Storyboard submission
|
|
- Roberta Lyons
- 6 years ago
- Views:
Transcription
1 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 as a Microsoft Word file. Please spell check your storyboard before submission as it will be published on the NHS Wales Awards website. Please note: The storyboard should be between words maximum (including references but excluding headings, images or graphs) Submit your storyboard using the online submission system at by Friday 25 January Storyboard submission 1. Storyboard Title Swansea Acute GP Unit: Alternative pathways to hospital admission mean more choice and quality care for patients. 2. Brief Outline of Context (Where this improvement work was done; what sort of unit/department; what staff/client groups were involved) The Swansea Acute GP Unit (AGPU) was launched in Singleton Hospital in June Led by Dr. Chris Johns and Dr. Chris Hudson, AGPU is a unique service in NHS Wales, offering alternative patient pathways to acute hospital admission during an episode of urgent care.
2 AGPU takes a bold step towards service integration, acting as an interface between primary and secondary care services by delivering a GP triage of all GP referrals to the acute medical intake at Singleton Hospital and arranging patients into appropriate clinical pathways at the point of telephone triage or following face to face patient consultation. The service is staffed by local Swansea GP s who work closely with physicians, consultants, therapists and nurse assessors in Singleton to find the most appropriate outcome for each patient, ensuring that the patient has an informed choice about their most appropriate care pathway and that decisions are made with them, rather than for them. The community GP also receives a discharge summary within 24 hours. Following a GP call, if the Acute GP decides that the patient requires admission, they attend the Singleton Assessment Unit (SAU) directly to undergo observations and assessments to determine the best course of care or treatment. Alternatively, the patient attends AGPU for further assessment, and if appropriate, the Acute GP works with various groups to find an alternative pathway to admission, such as referral to the Community Resource Team (a mutli-disciplinary team that provides packages of care to patients out in the community), access to specialist Hot Clinics, immediate diagnostic investigation or consultant advice. AGPU promotes greater interaction and better working relationships between GP s and hospital physicians while challenging traditional ways of working by bridging the gaps between primary and secondary care.
3 Flow chart demonstrating the AGPU service: GP IDENTIFIES NEED TO REFER PATIENT TO SINGLETON HOSPITAL GP rings the receptionist of the Acute GP unit, who takes patient demographic details then passes call straight onto GP on duty Discussion between referring GP and Acute Unit GP Patient clearly needs admission to hospital Patient suitable for alternative pathway of care GP accepts referral on behalf of medical on call team (acute unit GP completes call record and this is faxed back to surgery GP faxes referral letter to or gives letter to patient Patient suitable for: Urgent outpatient assessment by specialist services; OR Admission to a community nursing home; OR Care at home by the acute Community Resource Team; OR Short term support at home using social services / Community Resource Team Patient suitable for management by acute unit GP GP faxes referral letter to or gives letter to patient Patient arrives at Singleton and transferred around direct to medical on-call team Patient admitted to hospital Acute unit GP facilitates access to alternative pathway & record faxed to GP to confirm Patient discharged home Acute GP sees patient, investigates as appropriate, develops management plan Patient commences on ambulatory pathway 3. Brief Outline of Problem (Statement of problem; how they set out to tackle it; how it affected patient/client care) Before AGPU, GP referrals to Singleton meant that patients were immediately sent to SAU. However, many patients did not really need hospital admission because they could have been treated as effectively somewhere else i.e. in the community or by a visit to an outpatient clinic.
