Key findings of the national evaluation of Keep Well Wave 1.
|
|
- Miranda Sullivan
- 5 years ago
- Views:
Transcription
1 Key findings of the national evaluation of Keep Well Wave 1. C O Donnell. On behalf of the National Evaluation Team, Universities of Glasgow & Edinburgh.
2 Delivering for Health. Current view Geared towards acute conditions Hospital centred Doctor dependent Episodic care Disjointed care Reactive care Patient as passive recipient Self care infrequent Carers undervalued Low tech Evolving model of care Geared towards long-term conditions Embedded in communities Team based Continuous care Integrated care Preventive care Patient as partner Self care encouraged and facilitated Carers supported as partners High tech
3 Focus on hard-toreach/hard-toengage. Targeting through practices and/or individuals. Main delivery mechanism general practice. Health checks. Referral on to appropriate services health and social.
4 Keep Well logic model.
5 Structure of the evaluation. Phase 1 ( ) Informed by Theory of Change Understanding the process of implementation of Keep Well Phase 2 ( ) Informed by Realistic Evaluation Deeper understanding of certain facets through use of case studies Patient and practice experiences ( ) Work Package 1: Tracking national and pilot theories of change. Work Package 2: Tracking the progress of Keep Well through secondary data. Practice level case studies to assess the impact of aspects of Keep Well (informed by Phase 1 findings) Collection of quantitative and qualitative data at practice level, and patient level including patients recruited via Keep Well practices and community-based venues.
6 Key stakeholder interviews. Interviews conducted annually in three rounds, from late interviews. National, local and general/family practice level. Strategic and operational personnel: Directors & civil servants in Scottish Government. Programme leads. Directors of Public Health. Pilot level managers. Staff involved in service delivery. Staff in participating general practices.
7 Aim of today s talk. To report on reach and engagement data across the Wave 1 pilots. To consider the impact of multiple contacts on patients. To consider the impact of different approaches to reach on patient engagement with Keep Well. To describe the baseline characteristics of patients attending a Keep Well health check. To consider the impact of context on Keep Well.
8 Reach of the Keep Well programme. Reach of KW was high across the 3 sites who provided data, but there was variation: Glasgow 97.5%. Dundee 76.2%. Lanarkshire 98.0%. Engagement (i.e. attendance at a health check) varied across sites: Glasgow 70.4%. Dundee 52.0%. Lanarkshire 54.8%. Attendance: Increased with age. Generally decreased with increasing deprivation.
9 Approach as a context. Glasgow: Covered 98% of target population, of whom 73% lived in the most deprived areas. 70% attended for a health check, with 78% of them living in the most deprived areas. Blanket approach Lanarkshire: Covered 98% of target population, 37% of whom lived in the most deprived areas. 55% attended for a health check, with 35% living in most deprived areas. Dundee: Covered 76% of target population, of whom 53% lived in the most deprived areas. 52% attended for a health check, with 53% of them living in most deprived areas. Pocket approach
10 Types Number Attendance by number and type of contacts. Same type Mixed type Glasgow 1 contact 80.5 (%) 2 contacts contacts contacts Dundee
11 Glasgow Dundee Odds ratio (95% CI) P-value Odds ratio (95% CI) P- value No. contacts Type contacts Adjusted of of 0.81 ( ) 0.90 ( ) < ( ) < ( ) <0.001 <0.001 No. of 0.71 contacts 1 ( ) Type of 1.74 contacts 2 ( ) < ( ) < ( ) <0.001 <0.001
12 Understanding engagement from practices perspective. No clear guidance on how to implement Keep Well. Often targeted patients on basis of target age range. Difficult to conceptualise who were hard-to-reach. Re-deployment of existing staff and increased work hours. Employment of new staff. Most common mechanism of delivery was practice nurse (9/25; 36%); external KW nurse (6/25; 24%); or health care assistant followed by practice nurse (4/25; 16%). Strategy tended to be open invitation letter, followed by telephone contact, then opportunistic contact. More targeted approaches started with telephone contacts.
