Appropriate Care Pathway
|
|
- Meryl Sylvia Edwards
- 5 years ago
- Views:
Transcription
1 Appropriate Care Pathway Karen Titchener MSc NMP RGN Deputy Head Nursing Guys and St Thomas NHS Foundation Trust Jaqualine Lindridge MA, PG Cert, MCPara Consultant Paramedic London Ambulance Service NHS Trust
2 WHY DEVELOP A PATHWAY? Demand on NHS services increasing year on year with people living longer with complex co-morbidities Unprecedented slowdown in NHS funding leading to ambitious productivity improvement 5 year Forward View (NHS England 2014) why change is needed and what it looks like NHS England allocate funding every year for winter pressures in order of local service to help keep people out of hospital was given to this project
3 London Ambulance Service NHS Trust 3
4 Bringing Care Closer To is a bespoke Multidisciplinary team OFFERING Admission avoidance and early supported discharge Patient centred acute care in their place of residence Practitioner to practitioner referral via single point access 2 hour response for urgent medical assessment Shared or total medical responsibility for patient Team operates 365 days of the year 8am-11pm Domilicary visits by consultant GP when required Provide daily visits up to 4 times a day for 3-7 days Intensive Nursing, PT,OT input during intervention
5 Bringing Care Closer To Home GSTT: Clinical Nurse Specialist NORTH TEAM: 2 X Matron Clinical Nurse Specialist Senior Nurse Practitioner Staff Nurse Senior Nurse Assistant PT/OT Pharmacist Social Worker Clinical Lead SOUTH TEAM: 2 X Matron Clinical Nurse Specialist Senior Nurse Practitioner Staff Nurse Senior Nurse Assistant PT/OT Pharmacist KCH: Clinical Nurse Specialist North Ward GP 2 X Consultant South Ward GP
6 Bringing care closer to home For patients with confirmed diagnosis we can offer: High intensity clinical monitoring, with short-term intervention in an acute episode of ill health in a safe and timely manner Provide urgent clinical assessment for acutely unwell patients, ECG, urgent bloods Initiating treatment and ongoing monitoring, IV therapy, sub cut hydration, ongoing blood monitoring, oxygen therapy, nebulisers Physiotherapy and Occupational Therapy intervention Environment check- micro environment set up
7 @home PARTNERSHIP WORKING District nursing team Community rehab services Care home support team GSTT AND KINGS patient pathway for 5 conditions -COPD, LVF, Cellulitis, UTI, Diabetes early discharge SLAM working with dementia team for patients with acute on chronic confusion Delirium pathway for care homes Integrated Respiratory team Community Heart failure service Service pathways with LAS. Learning disabilities team Service pathway with GSTT Obs and gynae Palliative care- acute and community Pharmacy Social care
8 Appropriate care pathway If not time critical - phone before you go to the ED. Falls triggering step 3 on the falls tree with additional concern Acute confusion/ Delirium manageable input Reduced mobility/ functional decline Infections respiratory, ENT and urinary tracts Cellulitis Exacerbation of COPD (consider physiological norms) Heart failure Short term social care need, inc. main carer crisis Palliative care crisis or urgent need Catheter problems (inc. supra pubic) Diarrhoea/ vomiting/ constipation
9 HOW DOES IT WORK? LAS CREW ATTEND 999 CALL On assessment crew Crew referral line Clinician to clinician accept referral LAS leave visit within 2 hours by diagnosis, treat and implement care plan. Patient receives up to 7 day interventions Patient will have review by Geriatrician if required
10 It is often about getting the simple things right, that makes things work, and this proved that theory. London Ambulance Service NHS Trust 10
11 COPD Nov 14 Feb 15 Lambeth ED: 8.13% Southwark ED: 5.47% London ED: 2.73% London Ambulance Service NHS Trust 11
12 CASE STUDY 78 year old lady referred with exacerbation of COPD OE- LAS already administered salbutamol nebuliser Reduced mobility over last few days due to increase in SOB Audible bilateral wheeze bi-basal crackles, Marked SOB on minimal exertion Above knee bilateral pitting oedema Productive cough- white frothy Raised JVP Described- Paroxysmal nocturnal dyspnoea (PND)-no PMH of heart failure
13 CASE HISTORY (continued) Treatment plan Oral furosemide 40mgs Oral abx and steriods Nebulisers- ipratropium bromide and salbutamol Bloods taken: patient was found to have raised BNP suggestive of arranged Echo and CXR through discussion Consultant Geriatrician - showing CAP and LVF Commenced on IV furosemide and IV abx
14 CASE HISTORY (CONTINUED) After 5 days patient switched to oral diuretics Referral for Cardiac review Referred to community heart failure team for ongoing monitoring Other interventions assessed pharmacy to ensure medications compliance and understanding of current condition and management of new OT/PT review was completed yielding exercise program and ongoing referral to community PT for practice with out door contacted local parish priest as patient expressed need to attend mass but due to ill health could not. The priest agreed to attend patient at home until recovery.