4 Unnecessary medical admissions have negative impacts on patient care, as research demonstrates that many patients do not want to be admitted and recover quicker at home in familiar settings. Preventable admissions are also highly inefficient, creating unnecessary strains on secondary care resources. Therefore, it was decided that alternative care pathways need to be available for GPreferred patients to prevent unnecessary admissions to SAU. 4. Assessment of Problem and Analysis of its Causes (Quantified problem; staff involvement; assessment of the cause of problem; solutions/changes needed to make improvements) Direct attendances at SAU following GP referrals to Singleton were identified as unsustainable due to the high number of unnecessary attendances, leading to strains on secondary care services. Also, many patients were not receiving the most appropriate type of care for their needs, such as care in the community over hospital admission. The model also created a lack of trust between primary and secondary care professionals because community GP s were often ill-informed about the patient s outcome following admission. To resolve these problems, it was decided that a new service model would be developed. The new model had the aim of offering alternatives to admissions, quicker access to higher level investigation, advice and second opinion, and quicker access to specialist advice. A key feature of the model would also be the speedy communication of discharge summaries to the referring GP s to ensure they are kept informed about their patient. 5. Strategy for Change (How the proposed change was implemented; clear client or staff group described; explain how they disseminated the results of the analysis and plans for change to the groups involved with/affected by the planned change; include a timetable for change) The decision to implement the change was made at the end of February 2012, and the service opened mid-june Nursing staff and GP s were informed about the new service and kept updated about the service developments via newsletters. A website was also set up to keep staff informed about AGPU ( It was decided that the unit needed to be close to diagnostic services and the admissions unit, and delivered in an outpatient environment. Therefore, the service was placed in the same area as the current Minor Injuries Unit (MIU), which treats unexpected and urgent minor injuries or illness when a patient just can t wait to see
5 their GP. AGPU operates in parallel with MIU. It was decided that AGPU would be an integrated service with SAU, and that staff would work across both units, with one extra GP in MIU during AGPU operational hours. The service is operational from 8.30am-5.30pm, Monday-Friday. As an evolving service, the Acute GP s will work to keep developing new pathways. 6. Measurement of Improvement (Details of how the effects of the planned changes were measured) As AGPU was designed to reduce unnecessary medical admissions from GP referrals, the success of the service was measured by the number of GP s accessing the service, the number of medical admissions that were avoided through the service and patient feedback. 7. Effects of Changes (Statement of the effects of the change; how far these changes resolve the problem that triggered the work; how this improved patient/client care; the problems encountered with the process of changes or with the changes) AGPU has lead to significant reductions in the number of GP medical admissions. At present, one in three GP calls to AGPU does not result in an admission to an acute medical bed. AGPU is also being effectively utilised by GP s. Within three months, there were a total of 974 GP calls to AGPU, with an average of 25 referral calls per day. From 03 September 2012 when Neath and Port Talbot GP s also began accessing the service following the closure of acute medical services at Neath Port Talbot Hospital, there have been 1470 calls within three months. Overall, the alternative pathways offered by AGPU have resulted in 37% fewer attendances at SAU. AGPU s Clinical Lead has also reported that on some days, there are up to 50% reductions in GP medical admissions. Considering that before AGPU existed, almost all GP referrals resulted in attendances at SAU, these figures are substantial, and indicate that more patients are receiving the care that is most appropriate for them. The community of GP s were supportive during and following the set up of AGPU, as they seemed to recognise that the Acute GP s were working for and with them. There have also been no patient complaints about the service so far, and many patients have sent formal compliments to the department, with one patient stating that although working under pressure, the team work was marvellous.
6 8. Lessons Learnt (Statement of lessons learnt from the work; what would be done differently next time) AGPU has taught us that it is possible to challenge and improve traditional ways of working, and that the service is not a finished product but a stepping-stone towards the integration of primary and secondary care services. However, it important that Acute GP s are careful not to lose sight of their role as a GP by maintaining their own best practice and not that of hospital physicians. 9. Message for Others (Statement of the main message they would like to convey to others, based on the experience described) Improved patient care, increased efficiency and greater working relationships and cooperation between primary and secondary care professionals can be achieved when we work together and accomplish things across the boundaries.