13 Risk profile of patients. Glasgow (n=9213) Dundee (n=5423) Lanarkshire (n=8814) Aged Family history IHD <60y Family history of diabetes Cholesterol >5.0mmol/l >6.0mmol/l HDL cholesterol <1.5 mmol/l <1.0 mmol/l SBP >140 mmhg >160 mmhg Current smoker Heavy smoker ( cigs/day) BMI >25 kg/m 2 >30 kg/m
14 Ten year risk of CVD event. Glasgow (n=9213) Dundee (n=5423) Lanarkshire (n=8814) % CVD risk (Mean, (95% CI)) 14.1 ( ) 13.6 ( ) 14.8 ( ) CVD risk 20% (Number (%)) 1975 (21.4) 1021 (20.7) 1839 (20.9)
15 Attendance across the socioeconomic spectrum. 80% 70% 60% 50% 40% 30% 20% 10% 0% Deprivation quintile Glasgow Dundee Lanarkshire
16 Ten year risk by deprivation quintile. 18% 16% 14% 12% 10% 8% 6% 4% 2% 0% Deprivation quintile Glasgow Dundee Lanarkshire
17 Impact of deprivation on reach and engagement. Quartiles Range of practice population living in 15% most deprived datazone No. of practices Reach Rate ratio (95% CI) Engagement Rate ratio (95% CI) ( ) p< ( ) p< ( ) p< ( ) p< ( ) p< ( ) p=0.005
18 Lessons learned. Availability of data. Delays in provision of data. Access to patient-level data. For practices shifting goalposts. Ethics and research governance. Delays. Different requirements in each area. Context. Context is all important. Depth and concentration of deprivation. Practice context. Shared understandings of key concepts.
19 My colleagues. Mhairi Mackenzie, Maggie Reid, Urban Studies, University of Glasgow. Fiona Turner, Yinging Wang, Julia Clark. General Practice & Primary Care, University of Glasgow. Sanjeev Sridharan, University of Toronto. Steve Platt, University of Edinburgh.
2009 REVIEW OF KEEP WELL EVALUATION PRIORITIES. Keep Well Evaluation Group, February 2010
2009 REVIEW OF KEEP WELL EVALUATION PRIORITIES Keep Well Evaluation Group, February 2010 EXECUTIVE SUMMARY Purpose of paper: To review the evolving policy context surrounding Keep Well To scrutinise progress
More informationEvaluation of the Links Worker Programme in Deep End general practices in Glasgow
Evaluation of the Links Worker Programme in Deep End general practices in Glasgow Interim report May 2016 We are happy to consider requests for other languages or formats. Please contact 0131 314 5300
More informationPeripheral Arterial Disease: Application of the Chronic Care Model. Marge Lovell RN CCRC BEd MEd London Health Sciences Centre London, Ontario
Peripheral Arterial Disease: Application of the Chronic Care Model Marge Lovell RN CCRC BEd MEd London Health Sciences Centre London, Ontario Objectives Provide brief overview of PAD Describe the Chronic
More informationEVALUATION of NHS Health Check PLUS COMMUNITY OUTREACH PROGRAMME in Greenwich
EVALUATION of NHS Health Check PLUS COMMUNITY OUTREACH PROGRAMME in Greenwich 1 Acknowledgments Sheena Ramsay (Specialty Registrar in Public Health), Jackie Davidson (Associate Director of Public Health),
More informationChild Healthy Weight Interventions
Publication Report Child Healthy Weight Interventions 2012/13 Publication date 27 August 2013 An Official Statistics Publication for Scotland Contents Contents... 1 Introduction... 2 Key points... 3 Results
More informationPragmatism in evidence synthesis and translation; a perspective on the evaluation of systems transformation Dr Sally Fowler
Pragmatism in evidence synthesis and translation; a perspective on the evaluation of systems transformation Dr Sally Fowler Davis @sallyfowlerdav1 s.fowler-davis@shu.ac.uk The discipline of evaluation..evaluation
More informationSCDHSC0434 Lead practice for managing and disseminating records and reports
Lead practice for managing and disseminating records and reports Overview This standard identifies requirements when you lead practice for managing and disseminating records and reports. This includes
More informationAneurin Bevan Health Board. Living Well, Living Longer: Inverse Care Law Programme
Aneurin Bevan Health Board Living Well, Living Longer: Inverse Care Law Programme 1 Introduction The purpose of this paper is to seek the Board s agreement to a set of priority statements for an Inverse
More informationMidlothian Wellbeing Service. First phase evaluation supported by Healthcare Improvement Scotland s Improvement Hub (ihub)
Midlothian Wellbeing Service First phase evaluation supported by Healthcare Improvement Scotland s Improvement Hub (ihub) May 2018 Overview Healthcare Improvement Scotland s Improvement Hub (ihub) supports
More informationCardiovascular Disease Prevention and Control: Interventions Engaging Community Health Workers
Cardiovascular Disease Prevention and Control: Interventions Engaging Community Health Workers Community Preventive Services Task Force Finding and Rationale Statement Ratified March 2015 Table of Contents
More informationReal-time and Right-time Care Experience Improvement Models
Real-time and Right-time Care Experience Improvement Models Evaluation Report May 2018 Person-Centred Health and Care Programme Person-Centred Health and Care Programme team: Diane Graham, Improvement
More informationDEEP END MANIFESTO 2017
DEEP END MANIFESTO 2017 In March 2013 Deep End Report 20 (Annex A) took the form of a manifesto entitled:- What can NHS Scotland do to prevent and reduce health inequalities? The report and recommendations
More informationSCDHSC0450 Develop risk management plans to promote independence in daily living
Develop risk management plans to promote independence in daily living Overview This standard identifies the requirements when developing risk management plans to promote independence in daily living. This
More informationCORONARY ARTERY DISEASE
CORONARY ARTERY DISEASE Background In late 2010, Jean Rosenthawn, a clerical assistant, began experiencing increasing episodes of substernal chest pain and shortness of breath climbing stairs at her work.
