group NHS Birmingham South Central Clinical Commissioning Group NHS Sandwell and West Birmingham Clinical Commissioning Group NHS Solihull Clinical Commissioning

More information

POSITION STATEMENT ON THE FUTURE MODEL OF NEUROSCIENCES IN MID AND SOUTH WALES. Chief Executive

POSITION STATEMENT ON THE FUTURE MODEL OF NEUROSCIENCES IN MID AND SOUTH WALES. Chief Executive AGENDA ITEM 5.2 23 October 2009 POSITION STATEMENT ON THE FUTURE MODEL OF NEUROSCIENCES IN MID AND SOUTH WALES Report of Chief Executive Paper prepared by Purpose of Paper Action/Decision required Link

More information

POLICY FOR X RAY REFERRAL BY QUALIFIED NURSE PRACTITIONERS WORKING IN GENERAL PRACTICE

POLICY FOR X RAY REFERRAL BY QUALIFIED NURSE PRACTITIONERS WORKING IN GENERAL PRACTICE POLICY FOR X RAY REFERRAL BY QUALIFIED NURSE PRACTITIONERS WORKING IN GENERAL PRACTICE APPROVED BY: Chief Nurse May 2016 EFFECTIVE FROM: May 2016 REVIEW DATE: May 2018 Version Control Policy Category:

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

IR(ME)R Inspection (Announced) Abertawe Bro Morgannwg University Health Board Princess of Wales Hospital Radiology Department

IR(ME)R Inspection (Announced) Abertawe Bro Morgannwg University Health Board Princess of Wales Hospital Radiology Department DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW IR(ME)R Inspection (Announced) Abertawe Bro Morgannwg University Health Board Princess of Wales Hospital Radiology Department 18 and 19 August

More information

GOVERNANCE REVIEW. Contact Details for further information: Pam Wenger, Committee Secretary.

GOVERNANCE REVIEW. Contact Details for further information: Pam Wenger, Committee Secretary. Joint Committee Meeting 26 January 2016 Title of the Committee Paper GOVERNANCE REVIEW Executive Lead: Chair Author: Committee Secretary Contact Details for further information: Pam Wenger, Committee Secretary.

More information

The Royal Wolverhampton NHS Trust & Wolverhampton CCG consultation on proposals to deliver planned care at Cannock Chase Hospital

The Royal Wolverhampton NHS Trust & Wolverhampton CCG consultation on proposals to deliver planned care at Cannock Chase Hospital The Royal Wolverhampton NHS Trust & Wolverhampton CCG consultation on proposals to deliver planned care at Cannock Chase Hospital Introduction Supplementary Briefing Paper This paper provides more detailed

More information

Executive Director of Nursing and Chief Operating Officer

Executive Director of Nursing and Chief Operating Officer Document Title Arrangements for Managing Patients Mental and Physical Health Needs across NTW and the Acute Hospital Trusts Reference Number Lead Officer Author(s) (name and designation) Ratified by NTW(C)15

More information

Framework for managing performer concerns NHS (Performers Lists) (England) Regulations 2013

Framework for managing performer concerns NHS (Performers Lists) (England) Regulations 2013 Framework for managing performer concerns NHS (Performers Lists) (England) Regulations 2013 Information reader box NHS England INFORMATION READER BOX Directorate Medical Operations Patients and Information

More information

Your local NHS and you

Your local NHS and you South Wales Programme Local Engagement Document Your local NHS and you Local NHS services in Cardiff and the Vale of Glamorgan are run by Cardiff and Vale University Health Board (UHB). The UHB is one

More information

Storyboard submission

Storyboard submission Storyboard submission Follow the detailed instructions in this template for writing a description of your storyboard. Type your information in each section below and save this completed storyboard document

More information

Referral to Treatment (RTT) Access Policy

Referral to Treatment (RTT) Access Policy General Referral to Treatment (RTT) Access Policy This is a controlled document and whilst this document may be printed, the electronic version posted on the intranet/shared drive is the controlled copy.