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 informationStoryboard 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 informationStoryboard 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 informationStoryboard 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 informationVANGUARD: Better Care Together
VANGUARD: Better Care Together Case study: Patient Initiated Follow-Ups (PIFU) Purpose: Patient initiated follow ups put the patient in control of any further outpatient appointments with consultants or
More informationSpecialised Services Service Specification. Adult Congenital Heart Disease
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
More informationINFORMATION 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 informationOnline library of Quality, Service Improvement and Redesign tools. Discharge planning. collaboration trust respect innovation courage compassion
Online library of Quality, Service Improvement and Redesign tools Discharge planning collaboration trust respect innovation courage compassion Discharge planning What is it? A specific targeted discharge
More informationShetland NHS Board. Board Paper 2017/28
Board Paper 2017/28 Shetland NHS Board Meeting: Paper Title: Shetland NHS Board Capacity and resilience planning - managing safe and effective care across hospital and community services Date: 11 th June
More informationImproving Care, Delivering Quality Reducing mortality & harm in Welsh Ambulance Services NHS Trust
National Learning Session - 10 th June 2011 Improving Care, Delivering Quality Reducing mortality & harm in Insert name of presentation on Master Slide Reducing Mortality & Harm in the Welsh Ambulance
More informationHow to implement GP triage
CHANGE PACKAGE How to implement GP triage What is GP triage? Receptionists receiving calls from patients asking for a same-day appointment offer the option of a doctor ringing them back. A GP then contacts
More informationBristol 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 informationSouth Warwickshire s Whole System Approach Transforms Emergency Care. South Warwickshire NHS Foundation Trust
South Warwickshire s Whole System Approach Transforms Emergency Care South Warwickshire NHS Foundation Trust South Warwickshire s Whole System Approach Transforms Emergency Care South Warwickshire NHS
More informationEmergency admissions to hospital: managing the demand
Report by the Comptroller and Auditor General Department of Health Emergency admissions to hospital: managing the demand HC 739 SESSION 2013-14 31 OCTOBER 2013 4 Key facts Emergency admissions to hospital:
More informationAuthor: 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 informationDischarge from hospital
Page 1 of 9 Discharge from hospital for patients, carers and relative Introduction Welcome to our Trust. This leaflet is about planning to leave hospital (also known as discharge from hospital). Please
More informationHealth and care services in Herefordshire & Worcestershire are changing
Health and care services in Herefordshire & Worcestershire are changing An update on a five year plan to provide safe, effective and sustainable care in our area www.yourconversationhw.nhs.uk Your Health
More informationMinor Oral Surgery Service Reconfiguration
Minor Oral Surgery Service Reconfiguration 1 Introduction The purpose of this report is to inform the Board on the status of the Minor Oral Surgery Service Reconfiguration programme and request approval
More informationMortality 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 informationDelivering surgical services: options for maximising resources
Delivering surgical services: options for maximising resources THE ROYAL COLLEGE OF SURGEONS OF ENGLAND March 2007 2 OPTIONS FOR MAXIMISING RESOURCES The Royal College of Surgeons of England Introduction
More informationSAFEGUARDING CHILDREN SUPERVISION POLICY
SAFEGUARDING CHILDREN SUPERVISION POLICY Approved by Safeguarding Committee Submitted by: Head of Safeguarding Children Approved on: 6 th December 2010 Review Date: December 2013 Version: 2.0 Index Page
More informationAddressing ambulance handover delays: actions for local accident and emergency delivery boards
Addressing ambulance handover delays: actions for local accident and emergency delivery boards Published by NHS England and NHS Improvement November 2017 Contents Foreword... 2 Actions to be taken now,
More informationThe 18-week wait programme
Large scale workforce change briefing The 18-week wait programme Findings, successes and learning from NHS Employers large scale workforce change 18-week programme This Briefing summarises some of the
More informationSouth Powys Cluster Plan
South Powys Cluster Plan 2016-17 The Cluster Network Development Domain with the Quality & Outcomes Framework supports medical practices to work collaboratively to: Understand local health needs and priorities