More informationLOCAL SUPERVISING AUTHORITY WEST OF SCOTLAND WORK PLAN
LOCAL SUPERVISING AUTHORITY WEST OF SCOTLAND WORK PLAN 2007-2010 Introduction In August 2006 there has been a restructuring of the post of LSA MO in Scotland. Prior to this date there were fifteen Local
More informationCÙRAM IS SLÀINTE NAN EILEAN SIAR WESTERN ISLES HEALTH AND SOCIAL CARE PARTNERSHIP STRATEGIC PLAN REFRESH:
CÙRAM IS SLÀINTE NAN EILEAN SIAR WESTERN ISLES HEALTH AND SOCIAL CARE PARTNERSHIP STRATEGIC PLAN REFRESH: 2018-2020 1. Introduction When the IJB agreed its first Strategic Plan in 2016, the Western Isles
More informationInterim Results: Rapid Cycle Evaluation. Anna Greenberg, Director, Transformation Secretariat, MOHLTC
Interim Results: Rapid Cycle Evaluation Anna Greenberg, Director, Transformation Secretariat, MOHLTC Current Evaluation Activities Rapid Cycle Evaluation Baseline conditions Early implementation results
More informationSCDHSC0414 Assess individual preferences and needs
Overview This standard identifies the requirements when you assess the preferences and the care or support needs of individuals. This begins by working with individuals to carry out a comprehensive assessment
More informationThe new Nursing and Midwifery Council (NMC) standards for pre-registration nursing education. Advice on implementation for health services in Scotland
The new Nursing and Midwifery Council (NMC) standards for pre-registration nursing education Advice on implementation for health services in Scotland February 2011 Contents Key messages... 3 Ringing the
More informationH5RV 04 (SCDHSC0450) Develop Risk Management Plans to Promote Independence in Daily Living
H5RV 04 (SCDHSC0450) Develop Risk Management Plans to Promote Independence in Daily Living Overview This standard identifies the requirements when developing risk management plans to promote independence
More informationSCOTTISH AMBULANCE SERVICE JOB DESCRIPTION
SCOTTISH AMBULANCE SERVICE JOB DESCRIPTION Job Title: Reporting To: Department(s)/Location: Consultant Paramedic OHCA Programme Lead Medical Director Medical Directorate Job Reference number (coded): Background
More informationWest London CCG Annual General Meeting. Tuesday 10 October 2017
West London CCG Annual General Meeting Tuesday 10 October 2017 1 Agenda Item 1 Introduction 1.1 Welcome 1.2 Scene setting and our priorities Lead Dr Fiona Butler, Chair 2 Our achievements in 2016/17 2.1
More informationEvaluability assessment of the Distress Brief Intervention programme in Scotland
Evaluability assessment of the Distress Brief Intervention programme in Scotland This resource may also be made available on request in the following formats: 0131 314 5300 nhs.healthscotland-alternativeformats@nhs.net
More informationSCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN
Appendix-2016-59 Borders NHS Board SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Aim To bring to the Board s attention the Scottish
More informationNHS BOARD COMMITTEE ANNUAL REPORT Andrew Docherty, Consultant Cardiologist
NHS BOARD COMMITTEE ANNUAL REPORT 2014-2015 Name of : Area Clinical Forum Chair Andrew Docherty, Consultant Cardiologist Members Tyra Smyth Maureen Lees Claire James Gordon Stewart Mike Devine Mhairi Simpson
More informationDoing the right things right...