15 Multifaceted BENEFITS Effective and efficient integrated partnership working Reducing A&E attendances Reducing costs on LOS Reducing conveyance Improving ambulance availability Reduced inappropriate hospital admissions Improved health outcome for patient Reduced risk of hospital acquired infection Meets preference for home care over hospital Enhances patient choice Psychological and social benefits of comfort own home Reduced pain and anxiety Reduced confusion, delirium Reduced functional disturbance
16 FORWARD VISION BIG PICTURE- Cessation of silo working and the pursuit of NHS whole system integrated approach to urgent care in order to maintain effective, safe and efficient health and social care in London that is sustainable and going 24-7 so option to expand LAS referrals Increase referrals through further work with LAS Feed back to paramedic to encourage referrals Emergency GP call outs to prevent LAS call out
SCHEDULE 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 informationThe Guy s and St Thomas s NHS Foundation service: an overview of a new service
London Journal of Primary Care, 2017 VOL. 9, NO. 2, 18 22 http://dx.doi.org/10.1080/17571472.2016.1211592 EVALUATED SERVICE IMPROVEMENT The Guy s and St Thomas s NHS Foundation Trust @home service: an
More informationLinking the LAS with Health & Social Care. 6 th December 2016
Linking the LAS with Health & Social Care 6 th December 2016 Outline: About me.. LAS Context Integrating LAS with H&SC London Ambulance Service NHS Trust 2 LAS context London Ambulance Service NHS Trust
More informationCollaborative Working to reduce hospital admissions. Dr Firdaus Adenwalla Annette Davies Beth Griffiths
Collaborative Working to reduce hospital admissions Dr Firdaus Adenwalla Annette Davies Beth Griffiths Ageing population A third of babies born in the UK in 2013 are expected to live to be a 100. (Office
More informationLondon s Urgent and Emergency Care Collaborative
London s Urgent and Emergency Care Collaborative Katy Millard London Community Services Director Claire Eves Operational Head of Hillingdon Health Care Partnership Thomas Dowle Clinical & Operational Lead,
More informationHome ward. Integrated intermediate care service
Ealing Home ward Integrated intermediate care service Extra support for people to recover from illness or injury and remain well at home, without unnecessary stays in hospital. Home ward Ealing is a service
More informationAdmission Avoidance (Rapid Response Team) Presenter: Karen Derrick Commissioning Manager Integrated Care team Camden Clinical Commissioning Group
Admission Avoidance (Rapid Response Team) Presenter: Karen Derrick Commissioning Manager Integrated Care team Camden Clinical Commissioning Group Admission Avoidance (Rapid Response Team) Background The
More informationHomeFirst. Most importantly, we patients prefer and hope to be at home not in hospital, so I think this service is the way of the future.