More information

Mental Health (Wales) Measure Implementing the Mental Health (Wales) Measure Guidance for Local Health Boards and Local Authorities

Mental Health (Wales) Measure Implementing the Mental Health (Wales) Measure Guidance for Local Health Boards and Local Authorities Mental Health (Wales) Measure 2010 Implementing the Mental Health (Wales) Measure 2010 Guidance for Local Health Boards and Local Authorities Januar y 2011 Crown copyright 2011 WAG 10-11316 F6651011 Implementing

More information

CLINICAL PROTOCOL FOR THE IDENTIFICATION OF SERVICE USERS

CLINICAL PROTOCOL FOR THE IDENTIFICATION OF SERVICE USERS CLINICAL PROTOCOL FOR THE IDENTIFICATION OF SERVICE USERS RATIONALE All Professionals/healthcare workers are personally accountable for their practice and, in the exercise of their professional accountability,

More information

NHS ENGLAND BOARD PAPER

NHS ENGLAND BOARD PAPER NHS ENGLAND BOARD PAPER Paper: PB.30.11.2017/06 Title: Congenital Heart Disease Services for Adults and Children: Future Commissioning Arrangements Lead Directors: Paul Baumann - Chief Financial Officer

More information

APPROVAL OF MENTAL HEALTH CLINICAL RISK ASSESSMENT & MANAGEMENT POLICY

APPROVAL OF MENTAL HEALTH CLINICAL RISK ASSESSMENT & MANAGEMENT POLICY FOR DECISION AGENDA ITEM 7.2 June 19 th 2012 APPROVAL OF MENTAL HEALTH CLINICAL RISK ASSESSMENT & MANAGEMENT POLICY Report of Paper prepared by Executive Nurse Director Divisional Nurse Mental Heath Executive

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

Hospital Generated Inter-Speciality Referral Policy Supporting people in Dorset to lead healthier lives

Hospital Generated Inter-Speciality Referral Policy Supporting people in Dorset to lead healthier lives NHS Dorset Clinical Commissioning Group Hospital Generated Inter-Speciality Referral Policy Supporting people in Dorset to lead healthier lives PREFACE This Document outlines the CCG s policy in respect

More information

IMPLEMENTING THE OUTCOME OF THE SOUTH WALES PROGRAMME THROUGH ACUTE CARE ALLIANCES AND DEVELOPMENT OF THE SOUTH WALES HEALTH COLLABORATIVE

IMPLEMENTING THE OUTCOME OF THE SOUTH WALES PROGRAMME THROUGH ACUTE CARE ALLIANCES AND DEVELOPMENT OF THE SOUTH WALES HEALTH COLLABORATIVE AGENDA ITEM 3.3 9 September 2014 IMPLEMENTING THE OUTCOME OF THE SOUTH WALES PROGRAMME THROUGH ACUTE CARE ALLIANCES AND DEVELOPMENT OF THE SOUTH WALES HEALTH COLLABORATIVE Executive Lead: Chief Executive

More information

Redesigning the Acute Coronary Syndrome (NSTE- ACS) pathway at Morriston Cardiac Centre - The case for change

Redesigning the Acute Coronary Syndrome (NSTE- ACS) pathway at Morriston Cardiac Centre - The case for change Redesigning the Acute Coronary Syndrome (NSTE- ACS) pathway at Morriston Cardiac Centre - The case for change 4 th July 2012 Dr D Smith & Dr S Dorman Introduction... 2 NSTE-ACS Where are we now?... 2 NSTE-ACS

More information

Mapping maternity services in Australia: location, classification and services

Mapping maternity services in Australia: location, classification and services Accessory publication Mapping maternity services in Australia: location, classification and services Caroline S. E. Homer 1,4 RM, MMedSci(ClinEpi), PhD, Professor of Midwifery Janice Biggs 2 BA(Hons),

More information

JOB DESCRIPTION. To undertake clinical procedures on neonates, children and adults.

JOB DESCRIPTION. To undertake clinical procedures on neonates, children and adults. JOB DESCRIPTION JOB TITLE: DIRECTORATE: DEPARTMENT: Cardiac Physiologist Adult Care Pathways Cardiology BAND: Band 5 RESPONSIBLE TO: ACCOUNTABLE TO: Principal Cardiac Physiologist Business Manager for

More information

and colonisation suppression POLICIES REPLACING N/A

and colonisation suppression POLICIES REPLACING N/A TITLE: UNIQUE IDENTIFIER Assigned by Sharepoint VERSION No 1.2 LEAD AUTHOR S NAME Allison Charlesworth LEAD AUTHOR JOB TITLE Matron Infection Prevention ACCOUNTABLE DIRECTOR Rob Dearden, Director of Nursing