Doing the right things right... Building the evaluation findings of Keep Well into our future anticipatory care planning Wednesday 27th October 2010, 9.30am - 4.30pm Building the findings of Keep Well
More informationImproving blood pressure control in primary care: feasibility and impact of the ImPress intervention
University of Wollongong Research Online Faculty of Science, Medicine and Health - Papers Faculty of Science, Medicine and Health 2015 Improving blood pressure control in primary care: feasibility and
More informationStrengthening CVD prevention in remote Primary Health Care
Strengthening CVD prevention in remote Primary Health Care PAUL BURGESS, PHD FAFPHM Clinical Director Coordinated Care Strategic Primary Health Care Top End Health Service Cardiac Care in the NT Annual
More informationHAAD Guidelines for The Provision of Cardiovascular Disease Management Programs
HAAD Guidelines for The Provision of Cardiovascular Disease Management Programs March 2017 Document Title: HAAD Guidelines for The Provision of Cardiovascular Disease Management Programs (DMP) Document
More informationThe national Clinical Research Nurse workforce how is it structured?
The national Clinical Research Nurse workforce how is it structured? Dr Helen Jones Head of Research Nursing Helenc.jones@nhs.net Background 1 Background Where did it all start? Development of the Clinical
More informationMASONIC CHARITABLE FOUNDATION JOB DESCRIPTION
MASONIC CHARITABLE FOUNDATION Grade: E JOB DESCRIPTION Job Title: Monitoring & Evaluation Officer Job Code: TBC Division/Team: Operations Department / Strategy & Special Projects Team Location: Great Queen
More informationPublic Health Skills and Career Framework Multidisciplinary/multi-agency/multi-professional. April 2008 (updated March 2009)
Public Health Skills and Multidisciplinary/multi-agency/multi-professional April 2008 (updated March 2009) Welcome to the Public Health Skills and I am delighted to launch the UK-wide Public Health Skills
More informationUKMi PDS Tuesday 27 th September 2016
Implications of the Carter report for MI, what we can learn from colleagues in Scotland? Yvonne Semple Lead Pharmacist, MI Services NHS GGC UKMi PDS Tuesday 27 th September 2016 What can we learn from
More informationCHAPTER 6 SUMMARY, CONCLUSION, NURSING IMPLICATIONS & RECOMMENDATIONS
260 CHAPTER 6 SUMMARY, CONCLUSION, NURSING IMPLICATIONS & RECOMMENDATIONS In this chapter, the Summary of study, Conclusion, Implications and recommendations for further research are prescribed. 6.1 SUMMARY
More informationWhite Rose Research Online URL for this paper:
This is an author produced version of Being human: a qualitative interview study exploring why a telehealth intervention for management of chronic conditions had a modest effect. White Rose Research Online
More informationRequest for Proposals
Request for Proposals November 2017 2018 Primary Care Models of Care Evaluation Research Partnership A joint research initiative funded by the Health Research Council of New Zealand and Ministry of Health.
More informationMy Discharge a proactive case management for discharging patients with dementia
Shine 2013 final report Project title My Discharge a proactive case management for discharging patients with dementia Organisation name Royal Free London NHS foundation rust Project completion: March 2014
More informationEvaluation of the Threshold Assessment Grid as a means of improving access from primary care to mental health services
Evaluation of the Threshold Assessment Grid as a means of improving access from primary care to mental health services Report for the National Co-ordinating Centre for NHS Service Delivery and Organisation
More informationLearning from adverse events. Learning and improvement summary
Learning from adverse events Learning and improvement summary November 2014 Healthcare Improvement Scotland 2014 Published November 2014 You can copy or reproduce the information in this document for use
More informationCapital & Coast DHB System Level Measures Improvement Plan 2016/17
Capital & Coast DHB System Level Measures Improvement Plan 2016/17 Written by: Astuti Balram, ICC Programme Manager, on behalf of the CCDHB Integrated Care Collaborative (ICC) Alliance Version 4 Released
More informationH5NE 04 (SCDHSC0025) Contribute to the Implementation of Care or Support Plan Activities
H5NE 04 (SCDHSC0025) Contribute to the Implementation of Care or Support Plan Activities Overview This standard outlines the requirements when you work with individuals to carry out activities specified
More informationShakeel Sabir Head of MERIT Vanguard
MERIT Excellence, Resilience Innovation & Training Jointly developing Mental Health Service in the West Midlands Shakeel Sabir Head of MERIT Vanguard Background - New care models Multispecialty community
More informationEffects of Patient Navigation on Chronic Disease Self Management
Effects of Patient Navigation on Chronic Disease Self Management M. Christina R. Esperat, RN, PhD, FAAN, Professor and Associate Dean for Clinical Services, Texas Tech University Health Sciences Center
More informationA Participation Standard for the NHS in Scotland Standard Document
A Participation Standard for the NHS in Scotland Standard Document Scottish Health Council Scottish Health Council 2010 Published August 2010 ISBN 1-84404-916-7 You can copy or reproduce the information
More informationCASE STUDY: THE ADULT MENTAL HEALTH (AMH) MODEL-REDESIGN OF INTEGRATED SERVICES FOR WORKING AGE ADULTS WITH SEVERE MENTAL ILLNESS.