Most importantly, we patients prefer and hope to be at home not in hospital, so I think this service is the way of the future. HomeFirst I felt I was looked after at home much better than I would have
More informationCommunity Health Services in Bristol Community Learning Disabilities Team
Community Health Services in Bristol 2014 Community Learning Disabilities Team This provides specialist community based services for adults with learning difficulties and help to promote equal access to
More informationBelfast ICP Pathways. Dr Dermot Maguire GP Clinical Lead North Belfast ICP
Belfast ICP Pathways Dr Dermot Maguire GP Clinical Lead North Belfast ICP QOF Disease Register & NHAIS Global Sum Findings 2013. ICP Area No of practices & patients Frail Elderly -over 65 Resp COPD Diabetes
More informationNational Acute Kidney Injury (AKI) Programme. Acute Kidney Injury. Keeping Kidneys Healthy. Richard Fluck 16 th June
National Acute Kidney Injury (AKI) Programme Acute Kidney Injury Keeping Kidneys Healthy Richard Fluck 16 th June 2014 The clever (nice) approach Build a blender with rubber blades. Install a kitten detector
More informationDeveloping an urgent care strategy for South Tees how you can have your say July/August 2015
Developing an urgent care strategy for South Tees how you can have your say July/August 2015 Foreword Commissioning high quality, accessible urgent care services is a high priority for South Tees Clinical
More informationOlder Person's Assessment Form. Name: Contact details: Provide detail: Detail: Detail: Detail: Detail:
BASELINE: COGNITION REVIEW: COGNITION Residents details Resident name: Gender: NHS No: Age: Religion, Spirituality: Older Person's Assessment Form Care Home details Phone number: Address: Date of admission:
More informationSutton Homes of Care Vanguard Programme
Sutton Homes of Care Vanguard Programme An Innovative End of Life Care model for care homes Kings Fund Conference 6 th December 2016 Corinne Campion, Clinical Nurse Specialist, Supportive Care Home Team
More informationStage 2 GP longitudinal placement learning outcomes
Faculty of Life Sciences and Medicine Department of Primary Care & Public Health Sciences Stage 2 GP longitudinal placement learning outcomes Description This block focuses on how people and their health
More informationOur five year plan to improve health and wellbeing in Portsmouth
Our five year plan to improve health and wellbeing in Portsmouth Contents Page 3 Page 4 Page 5 A Message from Dr Jim Hogan Who we are What we do Page 6 Page 7 Page 10 Who we work with Why do we need a
More informationAcute Care for Older People from Residential Care Facilities (RACF)
Opportunities for Promoting Care in Appropriate Sites Suma Poojary Acute Care for Older People from Residential Care Facilities (RACF) Background Mobile Assessment and Treatment Service ( MATS) Barriers
More informationHAEMATOLOGY WARD E55 PROFILE OF LEARNING OPPORTUNITIES - (POLO)
HAEMATOLOGY WARD E55 PROFILE OF LEARNING OPPORTUNITIES - (POLO) STUDENT NAME: MENTOR NAME: ASSOCIATE MENTOR: DATE: Updated February 2010 MS INTRODUCTION WELCOME TO WARD E55 Ward E55 is primarily a haematology
More informationCouncil of Members. 20 January 2016
Council of Members 20 January 2016 Feedback on election process: Council of Members Chair and Deputy Chair Malcolm Hines, Chief Financial Officer Minutes of last meeting: 14 October 2015 Dr. Richard Proctor,
More informationIntegrated respiratory action network for patients with COPD
Integrated respiratory action network for patients with COPD In this Future Hospital Programme case study Dr Helen Ward describes how a team from The Royal Wolverhampton NHS Trust established a respiratory
More informationTransforming Clinical Services. Our developing clinical strategy
Transforming Clinical Services Our developing clinical strategy Transforming clinical services A developing clinical strategy for the new Foundation Trust Since 1 April 2011, County Durham and Darlington
More informationChapter 01: Professional Nursing Practice Lewis: Medical-Surgical Nursing, 10th Edition
Chapter 01: Professional Nursing Practice Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. The nurse completes an admission database and explains that the plan of care and discharge goals
More informationTHE VIRTUAL WARD MANAGING THE CARE OF PATIENTS WITH CHRONIC (LONG-TERM) CONDITIONS IN THE COMMUNITY
THE VIRTUAL WARD MANAGING THE CARE OF PATIENTS WITH CHRONIC (LONG-TERM) CONDITIONS IN THE COMMUNITY An Economic Assessment of the South Eastern Trust Virtual Ward Introduction and Context Chronic (long-term)
More informationINTEGRATED CARE PATHWAY FOR THE DYING PATIENT PATIENT S NAME.. UNIT NUMBER. DATE.. DATE OF BIRTH.. DATE OF IN PATIENT ADMISSION DIAGNOSIS: PRIMARY.