More informationManaging Elective Waiting Times A checklist for NHS health boards
12 March 2015 Archwilydd Cyffredinol Cymru Auditor General for Wales Managing Elective Waiting Times A checklist for NHS health boards Introduction 1 The Auditor General published his report on NHS Waiting
More informationChase Farm Paediatric Assessment Unit Frequently Asked Questions October 2016
Chase Farm Paediatric Assessment Unit Frequently Asked Questions October 2016 1. What is a Paediatric Assessment Unit (PAU)? The service is led by a Paediatric Consultant and supported by nurses. It sees
More informationNHS e-referral Service (e-rs) Frequently Asked Questions for Referrers
NHS e-referral Service (e-rs) Frequently Asked Questions for Referrers Purpose Primary Care colleagues are sometimes faced with situations regarding referrals and may not necessarily know the correct action
More informationSandwell Secondary Mental Health Service Re-design consultation
Service Re-design consultation 2 nd December 2013 28 th February 2014 GP Appointment with Service User Primary Care Step 1: Sandwell GP s will make a referral into BCPFT s Secondary Care Mental Health
More informationThe PCT Guide to Applying the 10 High Impact Changes
The PCT Guide to Applying the 10 High Impact Changes This Guide has been produced by the NHS Modernisation Agency. For further information on the Agency or the 10 High Impact Changes please visit www.modern.nhs.uk
More informationSeven day hospital services: case study. South Warwickshire NHS Foundation Trust
Seven day hospital services: case study South Warwickshire NHS Foundation Trust March 2018 We support providers to give patients safe, high quality, compassionate care within local health systems that
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Spire Gatwick Park Hospital Povey Cross Road, Horley, RH6 0BB
More informationJames Blythe, Director of Commissioning and Strategy. Agenda item: 09 Attachment: 04
Title of paper: Author: Exec Lead: Community Hospital Services Review Tom Elrick, Urgent Care Programme Lead James Blythe, Director of Commissioning and Strategy Date: 23 rd February 2015 Meeting: Executive
More informationREPORT 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 informationAnnex D: Standard Reporting Template
Annex D: Standard Reporting Template Practice Name: Limehouse Practice Practice Code: F84054 London Region [North Central & East/North West/South London] Area Team 2014/15 Patient Participation Enhanced
More informationPRISM: GPs - your questions answered
PRISM: GPs - your questions answered 1. What is Prism? Prism is our new primary care service for mental health and run by Cambridgeshire and Peterborough NHS Foundation Trust (CPFT). The service puts specialist
More informationImplementation 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 informationSOUTH CENTRAL AMBULANCE SERVICE NHS FOUNDATION TRUST
SOUTH CENTRAL AMBULANCE SERVICE NHS FOUNDATION TRUST CLINICAL SERVICES POLICY & PROCEDURE (CSPP No. 8) EMERGENCY CARE PRACTITIONER POLICY AND PROCEDURES June 2014 DOCUMENT INFORMATION Author: Mark Ainsworth-Smith
More informationThe Symphony Programme an example from the UK of integrated working between primary and secondary care. Jeremy Martin, Symphony Programme Director
The Symphony Programme an example from the UK of integrated working between primary and secondary care Jeremy Martin, Symphony Programme Director About South Somerset 135,000 population, older age profile
More informationGP Social Enterprise led Call Handling & Nurse Triage Project
GP Social Enterprise led Call Handling & Nurse Triage Project Powys Teaching Health Board Andrew Evans 1 Summary of the Project This Project aims to develop a sustainable model of patient streaming and
More informationREFERRAL TO TREATMENT ACCESS POLICY
Directorate of Strategy & Planning REFERRAL TO TREATMENT ACCESS POLICY Reference: DCP175 Version: 7.0 This version issued: 17/12/15 Result of last review: Major changes Date approved by owner (if applicable):
More informationReducing emergency admissions
A picture of the National Audit Office logo Report by the Comptroller and Auditor General Department of Health & Social Care NHS England Reducing emergency admissions HC 833 SESSION 2017 2019 2 MARCH 2018
More informationNHS Lambeth Clinical Commissioning Group and Guy s & St Thomas NHS Foundation Trust
and Guy s & St Thomas NHS Foundation Trust Summary of proposed changes to: inpatient intermediate care services at Lambeth Community Care Centre and Pulross and rehabilitation services for people who have
More informationSame day emergency care: clinical definition, patient selection and metrics
Ambulatory emergency care guide Same day emergency care: clinical definition, patient selection and metrics Published by NHS Improvement and the Ambulatory Emergency Care Network June 2018 Contents 1.