More information

Serious Incident Management Policy

Serious Incident Management Policy Serious Incident Management Policy Standard Operating Procedure Version Version 2 Implementation Date 01 November 2017 Review Date 31 October 2019 St Helens CCG Serious Incident Management Policy Approved

More information

Implementing the Mental Health (Wales) Measure 2010

Implementing the Mental Health (Wales) Measure 2010 Implementing the Mental Health (Wales) Measure 2010 Guidance for Local Health Boards and Local Authorities on the Establishment of Joint Schemes for the Delivery of Local Primary Mental Health Support

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

TRUST BOARD TB(16) 44. Summary of Lord Carter recommendations Operational productivity and performance in English acute hospitals

TRUST BOARD TB(16) 44. Summary of Lord Carter recommendations Operational productivity and performance in English acute hospitals TRUST BOARD TB(16) 44 Title: Action: Meeting: Summary of Lord Carter recommendations Operational productivity and performance in English acute hospitals FOR NOTING Date of meeting Purpose: The purpose

More information

TOGETHER FOR HEALTH DELIVERING END OF LIFE CARE PLAN A Delivery Plan up to 2016 for NHS Wales and its Partners

TOGETHER FOR HEALTH DELIVERING END OF LIFE CARE PLAN A Delivery Plan up to 2016 for NHS Wales and its Partners AGENDA ITEM 3.1 5 th November 2013 TOGETHER FOR HEALTH DELIVERING END OF LIFE CARE PLAN A Delivery Plan up to 2016 for NHS Wales and its Partners Executive Lead: Director of Therapies and Health Science

More information

INFORMATION STANDARDS GOVERNANCE PROCESS. INFORMATION STANDARD Draft FINAL PROPOSAL FOR NEW OR CHANGED (INCLUDING RETIRED) INFORMATION STANDARD

INFORMATION STANDARDS GOVERNANCE PROCESS. INFORMATION STANDARD Draft FINAL PROPOSAL FOR NEW OR CHANGED (INCLUDING RETIRED) INFORMATION STANDARD INFORMATION STANDARDS GOVERNANCE PROCESS INFORMATION STANDARD Draft FINAL PROPOSAL FOR NEW OR CHANGED (INCLUDING RETIRED) INFORMATION STANDARD Project to develop dataset to inform KPIs / AOF targets for

More information

Barnet Health Overview and Scrutiny Committee 6 October 2016

Barnet Health Overview and Scrutiny Committee 6 October 2016 Barnet Health Overview and Scrutiny Committee 6 October 2016 Title Health Tourism Report of Wards Status Urgent Key Enclosures Officer Contact Details Barnet Clinical Commissioning Group All Public No

More information

Mortality and harm reduction in Welsh Ambulance Services NHS Trust

Mortality and harm reduction in Welsh Ambulance Services NHS Trust 25 th November 2010 Mortality and harm reduction in Welsh Ambulance Services NHS Trust Insert name of presentation on Master Slide Introduction First ambulance service in the world to take part in 1000

More information

Policy for the repatriation of patients from Sheffield Teaching Hospitals NHS Foundation Trust

Policy for the repatriation of patients from Sheffield Teaching Hospitals NHS Foundation Trust N Policy for the repatriation of patients from Sheffield Teaching Hospitals NHS Foundation Trust Reference Number Version Status Executive Lead(s) Name and Job Title Author(s) Name and Job Title 199 3.0

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Introduction and Development of New Clinical Interventional Procedures

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Introduction and Development of New Clinical Interventional Procedures The Newcastle upon Tyne Hospitals NHS Foundation Trust Introduction and Development of New Clinical Interventional Procedures Version No.: 2.1 Effective From: 27 November 2017 Expiry Date: 7 January 2019

More information

Learning from Deaths Policy A Framework for Identifying, Reporting, Investigating and Learning from Deaths in Care.

Learning from Deaths Policy A Framework for Identifying, Reporting, Investigating and Learning from Deaths in Care. Learning from Deaths Policy A Framework for Identifying, Reporting, Investigating and Learning from Deaths in Care. Associated Policies Being Open and Duty of Candour policy CG10 Clinical incident / near-miss

More information

Equality Impact Assessment - Procurement of defibrillator / patient monitor for use in Accident & Emergency vehicles.