PATIENT S NAME.. UNIT NUMBER. DATE.. DATE OF BIRTH.. DATE OF IN PATIENT ADMISSION DIAGNOSIS: PRIMARY. SECONDARY.. A Care Pathway is intended as a guide to treatment and an aid to documenting patient progress.
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 informationIntegrated Care theme / Long Term Conditions priority
Integrated Care theme / Long Term Conditions priority Professor Ruth Chambers OBE Clinical lead for LTC priority/clinical lead for Flo telehealth exemplar of Integrated Care WMAHSN Integrated Care & other
More informationEvelina Service
Evelina London @home Service Care closer to home This leaflet explains the Evelina London @home Service and how we care for your child or young person at home. What is Evelina London @home Service? We
More informationDRAFT Service Specification GP-led Urgent Treatment Centre (UTC) Service
DRAFT Service Specification GP-led Urgent Treatment Centre (UTC) Service Executive summary: The Cornwall Sustainability and Transformation Plan known as Shaping our Future will describe a new model of
More informationThis SLA covers an enhanced service for care homes for older people and not any other care category of home.
Care Homes for Older People Service Level Agreement 2016-2019 All practices are expected to provide essential and those additional services they are contracted to provide to all their patients. This service
More informationPatient Pathway Journey through health and social care. A toolkit to support your inter-professional experience (IPE)
Patient Pathway Journey through health and social care A toolkit to support your inter-professional experience (IPE) Introduction This tool is designed to encourage learners to gain an insight into the
More informationIntegrated Care in North Central London
Integrated Care in North Central London 5 th July 2012 Sylvia Kennedy AD Strategy & Planning Strategic context Many of our frailest and sickest groups receive care in a fragmented and disorganised way
More informationSummary annual report 2014/15
1 Summary annual report 2014/15 2 Annual Report Summary 2014/15 3 St Thomas Hospital Guy s Hospital CATHEDRAL CHAUCER GRANGE RIVERSIDE ROTHERHITHE SURREY DOCKS Key facts about Southwark GP practices in
More informationCOPD Management in the community
COPD Management in the community Anne Jones Independent Respiratory Nurse Consultant RN,BSc(Hons),PGDip(RespMed)/MA Content of session Will consider the impact of COPD COPD Strategy recommendations and
More informationCMS Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents Phase 2--Payment Model
CMS Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents Phase 2--Payment Model The Revolving Door One fourth of all nursing home resident go the hospital each year - Some many
More informationWestminster Partnership Board for Health and Care. 21 February pm pm Room 5.3 at 15 Marylebone Road
Westminster Partnership Board for Health and Care 21 February 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 informationAcutely ill patients in hospital
Issue date: July 2007 Acutely ill patients in hospital Recognition of and response to acute illness in adults in hospital Developed by the Centre for Clinical Practice at NICE Contents Key priorities for
More informationLewisham Integrated Medicines Optimisation Service
Lewisham Integrated Medicines Optimisation Service By Kath Howes (CCG) & Kay Fahy (University Hospital Lewisham) Katherine.howes@nhs.net LIMOS: 02030493228 Seen this before??- Hoarding & Wastage The Story
More informationClinical Strategy
Clinical Strategy 2012-2017 www.hacw.nhs.uk CLINICAL STRATEGY 2012-2017 Our Clinical Strategy describes how we are going to deliver high quality care in response to patient and carer feedback and commissioner
More informationDraft Commissioning Intentions
The future for Luton s primary care services Draft Commissioning Intentions 2013-14 The NHS will have less money to spend over the next three years. Overall, it has to make 20 billion of efficiency savings
More informationTo Dip or Not To Dip a patient centred approach to improve the management of UTIs in the Care Home environment
To Dip or Not To Dip a patient centred approach to improve the management of UTIs in the Care Home environment Sharing success AMS Workshop Leeds & London 2016 Elizabeth Beech Pharmacist - NHS Bath and