CASE STUDY: THE ADULT MENTAL HEALTH (AMH) MODEL-REDESIGN OF INTEGRATED SERVICES FOR WORKING AGE ADULTS WITH SEVERE MENTAL ILLNESS. Summary The Adult Mental Health (AMH) model is a new initiative which
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 informationNHS Health Check Programme rapid evidence synthesis
NHS Health Check Programme rapid evidence synthesis The Primary Care Unit, University of Cambridge and RAND Europe Dr Juliet Usher-Smith, Clinical Lecturer in General Practice, University of Cambridge
More informationDRAFT. Rehabilitation and Enablement Services Redesign
DRAFT Rehabilitation and Enablement Services Redesign Services Vision Statement Inverclyde CHP is committed to deliver Adult rehabilitation services that are easily accessible, individually tailored to
More informationRoper, Logan & Tierney Model of Living
FACULTY OF HEALTH School of Nursing and Midwifery Learning Disability Division Roper, Logan & Tierney Model of Living Resource Pack Fiona Rich Senior Lecturer Roper Logan and Tierney Model of Living Aim
More informationCLINICAL STRATEGY IMPLEMENTATION - HEALTH IN YOUR HANDS
CLINICAL STRATEGY IMPLEMENTATION - HEALTH IN YOUR HANDS Background People across the UK are living longer and life expectancy in the Borders is the longest in Scotland. The fact of having an increasing
More informationcare PROactive Personalised Preventative Targeted Integrated one two three four five six seven eight
three four five six seven Personalised Preventative Targeted Integrated NHS Crawley Clinical Commissioning Group NHS Horsham and Mid Sussex Clinical Commissioning Group Sussex Community NHS Trust Sussex
More informationItem No. 9. Meeting Date Wednesday 6 th December Glasgow City Integration Joint Board Finance and Audit Committee
Item No. 9 Meeting Date Wednesday 6 th December 2017 Glasgow City Integration Joint Board Finance and Audit Committee Report By: Contact: Sharon Wearing, Chief Officer, Finance and Resources Allison Eccles,
More informationHow prepared are medical graduates to begin practice?