More informationOrchard Home Care Services Limited
Orchard Home Care Services Limited Orchard Home Care Inspection report 2 Ashfield Terrace Chester-le-street County Durham DH3 3PD Tel: 0191 389 0072 Website: www.cqc.org.uk Date of inspection visit: 12
More information111 Wales: Frequently Asked Questions
111 Wales: Frequently Asked Questions What is 111 and why are you introducing it now? The 111 service will join up two services that are currently provided by different parts of the NHS in Wales namely
More informationCHAPTER TWO: WAITING LISTS AND BOOKING
TWO: INTRODUCTION Managing waiting lists 2.1 Sometimes it seems that the NHS is primarily about waiting lists. Public perception focuses on waiting lists. Waiting lists provide media headlines. For those
More informationAmbulatory Emergency Care Watford sees Impact of Ambulatory Emergency Care within a Fortnight. West Hertfordshire Hospitals NHS Trust
Ambulatory Emergency Care Watford sees Impact of Ambulatory Emergency Care within a Fortnight West Hertfordshire Hospitals NHS Trust Watford Sees Impact of Ambulatory Emergency Care within a Fortnight
More informationANSWERS TO QUESTIONS YOU MAY HAVE
ANSWERS TO QUESTIONS YOU MAY HAVE What is Better Care Together really all about? Better Care Together is about ensuring that health and social care services in Leicester, Leicestershire and Rutland are
More informationCardigan Community Resource Centre. Model of Care
Cardigan Community Resource Centre Model of Care 1. Purpose The purpose of this paper is to set out the proposed model of care in the new Community Resource Centre in Cardigan and to consider the changes
More informationCCG authorisation Case Study Template NHS Croydon Clinical Commissioning Group. Urgent Care Redesign
CCG name: CCG authorisation Case Study Template NHS Croydon Clinical Commissioning Group Case study title: Urgent Care Redesign CCG case study number: (specify 1 to 5) Does the case study provide core
More informationHOME TREATMENT SERVICE OPERATIONAL PROTOCOL
HOME TREATMENT SERVICE OPERATIONAL PROTOCOL Document Type Unique Identifier To be set by Web and Systems Development Team Document Purpose This protocol sets out how Home Treatment is provided by Worcestershire
More informationThe Emergency Care Intensive Support Team (ECIST) Driving Improvement along Emergency Care Pathways: A Master Class
The Emergency Care Intensive Support Team (ECIST) Driving Improvement along Emergency Care Pathways: A Master Class WORKSHOP INFORMATION Morning Workshops (Workshops 1-4) Delegates have a choice of two
More informationMental Health Services 2011
Mental Health Services 2011 Inspection of Mental Health Services in Community Mental Health Centres DAY HOSPITAL INSPECTED EXECUTIVE CATCHMENT AREA HSE AREA Maryville Community Mental Health Centre Wexford
More informationAn overview of the planning process, findings and emerging proposals for the future
An overview of the planning process, findings and emerging proposals for the future South Wales Programme objectives Safe and high quality care for patients which matches the best elsewhere Deliverable
More informationKingston Hospital NHS Foundation Trust Length of stay case study. October 2014
Kingston Hospital NHS Foundation Trust Length of stay case study October 2014 The hospital has around 520 beds and provides acute medical services for a population of around 320,000 in Kingston, Richmond,
More informationOutpatient Clinic Policy
Outpatient Clinic Policy Ellern Mede Outpatient Clinic Policy Document Page 1 of 9 A. CONTENTS A. Contents Page 2 B Rationale Page 3 1. Introduction Page 4 2. Operation Page 4-6 3. Key principles Page
More informationCommittee is requested to action as follows: Richard Walker. Dylan Williams