More informationIntegrated 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 informationBarnet Respiratory COPD Service
Barnet Respiratory COPD Service Bunmi Adebajo Clinical & Operational Service Lead Clinical Specialist Respiratory Physiotherapist Central London Healthcare NHS Trust Your healthcare closer to home Services
More informationTop 12 Courses for Newcross Nurses and HCAs BETTER PEOPLE BETTER TRAINED
Top 12 Courses for Newcross Nurses and HCAs BETTER PEOPLE BETTER TRAINED Top 12 Courses for Newcross Nurses and HCAs Contents Venepuncture Syringe Drivers Catheterisation Medication Training Wound Care
More informationSERVICE SPECIFICATION
SERVICE SPECIFICATION Service NEIGHBOURHOOD CARE TEAM Lead KAREN RICHARDSON Provider Lead JO EVANS Period 2009/10 1. Purpose 1.1 Aims The aim of the Neighbourhood Care Teams (NCTs) is to provide multi-disciplinary,
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 informationAlison Hunter. Improvement Advisor, Acute Adult Safety Programme. Healthcare Improvement Scotland
Alison Hunter Improvement Advisor, Acute Adult Safety Programme Healthcare Improvement Scotland Acute Adult 2008 what we did Leadership Medicines Perioperative Critical Care Reduce Mortality & Harm General
More informationWest Kent CCG Emergency Health Care Plan
West Kent CCG Emergency Health Care Plan 20 October 2015 Bruno Capone Local situation 11486 Elderly 85+ 3800 Care home residents in West Kent area Average life expectancy of nursing home residents is 6-9
More informationNorth Central London Sustainability and Transformation Plan. A summary
Sustainability and Transformation Plan A summary N C L Introduction Hospitals, local authorities, GPs, commissioners, and mental health trusts across north central London have all come together to transform
More informationGetting the Right Response In A Mental Health Crisis
Getting the Right Response In A Mental Health Crisis Imagine someone you knew suddenly experienced a mental health crisis What response are you able to provide at the moment? What are the barriers in your
More informationCLINICAL PROTOCOL National Early Warning Score (NEWS) Observation Chart
CLINICAL PROTOCOL National Early Warning Score (NEWS) Observation Chart November 2014 1 Document Profile Type i.e. Strategy, Policy, Procedure, Guideline, Protocol Title Category i.e. organisational, clinical,
More informationEvaluation Tool* Clinical Standards ~ March 2010 Chronic Obstructive Pulmonary Disease** Services
Evaluation Tool* Clinical Standards ~ March 2010 Chronic Obstructive Pulmonary Disease** Services *Formerly known as Self-Assessment Framework ** Chronic Obstructive Pulmonary Disease (COPD) Standard 1:
More informationNHS Corby CCG Public Event. 1 October 2013
NHS Corby CCG Public Event 1 October 2013 Welcome & Introductions Tansi Harper Lay member, Patients and Public Corby CCG Governing Body Housekeeping Please turn mobile phones to silent/off No fire alarm
More informationYour Care, Your Future
Your Care, Your Future Update report for partner Boards April 2016 Introduction The following paper has been prepared for the Board members of all Your Care, Your Future partner organisations: NHS Herts
More informationSpeech and Language Therapy Service Inpatient services
Speech and Language Therapy Service Inpatient services Management of Dysphagia in individuals on inpatient wards (excluding adults with acquired brain injury) Author(s) Joanna Brackley Amy Foster V03 Issue
More informationHOSPITAL IN THE HOME (HITH) INFORMATION SHEET
What is HITH? HOSPITAL IN THE HOME (HITH) INFORMATION SHEET In 1994 the Hospital in the Home (HITH) Program was commenced as a pilot. Hospitals were invited to apply to become HITH providers and 43 were
More informationIndividualised End of Life Care Plan for the Last Days or Hours of Life Patient name Hospital number Date of birth
Individualised End of Life Care Plan for the Last Days or Hours of Life Patient name Hospital number Date of birth NHS number Informed by Five Priorities for Care: Recognise, Communicate, Involve, Support,
More informationOn behalf of COMMIT Team