How prepared are medical graduates to begin practice? A comparison of three diverse medical schools Study funded by the GMC Jan Illing Gill Morrow Charlotte Kergon Bryan Burford John Spencer Ed Peile Carol
More informationUnion County Governance Public Health Partnership
Union County Governance Public Health Partnership Community Health Improvement Plan 2013 Revisions CHIP PRIORITIES Contents Table of contents Table of contents.1 The Union County Governmental Public Health
More informationWelcome to NHS Education for Scotland Childsmile Training. Quality Education for a Healthier Scotland
Welcome to NHS Education for Scotland Childsmile Training House Keeping and Ground Rules Fire alarm/escape route/toilets Comfort breaks Lunch Register Confidentiality Respect Engage in learning experience
More informationExecutive Summary Independent Evaluation of the Marie Curie Cancer Care Delivering Choice Programme in Somerset and North Somerset October 2012
Executive Summary Independent Evaluation of the Marie Curie Cancer Care Delivering Choice Programme in Somerset and North Somerset October 2012 University of Bristol Evaluation Project Team Lesley Wye
More informationSTP: Latest position. Developing and delivering the Humber, Coast and Vale Sustainability and Transformation Plan. July 2016
STP: Latest position Developing and delivering the Humber, Coast and Vale Sustainability and Transformation Plan July 2016 Who s involved? NHS Commissioners East Riding of Yorkshire CCG Hull CCG North
More informationPUBLIC HEALTH LOCAL SERVICES AGREEMENTS 2016/17 SERVICE SPECIFICATION SIGN-UP. GP Practice NHS Health Check Service
PUBLIC HEALTH LOCAL SERVICES AGREEMENTS 2016/17 SERVICE SPECIFICATION SIGN-UP GP Practice NHS Health Check Service Contract expiry date: 31 March 2017 Specific Training/Accreditation: Please refer to section
More informationNHS LANARKSHIRE & NHS GREATER GLASGOW & CLYDE Paper No 06/67 CHP SOUTH OPERATING MANAGEMENT (PERFORMANCE MANAGEMENT) COMMITTEE
NHS LANARKSHIRE & NHS GREATER GLASGOW & CLYDE Paper No 06/67 CHP SOUTH OPERATING MANAGEMENT (PERFORMANCE MANAGEMENT) COMMITTEE Note of a meeting held on Monday 10 th July 2006 at 9.30 am in the Committee
More informationDeep End Report 5 Single-handed general practice
Deep End Report 5 Single-handed general practice The fifth meeting of General Practitioners at the Deep End 07 May 2010 Nine GPs from Glasgow, Dundee and Saltcoats met on Friday 07 May at the Section of
More informationThe impact of government s ICT savings initiatives. The Cabinet Office
REPORT BY THE COMPTROLLER AND AUDITOR GENERAL HC 887 SESSION 2012-13 23 JANUARY 2013 The Cabinet Office The impact of government s ICT savings initiatives 4 Key facts The impact of government s ICT savings
More informationCranbrook a healthy new town: health and wellbeing strategy
Cranbrook a healthy new town: health and wellbeing strategy 2016 2028 Executive Summary 1 1. Introduction: why this strategy is needed, its vision and audience Neighbourhoods and communities are the building
More informationImplementing Health Coaching
Implementing Health Coaching Presented by: Amireh Ghorob, MPH Adriana Najmabadi Camille Prado UCSF Center for Excellence in Primary Care IHI Summit 2014, Washington DC March 10, 2014 Session: L9 These
More informationProgram Planning & Proposal Writing. Checklist. SUMMARY Provides a brief overview of the entire proposal, including the budget
Program Planning & Proposal Writing Checklist This checklist can help ensure that a proposal includes essential information in a logical order. In all cases, follow the instructions of the funder. Not
More informationBoarding Impact on patients, hospitals and healthcare systems
Boarding Impact on patients, hospitals and healthcare systems Dan Beckett Consultant Acute Physician NHSFV National Clinical Lead Whole System Patient Flow Project Scottish Government May 2014 Important
More informationWAITING TIMES 1. PURPOSE
Agenda Item Meeting of Lanarkshire NHS Board 28 April 2010 Lanarkshire NHS board 14 Beckford Street Hamilton ML3 0TA Telephone 01698 281313 Fax 01698 423134 www.nhslanarkshire.org.uk WAITING TIMES 1. PURPOSE
More informationMedicare Spending and Rehospitalization for Chronically Ill Medicare Beneficiaries: Home Health Use Compared to Other Post-Acute Care Settings
Medicare Spending and Rehospitalization for Chronically Ill Medicare Beneficiaries: Home Health Use Compared to Other Post-Acute Care Settings May 11, 2009 Avalere Health LLC Avalere Health LLC The intersection
More informationSpiritual and Religious Care Capabilities and Competences for Chaplaincy Support 2015
Spiritual and Religious Care Capabilities and Competences for Support 2015 Contents Introduction and Acknowledgement 2 Spiritual Care and Religious Care 2 A Capabilities and Competences Framework 2 Spiritual
More informationIntensive Psychiatric Care Units
NHS Greater Glasgow and Clyde Stobhill Hospital, Glasgow Intensive Psychiatric Care Units Service Profile Exercise ~ November 009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and
More informationCentre of Excellence for Indigenous primary care intervention research in chronic disease. Alex Brown, Alan Cass, Samantha Togni July 2011