Equality Impact Assessment - Procurement of defibrillator / patient monitor for use in Accident & Emergency vehicles. Equality Impact Assessment - Procurement of defibrillator / patient monitor for use in Accident & Emergency vehicles. Equality Impact Assessment is concerned with anticipating and identifying the equality

More information

Drainage of Abdominal Ascites

Drainage of Abdominal Ascites Drainage of Abdominal Ascites Standard Operating Procedure (SOP) Prepared by: Cancer & Vascular Access Advanced Nurse Practitioner Presented to: Date: Care and Clinical Policies Group 18 January 2017 Cancer

More information

Transforming Cancer Services In South East Wales

Transforming Cancer Services In South East Wales Transforming Cancer Services In South East Wales Clinical Service Model January 2016 Cancer survival rates are increasing. But the number of people getting cancer is increasing too. At Velindre NHS Trust

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

WELSH HEALTH SPECIALISED SERVICES COMMITTEE ANNUAL GOVERNANCE STATEMENT 2014/15

WELSH HEALTH SPECIALISED SERVICES COMMITTEE ANNUAL GOVERNANCE STATEMENT 2014/15 Agenda Item 19b Annex (ii) To: Mrs Allison Williams, Chief Executive, Cwm Taf University Health Board cc: Joint Committee Members WELSH HEALTH SPECIALISED SERVICES COMMITTEE ANNUAL GOVERNANCE STATEMENT

More information

Author: Kelvin Grabham, Associate Director of Performance & Information

Author: Kelvin Grabham, Associate Director of Performance & Information Trust Policy Title: Access Policy Author: Kelvin Grabham, Associate Director of Performance & Information Document Lead: Kelvin Grabham, Associate Director of Performance & Information Accepted by: RTT

More information

Unannounced Follow-up Inspection Report: Independent Healthcare

Unannounced Follow-up Inspection Report: Independent Healthcare Unannounced Follow-up Inspection Report: Independent Healthcare St Vincent s Hospice St Vincent s Hospice Limited 28 www.healthcareimprovementscotland.org Healthcare Improvement Scotland is committed to

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

#NeuroDis

#NeuroDis Each and Every Need A review of the quality of care provided to patients aged 0-25 years old with chronic neurodisability, using the cerebral palsies as examples of chronic neurodisabling conditions Recommendations

More information

RTT Assurance Paper. 1. Introduction. 2. Background. 3. Waiting List Management for Elective Care. a. Planning

RTT Assurance Paper. 1. Introduction. 2. Background. 3. Waiting List Management for Elective Care. a. Planning RTT Assurance Paper 1. Introduction The purpose of this paper is to provide assurance to Trust Board in relation to the robust management of waiting lists and timely delivery of elective patient care within

More information

MINIMUM STANDARDS FOR INTENSIVE CARE UNITS SEEKING ACCREDITATION FOR TRAINING IN INTENSIVE CARE MEDICINE

MINIMUM STANDARDS FOR INTENSIVE CARE UNITS SEEKING ACCREDITATION FOR TRAINING IN INTENSIVE CARE MEDICINE College of Intensive Care Medicine of Australia and New Zealand ABN: 16 134 292 103 Document type: Policy Date established: 1994 Date last reviewed: 2015 MINIMUM STANDARDS FOR INTENSIVE CARE UNITS SEEKING

More information

Taking Organ Transplantation to 2020 Abertawe Bro Morgannwg University Local Health Board Action Plan

Taking Organ Transplantation to 2020 Abertawe Bro Morgannwg University Local Health Board Action Plan Taking Organ Transplantation to 2020 Abertawe Bro Morgannwg University Local Health Board Action Plan Foreword In 2008 the Department of Health (DH), with the support from the Welsh Assembly Government,

More information

Non Attendance (Did Not Attend-DNA ) Policy. Executive Director of Nursing and Chief Operating Officer

Non Attendance (Did Not Attend-DNA ) Policy. Executive Director of Nursing and Chief Operating Officer Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Non Attendance (Did Not Attend-DNA) NTW(C)06 Executive Director of Nursing and Chief Operating Officer Ann Marshall

More information

Overarching Section 75 Agreement Adults Integrated Health and Social Care Services. Subject. Cabinet Member

Overarching Section 75 Agreement Adults Integrated Health and Social Care Services. Subject. Cabinet Member ACTION TAKEN BY CABINET MEMBER (EXECUTIVE FUNCTION) Subject Cabinet Member Overarching Section 75 Agreement Adults Integrated Health and Social Care Services Cabinet Member for Adults Cabinet Member for