Dr Rashmi Sharma & Dr Achyut Guleri On behalf of COMMIT Team Quality Safety People Delivery Environment Cost Consultant Microbiologist Clinical Director- Laboratory Medicine, Blackpool Teaching Hospitals
More informationQuick guide: planning for increased seasonal demand in respiratory illness
Quick guide: planning for increased seasonal demand in respiratory illness Published by NHS England and NHS Improvement December 2017 The British Thoracic Society is pleased to endorse this quick guide,
More informationSummary Annual Report 2017/18
Summary Annual Report 2017/18 Reporting back Guy s and St Thomas has, once again, performed well both operationally and financially, despite a challenging year which has seen unprecedented demand on our
More information*Your Name *Nursing Facility. radiation therapy. SECTION 2: Acute Change in Condition and Factors that Contributed to the Transfer
Gaining information about resident transfers is an important goal of the OPTIMISTC project. CMS also requires us to report these data. This form is where data relating to long stay transfers are to be
More informationGuidance notes on the role and function of Organic Old Age Psychiatry wards (NHS Lanarkshire)
Guidance notes on the role and function of Organic Old Age Psychiatry wards (NHS Lanarkshire) Author: Dr Adam Daly, Consultant in Old Age Psychiatry, Clinical Director Old Age Psychiatry November 2014
More informationSALFORD TOGETHER TRANSFORMING HEALTH AND SOCIAL CARE
SALFORD TOGETHER TRANSFORMING HEALTH AND SOCIAL CARE Our Challenges Our Aims Improved Health and Social Care outcomes for people Improved experience of health and social care Making better use of limited
More informationPharmacy, Medicines and You. Principal Pharmacist Pharmaceutical Services Deputy Director of Pharmacy and Medicines Management
Pharmacy, Medicines and You Wendy Robertson Liz Kemp Caroline Hind Principal Pharmacist Pharmaceutical Services Principal Pharmacist Pharmaceutical Services Deputy Director of Pharmacy and Medicines Management
More informationNorthumberland Frail Elderly Pathway. Dr David Shovlin Fiona Brown
Northumberland Frail Elderly Pathway Dr David Shovlin Fiona Brown What s special about the Frail Elderly Pathway Patient centered joint working across the entire health and social care system for over
More informationUnit 301 Understand how to provide support when working in end of life care Supporting information
Unit 301 Understand how to provide support when working in end of life care Supporting information Guidance This unit must be assessed in accordance with Skills for Care and Development s QCF Assessment
More informationNeurology quality indicators
Neurology A new approach for London Neurology quality indicators For adult neurological services December 2016 Acknowledgements The London Neuroscience Clinical Network is grateful to all who have contributed
More informationADMISSION CARE PLAN. Orient PRN to person, place, & time
ADMISSION DATE: CODE STATUS: ADMISSION CARE PLAN ADMISSION DIAGNOSIS: 1. DELIRIUM 2. COGNITIVE LOSS Resident will be as alert and oriented as possible Resident will be as alert and oriented as comfortable
More informationNational Clinical Audit programme
National Clinical Audit programme Danny Keenan Medical Director www.hqip.org.uk Who are HQIP? HQIP is a not-for profit, professional/patient partnership, aiming to change and improve health and social
More informationIntegrated Adult Community Services Event Creating the whole picture
Integrated Adult Community Services Event Creating the whole picture HOUSE-KEEPING Karen Tordoff Head of Service Redesign Jackie Moran Head of Contracting, Performance and Quality Logistics & housekeeping
More informationAmbulatory Emergency Care in South Wales
Ambulatory Emergency Care in South Wales The Ambulatory Care Score ( Amb Score) Les Ala Consultant Acute Physician Royal Glamorgan Hospital LLantrisant, South Wales ROYAL GLAMORGAN HOSPITAL Format Our
More informationUnderstanding patient pathways and the impact of emergency admissions in MS & Parkinson s disease
Understanding patient pathways and the impact of emergency admissions in MS & Parkinson s disease Sue Thomas Chief Executive NHiS Commissioning Excellence Aim Highlight from national and local statistics