Centre of Excellence for Indigenous primary care intervention research in chronic disease Alex Brown, Alan Cass, Samantha Togni July 2011 16.7yr s 19 yrs Contributors to the Gap Group II - NCD 77% gap
More informationMental Health Crisis Pathway Analysis
Mental Health Crisis Pathway Analysis Contents Data sources Executive summary Mental health benchmarking project (Provider) Access Referrals Caseload Activity Workforce Finance Quality Urgent care benchmarking
More informationTRAINEE CLINICAL PSYCHOLOGIST GENERIC JOB DESCRIPTION
TRAINEE CLINICAL PSYCHOLOGIST GENERIC JOB DESCRIPTION This is a generic job description provided as a guide to applicants for clinical psychology training. Actual Trainee Clinical Psychologist job descriptions
More informationTransformation of Services and Care Pathway Redesign in the NHS: Further Reforms in Health Policy
Transformation of Services and Care Pathway Redesign in the NHS: Further Reforms in Health Policy Mike Mallinson Access Partnership ISPOR May 2013 London Philadelphia Singapore Agenda Objective Approach
More informationScottish social services sector: report on 2010 workforce data
Scottish social services sector: report on 2010 workforce data Scottish Social Services Council December 2011 1 Contents: Executive Summary... 3 1. Introduction... 4 2. National Picture... 5 3. Sub-national
More informationCardiovascular Health Westminster:
Cardiovascular Health Westminster: An integrated approach to CVD prevention and treatment Dr Adrian Brown/Anna Cox Consultant in Public Health Medicine NHS Westminster Why prioritise CVD Biggest killer
More informationTrends in hospital reforms and reflections for China
Trends in hospital reforms and reflections for China Beijing, 18 February 2012 Henk Bekedam, Director Health Sector Development with input from Sarah Barber, and OECD: Michael Borowitz & Raphaëlle Bisiaux
More informationLessons Learned from Scotland s Electronic Health Record Programme. Greater China e-health Forum 7 th October 2011
Lessons Learned from Scotland s Electronic Health Record Programme Greater China e-health Forum 7 th October 2011 InterSystems Established in 1978 Headquartered in Cambridge, MA Healthcare solutions headquartered
More informationNHS Lanarkshire. Local Report ~ November Stroke Services: Care of the Patient in the Acute Setting
NHS Lanarkshire Local Report ~ November 2005 Stroke Services: Care of the Patient in the Acute Setting NHSScotland Regional Breakdown 13 12 15 1 NHS Argyll & Clyde 2 NHS Ayrshire & Arran 3 NHS Borders
More informationHealth Promoting Hospitals: Challenges & Opportunities. John Kenneth Davies Faculty of Health University of Brighton
Health Promoting Hospitals: Challenges & Opportunities John Kenneth Davies Faculty of Health University of Brighton j.k.davies@brighton.ac.uk Growth of New Public Health Strengthening health (saluto-genesis)
More informationA National Repository of Widely-Shareable, Computable Clinical Decision Support
A National Repository of Widely-Shareable, Computable Clinical Decision Support Session 199, March 8, 2018 Edwin Lomotan MD, Medical Officer & Chief of Clinical Informatics, AHRQ Rob McCready, Portfolio
More informationH5V0 04 (SCDHSC3122) Support Individuals to Use Medication in Social Care Settings
H5V0 04 (SCDHSC3122) Support Individuals to Use Medication in Social Care Settings Overview This standard applies to social care workers and identifies the requirements when supporting individuals to use
More informationFindings from the Balance of Care / NHS Continuing Health Care Census
Publication Report Findings from the Balance of Care / NHS Continuing Health Care Census Census held 31 Publication date 23 June 2015 A National Statistics Publication for Scotland Contents Findings from
More informationLes inégalités de santé: Congres National des ORS
Les inégalités de santé: comparaisons nationales et urbaines Congres National des ORS 16 octobre, 2008 Victor G. Rodwin Michael K. Gusmano Daniel Weisz http://wagner.nyu.edu/rodwin http://www.ilcusa.org/pages/projects/world-cities-project.php
More informationThe state of care in general practice 2014 to Findings from CQC s programme of comprehensive inspections of GP practices
The state of care in general practice 2014 to 2017 Findings from CQC s programme of comprehensive inspections of GP practices Our purpose The Care Quality Commission is the independent regulator of health
More informationQuality Strategy. CCG Executive, Quality Safety and Risk Committee Approved by Date Issued July Head of Clinical Quality & Patient Safety
Quality Strategy Document Document Status Equality Impact Assessment Draft None Document Ratified/ CCG Executive, Quality Safety and Risk Committee Approved by Date Issued July 2016 Review Date September
More informationU.H. Maui College Allied Health Career Ladder Nursing Program
U.H. Maui College Allied Health Career Ladder Nursing Program Progress toward level benchmarks is expected in each course of the curriculum. In their clinical practice students are expected to: 1. Provide
More information3. Q: What are the care programmes and diagnostic groups used in the new Formula?