BetsiCadwaladrUniversityHealthBoard Committee Paper 17.11.14 Item IG14_60 NameofCommittee: Subject: Summary or IssuesofSignificance StrategicTheme/Priority / Valuesaddressedbythispaper Information Governance
More informationUtilisation Management
Utilisation Management The Utilisation Management team has developed a reputation over a number of years as an authentic and clinically credible support team assisting providers and commissioners in generating
More informationFalls in Care Homes. NHS Bedfordshire
Falls in Care Homes NHS Bedfordshire Background 2003 National Falls Collaborative Targeted work in a specific geographical area 2006/09 Local Area Agreement To reduce falls related emergency admissions
More informationReport to the Board of Directors 2015/16
Attachment 9 Report to the Board of Directors 2015/16 Date of meeting 18 Subject Report of Prepared by Seven Day Services Medical Director Ashling Rivá, Project Manager Previously considered by Transformation
More informationRecommendations of the NH Strategy
Urgent care Newark Hospital should continue to provide sub-acute care1, based on the existing ambulance diversion protocol. Refine the ambulance protocol to include additional sub-acute presentations that
More informationRe-designing Adult Mental Health Secondary Care Services through co-production and consultation. 1 Adult Mental Health Secondary Care Services
2016 Re-designing Adult Mental Health Secondary Care Services through co-production and consultation 1 Adult Mental Health Secondary Care Services Contents Forward Vision & Values Introduction Adult Mental
More informationREFERRAL TO TREATMENT CONSULTANT-LED WAITING TIMES RULES DEFINITIONS
REFERRAL TO TREATMENT CONSULTANT-LED WAITING TIMES RULES DEFINITIONS The aim of this document is to provide clear rules and definitions for RTT waiting times for consultant-led services. The guide on how
More informationREPORT 1 FRAIL OLDER PEOPLE
REPORT 1 FRAIL OLDER PEOPLE Contents Vision f-3 Principles / Parameters f-4 Objectives f-6 Current Frail Older People Model f-8 ABMU Model for Frail and Older People f-11 Universal / Enabling f-12 Specialist
More informationGuideline 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 informationAMP Health and Social Care Professional Implementation Group Update
AMP Health and Social Care Professional Implementation Group Update November 2016 Welcome to another update from the National Acute Medicine Programme s Health and Social Care Professionals Implementation
More informationRUN DESCRIPTION. Section 1: Registrar s Responsibilities DEPARTMENT: Dermatology PLACE OF WORK: Auckland Hospital/ Greenlane Clinical Centre
RUN DESCRIPTION POSITION: Registrar DEPARTMENT: Dermatology PLACE OF WORK: Auckland Hospital/ Greenlane Clinical Centre RESPONSIBLE TO: FUNCTIONAL RELATIONSHIPS: PRIMARY OBJECTIVE: Clinical Director and
More informationPATIENT 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 informationThe 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 informationSubmitted to: NHS West Norfolk CCG Governing Body, 24 September 2015
Agenda Item: 12.2 Subject: Presented by: Continuing Health Care Pathway Proposal Dr Sue Crossman, Chief Officer Submitted to: NHS West Norfolk CCG Governing Body, 24 September 2015 Purpose of Paper: Decision
More informationReport by the Local Government and Social Care Ombudsman. Investigation into a complaint against North Somerset Council (reference number: )
Report by the Local Government and Social Care Ombudsman Investigation into a complaint against North Somerset Council (reference number: 16 018 163) 16 March 2018 Local Government and Social Care Ombudsman