More informationHow are we doing? Adult Local Services at the heart of our community. Leisure Centre F RUIT & VEG
Leisure Centre How are we doing? 2016-17 F RUIT & VEG Adult Local Services at the heart of our community Our performance Angela Dawe and Sue Bowler Joint Directors for Operations and Strategic Development,
More informationMain body of report Integrating health and care services in Norfolk and Waveney
Item 18.73a ii Norfolk and Waveney Sustainability and Transformation Plan Update for governing bodies and trust boards September 2018 Purpose of report The purpose of this paper is to update members of
More informationIndependent investigation into the death of Mr Dewi Evans a prisoner at HMP Gartree on 30 May 2016
Independent investigation into the death of Mr Dewi Evans a prisoner at HMP Gartree on 30 May 2016 Crown copyright 2015 This publication is licensed under the terms of the Open Government Licence v3.0
More informationMultidisciplinary care of a patient with heart failure. patient with heart failure. Dr Claire Hookey
Multidisciplinary care of a patient with heart failure patient with heart failure Dr Claire Hookey Mr E.S 61 year old gentleman Referred to the hospice by the heart failure specialist nurse May 2010 Heart
More informationShaping the best mental health care in Manchester
Clinical Transformation Plans Manchester Shaping the best mental health care in Manchester Meeting the needs of our communities Improving Lives OUR SHARED WAY AHEAD... Clinical Service Transformation in
More informationMoving Forward Together. Primary Care
Moving Forward Together Primary Care Who we are Richard Groden, GP and Clinical Director Willie Wilkie, Lead Optometrist Alan Harrison, Lead Pharmacist for Community Care Lorna Kelly, Head of Primary Care
More informationQuality and Leadership: Improving outcomes
Quality and Leadership: Improving outcomes Podiatry Managers/Allied Health Managers and Leaders 5 March 2014 Shelagh Morris OBE Acting Chief Allied Health Professions Officer 2 http://www.nhsemployers.org/aboutus/latest-news/pages/the-new-nhs-in-2013-infographic.aspx
More informationRedesign of an Integrated Community Pain Service. Homerton Locomotor Service
Redesign of an Integrated Community Pain Service Homerton Locomotor Service Elizabeth Slee Clinical specialist physiotherapist in chronic pain Twitter @QIhomerton www.homerton.locomotor Issues relating
More informationQuality Standards for:
Quality s for: Transfer from Acute Hospital Care Intermediate Care Version 1.5 March 2016 August 2014 West Midlands Quality Review Service These Quality s may be reproduced and used freely by NHS and social
More informationMedicines and the kidney Community pharmacy s contribution to reducing harm associated with AKI
Medicines and the kidney Community pharmacy s contribution to reducing harm associated with AKI Annie Sellers, learning development pharmacist 1 Outline Who are CPPE? AKI learning campaign Audit on hydration
More informationIntroduction to Population Health Healthcare Public Health
Introduction to Population Health Healthcare Public Health Dr Jason Horsley Senior Clinical Lecturer in Public Health, ScHARR Consultant in Public Health, Sheffield City Council j.horsley@sheffield.ac.uk
More informationReferral Handbook A guide to referral criteria for St Ann s Hospice services
Referral Handbook A guide to referral criteria for St Ann s Hospice services Inpatient Care Day Therapy Community Support St Ann s Hospice St Ann s Road North, Heald Green, Cheadle, Cheshire SK8 3SZ Tel:
More informationImproving Quality of Life of Long-Term Patient - From the Community Perspective
Improving Quality of Life of Long-Term Patient - From the Community Perspective Dr Caz Sayer, Camden CCG Chair Working with the people of Camden to achieve the best health for all Context The Health and
More informationAntimicrobial Stewardship in Continuing Care. Nursing Home Acquired Pneumonia Clinical Checklist
Antimicrobial Stewardship in Continuing Care Nursing Home Acquired Pneumonia Clinical Checklist March 2015 What is Antimicrobial Stewardship? Using the: right antimicrobial agent for a given diagnosis
More informationRichmond Clinical Commissioning Group