Frequently Asked Questions This document provides background information on the basic principles applied to Resource Allocation in Scotland plus additional detail on the methodology adopted for the new
More informationSpring 2016 Clinical Mental Health Counseling Exit Survey
Gender (Responses:21) Male(2) 10% female(19) 90% Race (Responses:22) Hispanic/Latino(1) 5% African American 36% Native American(0) 0% Caucasian Pacific Islander(0) 0% Asian American(0) 0% Arab American(0)
More informationEvaluation of NHS Health Checks provided by community pharmacies
Journal of Public Health Vol. 38, No. 4, pp. e516 e523 doi:10.1093/pubmed/fdv153 Advance Access Publication October 29, 2015 Evaluation of NHS Health Checks provided by community pharmacies S.A. Corlett,
More informationEvaluation of Current Practices to Involve Service Users and Carers in Practice Assessment in 11 Higher Education Institutes (HEIs) in Scotland
Evaluation of Current Practices to Involve Service Users and Carers in Practice Assessment in 11 Higher Education Institutes (HEIs) in Scotland January March 2013 Dr.Chris Darbyshire Dr. Eddie Donaghy
More information1. This letter summarises the mairi points discussed and actions arising from the Annual Review and associated meetings in Glasgow on 20 August.
Cabinet Secretary for Health, Wellbeing and Sport ShonaRobisonMSP T: 0300 244 4000 E:scottish.ministers@gov.scot Andrew Robertson OBE Chairman NHS Greater Glasgow and Clyde JB Russell House Gartnavel Royal
More informationabcde abc a = eé~äíü=aéé~êíãéåí= = aáêéåíçê~íé=çñ=mêáã~êó=`~êé=c=`çããìåáíó=`~êé= NHS Circular: PCA(P)(2005) 20 abcdefghijklm Dear Colleague
NHS Circular: PCA(P)(2005) 20 abcdefghijklm = eé~äíü=aéé~êíãéåí= = aáêéåíçê~íé=çñ=mêáã~êó=`~êé=c=`çããìåáíó=`~êé= = mêáã~êó=`~êé=aáîáëáçå= = pí=^åçêéïdë=eçìëé= = oéöéåí=oç~ç= = bafk_rode= = ben=pad= Dear
More informationComprehensive Medication Management (CMM) for Hypertension Patients: Driving Value and Sustainability
Comprehensive Medication Management (CMM) for Hypertension Patients: Driving Value and Sustainability Steven W. Chen PharmD, FASHP, FCSHP, FNAP Associate Dean for Clinical Affairs chens@usc.edu, 323-206-0427
More informationChronic Pain Services in Scotland: Where are we now?
Chronic Pain Services in Scotland: Where are we now? April 2014 Acknowledgements Healthcare Improvement Scotland would like to thank all the NHSScotland clinical and administrative staff who contributed
More informationWithin both PCTs, smokers were referred directly to the local stop smoking service at the time of the health check.
Improving Healthy Lifestyles Pilot Site Evaluation Report Key findings The health check is a good opportunity to deliver brief lifestyle behaviour advice to patients, most of which is recalled three months
More informationDRAFT 2. Specialised Paediatric Services in Scotland. 1 Specialised Services Definition
Specialised Paediatric Services in Scotland 1 Specialised Services Definition Services provided for low numbers of patients. They require a critical mass of staff, facilities and equipment and are delivered
More informationEQUALITY 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 informationImproving ethnic data collection for equality and diversity monitoring
Publication Report Improving ethnic data collection for equality and diversity monitoring April 2010 March 2012 Publication date 28 th August 2012 Contents Contents... 1 Introduction... 2 Key points...
More informationScottish Hospital Standardised Mortality Ratio (HSMR)
` 2016 Scottish Hospital Standardised Mortality Ratio (HSMR) Methodology & Specification Document Page 1 of 14 Document Control Version 0.1 Date Issued July 2016 Author(s) Quality Indicators Team Comments
More informationCase Study: Acute PREDICT
Case Study: Acute PREDICT Cardiovascular Prevention Program and Acute Coronary Syndrome database Andrew Kerr and Andrew McLachlan, Cardiology Dept Middlemore Hospital Themes Motivation Team approach Willingness
More information