More information

Diagnostics FAQs. Frequently Asked Questions on completing the Diagnostic Waiting Times & Activity monthly data collection

Diagnostics FAQs. Frequently Asked Questions on completing the Diagnostic Waiting Times & Activity monthly data collection Diagnostics FAQs Frequently Asked Questions on completing the Diagnostic Waiting Times & Activity monthly data collection First published: October 2006 Updated: 02 February 2015 Prepared by Analytical

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

WELSH RENAL CLINICAL NETWORK TERMS OF REFERENCE

WELSH RENAL CLINICAL NETWORK TERMS OF REFERENCE INTRODUCTION WELSH RENAL CLINICAL NETWORK TERMS OF REFERENCE In accordance with WHSSC Standing Order 3, the Joint Committee may and, where directed by the LHBs jointly or the Welsh Government must, appoint

More information

Cardiac Surgery Site Assessment Guidance

Cardiac Surgery Site Assessment Guidance London Cardiovascular Project Cardiac Surgery Site Assessment Guidance The London Cardiac and Stroke Network teams have been working with local providers and commissioners to plan the implementation of

More information

Integrated heart failure service working across the hospital and the community

Integrated heart failure service working across the hospital and the community Integrated heart failure service working across the hospital and the community Lynne Ruddick Professional Lead (South) British Heart Foundation 31st October 2017 Heart Failure is an epidemic. NICE has

More information

To facilitate the management of patients under the care of Cardiology,

To facilitate the management of patients under the care of Cardiology, RUN DESCRIPTION POSITION: Advanced Trainee Registrar DEPARTMENT: Cardiology PLACE OF WORK: Auckland Hospital RESPONSIBLE TO: FUNCTIONAL RELATIONSHIPS: PRIMARY OBJECTIVE: Clinical Director and Business

More information

Seven Day Services Clinical Standards September 2017

Seven Day Services Clinical Standards September 2017 Seven Day Services Clinical Standards September 2017 11 September 2017 Gateway reference: 06408 Patient Experience 1. Patients, and where appropriate families and carers, must be actively involved in shared

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

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

Paediatric Cardiac and Adult Congenital Heart Disease Compliance Assessment. University Hospitals of Leicester NHS Trust. 7 th November 2016

Paediatric Cardiac and Adult Congenital Heart Disease Compliance Assessment. University Hospitals of Leicester NHS Trust. 7 th November 2016 Paediatric Cardiac and Adult Congenital Heart Disease Compliance Assessment University Hospitals of Leicester NHS Trust 7 th November 2016 University Hospitals of Leicester NHS Trust welcomes the opportunity

More information

Adults and Safeguarding Committee 7 th March 2016

Adults and Safeguarding Committee 7 th March 2016 Adults and Safeguarding Committee 7 th March 2016 Title Report of Wards Status Urgent Key Enclosures Officer Contact Details Extension of Mental Health Day Opportunities Contract Adults and Health Commissioning

More information

The interface between primary and secondary care Key messages for NHS clinicians and managers

The interface between primary and secondary care Key messages for NHS clinicians and managers The interface between primary and secondary care Key messages for NHS clinicians and managers In partnership with: NHS England and NHS Improvement 2 Good organisation of care across the interface between

More information

Obesity - Tier 3 Weight Management Programme and Bariatric Surgery Criteria Based Access Protocol

Obesity - Tier 3 Weight Management Programme and Bariatric Surgery Criteria Based Access Protocol NHS Dorset Clinical Commissioning Group Obesity - Tier 3 Weight Management Programme and Bariatric Surgery Criteria Based Access Protocol Supporting people in Dorset to lead healthier lives 1. INTRODUCTION

More information

Briefing on the first stage of the Acute Services Review the clinical recommendations

Briefing on the first stage of the Acute Services Review the clinical recommendations Briefing on the first stage of the Acute Services Review the clinical recommendations Introduction Over 100 clinicians from our four main hospitals, GPs, NHS managers and patient representatives have been

More information

ACHA ACHD PROGRAM CRITERIA Comprehensive Care Center

ACHA ACHD PROGRAM CRITERIA Comprehensive Care Center ACHA ACHD PROGRAM CRITERIA Comprehensive Care Center A. ACHD Cardiologist B. ACHD Medical Program Director C. Advanced Practice Nurse/Physician Assistant D. Registered Nurse E. Cardiothoracic Surgery and

More information