Richmond Clinical Commissioning Group South west London five year forward plan Kathryn Magson, Chief Officer, Richmond CCG 7 December 2016 South West London Five Year Forward Plan Start well, live well,
More informationRecognising a Deteriorating Patient. Study guide
Recognising a Deteriorating Patient Study guide Recognising a deteriorating patient Recognising and responding to clinical deterioration Background Clinical deterioration can occur at any time in a patient
More informationPharmacist independent prescribing in primary care and out-of-hours care
Pharmacist independent prescribing in primary care and out-of-hours care Magnus Hird Pharmacist Practitioner Bloomfield Medical Centre/ Fylde Coast Medical Services, Blackpool magnus.hird@blueyonder.co.uk
More informationRECOGNISING AND RESPONDING TO EARLY DETERIORATION OF ACUTELY ILL PATIENTS ON THE WARDS. Presented by Primary Health Care Team
RECOGNISING AND RESPONDING TO EARLY DETERIORATION OF ACUTELY ILL PATIENTS ON THE WARDS Presented by Primary Health Care Team 2013/2014 Aims of Session Any patient in hospital may become acutely ill, however,
More informationCOPD SERVICE RE-DESIGN
COPD SERVICE RE-DESIGN Dr Mukesh Singh GP Principal & GPwSI Respiratory Medicine, Horse Fair Practice, Rugeley Clinical Lead LTC & Governing Body member Cannock Chase CCG COPD DRIVERS FOR RE-DESIGN DOH
More informationEnd of Life Care Review Case Review Audit
Case Review Audit : : Version: 1 NHS Wales (Intranet) / Public Health Wales (Intranet) Purpose and summary of document: This document is for use by general practices who are engaged in providing services
More informationBetter Care, Closer to Home
Better Care, Closer to Home Our three-year strategy for coordinated, high quality care out of hospital 2012 2015 V0.3 17.05.2012 Ealing Clinical Commissioning Group Foreword Ealing Clinical Commissioning
More informationReport to Patients. A summary of NHS Norwich Clinical Commissioning Group s Annual Report for 2014/15. Healthy Norwich. Patient
Report to Patients A summary of NHS Norwich Clinical Commissioning Group s Annual Report for 2014/15 Healthy Norwich GP Care Patient Quality YourNorwich The work of the CCG, what it has achieved for patients,
More informationOptimizing Care for Complex Patients with COPD
Optimizing Care for Complex Patients with COPD Janice Gasaway, RN, MN, Director Quality & Safety Elvin Perkins, MBA, Chronic Disease Project Manager 1 Cone Health System: Who We Are Regional Health System
More informationNational Care of the Dying Audit Hospitals (NCDAH) Round 3
National Care of the Dying Audit Hospitals (NCDAH) Round 3 This audit is being led by the Marie Curie Palliative Care Institute Liverpool in collaboration with the Royal College of Physicians, and is supported
More informationTHE EMERGING PICTURE OF NEW CARE MODELS IN THE ENGLISH NHS
THE EMERGING PICTURE OF NEW CARE MODELS IN THE ENGLISH NHS ICCHNR SYMPOSIUM University of Kent at Canterbury 15 th -16 th September 2016 Dr John M Ribchester GP Chair and Clinical Lead for Encompass MCP
More informationproviding an overview of what an integrated system can offer its respiratory population both in and out of hospital
PRIMARY CARE R E S P I R AT O R Y S O C I E T Y U K A population-focused respiratory service framework providing an overview of what an integrated system can offer its respiratory population both in and
More informationCHEMOTHERAPY TREATMENT RECORD
CHEMOTHERAPY TREATMENT RECORD Consultant.. Name DOB.. Hospital Number. PRIMARY DIAGNOSIS MDT discussion date.. Consent for treatment obtained Yes / No Consent Form signed Yes / No (If no do not give Chemotherapy
More informationNHS England London Southside 4th Floor 105 Victoria Street London SW1E 6QT. 24 th July Dear Daniel, Fiona and Louise. Re: CCG Annual Assurance
NHS England London Southside 4th Floor 105 Victoria Street London SW1E 6QT 24 th July 2014 Dear Daniel, Fiona and Louise Re: CCG Annual Assurance Many thanks for meeting with us on 6 th June 2014 to discuss
More informationReport to Governing Body 19 September 2018
Report to Governing Body 19 September 2018 Report Title Author(s) Governing Body/Clinical Lead(s) Management Lead(s) CCG Programme Purpose of Report Summary NHS Lambeth Clinical Commissioning Group (CCG)
More information