More informationWESTERN BAY RESPONSE TO THE OLDER PERSON S COMMISSIONER S REPORT A PLACE TO CALL HOME
WESTERN BAY RESPONSE TO THE OLDER PERSON S COMMISSIONER S REPORT A PLACE TO CALL HOME A Collaborative response between City & County Of Swansea, Neath Port Talbot County Borough Council, Bridgend County
More informationBEDSIDE REGISTRATION CAPE CANAVERAL HOSPITAL
Publication Year: 2004 BEDSIDE REGISTRATION CAPE CANAVERAL HOSPITAL Summary: Cape Canaveral hospital implemented a streamlined bedside registration process in order to reduce the time patients spent waiting
More informationEnd of Life Care A Single Point of Access
End of Life Care A Single Point of Access Stakeholder meeting report Oct 2014 Single Point of Access project Stakeholder meeting report V2.1 FINAL Page 1 1. Background End of life care is about caring
More informationINVESTIGATION UNDER SECTION 17 OF THE WELSH LANGUAGE ACT Betsi Cadwaladr University Local Health Board
INVESTIGATION UNDER SECTION 17 OF THE WELSH LANGUAGE ACT 1993 Betsi Cadwaladr University Local Health Board Background The main aim of the Welsh Language Commissioner, an independent role created in accordance
More informationAction required: To agree the process by which Governors will meet with the inspection team.
Airedale NHS Foundation Trust Council of Governors: 28 th January 2016 Title: CQC Inspection Briefing Author: Jane Downes, Company Secretary As you will be aware, the Care Quality Commission ( CQC ) have
More informationSCHEDULE 2 THE SERVICES
SCHEDULE 2 THE SERVICES A. Service Specifications Service Specification. 001 Service Commissioner Lead Contracting Lead Provider Lead Period Teledermoscopy Service Dr Nicholas Rayner and Dr Andrew Yager
More informationQualitative baseline evaluation of the GP Community Hub Fellowship pilot in NHS Fife and NHS Forth Valley Briefing paper
Qualitative baseline evaluation of the GP Community Hub Fellowship pilot in NHS Fife and NHS Forth Valley Briefing paper This resource may also be made available on request in the following formats: 0131
More informationCommittee of Public Accounts
Written evidence from the NHS Confederation AMBULANCE SERVICE NETWORK/NATIONAL AMBULANCE COMMISSIONING GROUP KEY LINES ON FUTURE MODELS FOR AMBULANCE SERVICE COMMISSIONING Executive Summary Equity and
More informationCoordinated cancer care: better for patients, more efficient. Background
the voice of NHS leadership briefing June 2010 Issue 203 Coordinated cancer care: Key points There are two million people with cancer in the UK. It is suggested that by 2030 there will be over four million
More informationIR(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 informationPrime Ministers Challenge Fund
Prime Ministers Challenge Fund GP Recruitment - Information Pack GDoc Ltd Eastgate House, 121-131 Eastgate Street, Gloucester, GL1 1PX www.gdoc.org.uk Contents The Opportunity and Introduction 1 Background
More informationUnderstanding the 18 week elective pathway and referral process, your rights and responsibilities
Understanding the 18 week elective pathway and referral process, your rights and responsibilities Buckinghamshire Healthcare NHS Trust is committed to providing timely access to services and treatment
More informationLLANDUDNO HOSPITAL PROJECT CYCLE TWO REPORT FOR UNSCHEDULED CARE PROJECT TEAM: IDENTIFICATION OF PREFERRED SERVICE SOLUTIONS MAY 2010
SITUATION LLANDUDNO HOSPITAL PROJECT CYCLE TWO REPORT FOR UNSCHEDULED CARE PROJECT TEAM: IDENTIFICATION OF PREFERRED SERVICE SOLUTIONS MAY 2010 The Cycle One SBAR report detailed the solutions which had
More informationEmergency Care Network Capacity Management and Escalation Plan Action Cards December 2009 December 2010
Coventry and Warwickshire Emergency Care Network Emergency Care Network Capacity Management and Escalation Plan Action Cards December 2009 December 2010 This aim of this plan is to provide a high level
More informationHospital 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 informationPlans for urgent care in west Kent:
Plans for urgent care in west Kent: Introduction and background A summary of our draft strategy NHS West Kent Clinical Commissioning Group (CCG) is working to improve urgent care services and we would
More informationNHS Performance Statistics
NHS Performance Statistics Published: 8 th March 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
More informationChoice of Accommodation Protocol for In-Patients requiring Placement in Residential or Nursing Home
Choice of Accommodation Protocol for In-Patients requiring Placement in Residential or Nursing Home Cardiff Local Authority Vale of Glamorgan Local Authority and Cardiff & Vale University Health Board
More information#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 informationSCHEDULE 2 THE SERVICES Service Specifications
SCHEDULE 2 THE SERVICES Service Specifications Service Specification No Service ParaDoc Commissioner City and Hackney CCG Commissioner Lead Leah Herridge Provider CHUHSE Provider Lead Date of Review September
More informationUpdate on NHS Central London CCG QIPP schemes
Update on NHS Central London CCG QIPP schemes NHS Central London CCG has identified circa 11m for QIPP during 2013/14. Commissioning Intentions approved by the governing body included transformational
More information1 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 informationPractice Assessment Document
BSc in Nursing Studies / Registered Nurse Field: ADULT Practice Assessment Document Student Name: Guidance Tutor (GT): GT Tel No: Submission Dates First submission: 09/01/17 Second submission: 24/07/17
More informationAmbulatory Emergency Care The Logical Way to Go
Ambulatory Emergency Care The Logical Way to Go Ambulatory Emergency Care The Logical Way to Go The Queens Medical Centre (QMC) is part of the Nottingham University Hospitals NHS Trust, one of the largest
More informationTransition to District Nursing Service
Transition to District Nursing Service Contents Section A - Thinking about working in the community Chapter 1 - What is community nursing Chapter 2 - Making the transition Section B - Working in the community
More informationS.U.C.C.E.S.S. Project Overview. Project Initiation Document (PID) (Part 1)
S.U.C.C.E.S.S. Project Overview Project Initiation Document (PID) (Part 1) June Governing Body 2014 SUCCESS Project Project Initiation Document (PID) Part 1 Project Name Project Description The SUCCESS
More informationExecutive Summary 10 th September Dr. Richard Wagland. Dr. Mike Bracher. Dr. Ana Ibanez Esqueda. Professor Penny Schofield
Experiences of Care of Patients with Cancer of Unknown Primary (CUP): Analysis of the 2010, 2011-12 & 2013 Cancer Patient Experience Survey (CPES) England. Executive Summary 10 th September 2015 Dr. Richard
More informationJOB DESCRIPTION. Consultant Physician, sub-specialty in Gastroenterology REPORTING TO: HEAD OF DEPARTMENT - FOR ALL CLINICAL MATTERS
JOB DESCRIPTION Consultant Physician, sub-specialty in Gastroenterology SECTION ONE DESIGNATION: CONSULTANT PHYSICIAN, SUB-SPECIALTY GASTROENTEROLOGY NATURE OF APPOINTMENT: FULL OR PART TIME REPORTING
More informationLymeForward Health and Wellbeing Group
LymeForward Health and Wellbeing Group Proposals for improvement in provision of local health, care and support services January 2018 Life is really simple, but we insist on making it complicated. Confucius
More information