Is it possible to define the improved health outcome for the patient
|
|
- Marion Bates
- 5 years ago
- Views:
Transcription
1 HEALTHCARE QUALITY IMPACT ASSESSMENT FOR SERVICE REDESIGN TEMPLATE How will the project achieve this health impact? What is the evidence base for this? Is it possible to define the improved health outcome for the patient Are there key dependencies in achieving the health impact? What measures of health impact could be used? INDIRECT HEALTH IMPACTS Safer condition or age, will receive a specialist initial assessment and be treated accordingly. Formal specialist clinical assessments undertaken; patients will require and receive a diagnosis; patients receive appropriate equipment (cylinder, concentrator, etc.) For example, Type 2 respiratory failure and smokers: There is clinical evidence that O2 carries a risk for some patients (i.e. smokers). Smokers may not be prescribed O2 but will be offered smoking cessation therapy in the first instance. Reduction of risk for certain patients (Type 2, respiratory failure patients). Confirmed diagnosis. Accuracy of diagnosis. Local measurement of patients who have an O2 alert card (patients for whom O2 can be dangerous at certain levels). Safety of Type 2 (respiratory failure) patients (clinical safety improvements). All patients will receive a similar (i.e. consistent) standard of service in relation to clinical follow-up and review. ScotPHN report; QIS COPD Oxygen Standard. Patient getting a dedicated assessment and receiving visits by a respiratory nurse specialist to assess condition, appropriateness of diagnosis (i.e. Respiratory nurse specialist capacity on a Health Board level; unknown amount of additional specialist time needed. Number of respiratory nurse lists. Health Boards would have to provide data per NAG Guidelines (i.e.
2 opportunity for wider health improvements). Proper correction of patient hypoxaemia. local audit trail). It is known that there is no standard risk assessment used by Community Pharmacy and firebreaks are not used. There is no standardisation of educational materials. It is anticipated that there will be fewer serious fire incidents in patients homes. Patients will be better educated and will therefore be better placed to understand risks and how to prevent them. All Health Boards must assess and diagnose their pharmacy cylinder patients so that these patients can then be migrated to the new service. Education to required standard is part of NSS national contract. Fewer serious fire incidents. Fewer patients changing oxygen regulators (thereby reducing the fire/explosion risk associated with changing regulators). More effective Better access to portable O2 condition or age, will receive a specialist initial assessment and be treated accordingly. The HomeFill trial, ScotPHN report, identification of under-provision of portable oxygen, and general feedback from patients. NAG (National Advisory Group for Respiratory MCNs Managed Clinical Networks) Guidance. ScotPHN report. Better compliance with LTOT prescription and associated health benefits. Less patients receiving inappropriate diagnosis and treatment. Appropriate use of LTOT in COPD improves survival, improves sleep, improves exercise capacity; reduces Availability of HomeFill systems, Health Board compliance with Home Oxygen Service Project, and patient cooperation. All health care professionals need to recognise their responsibilities/roles. Number of HomeFill is increased and portable oxygen is increased as well. Increased patients through assessment for LTOT service; overall decrease of O2. Decrease of
3 unneccesary hospital admissions. SBOT. HFS HomeFill trial (document currently in draft form). Single national contract in place, providing same level of service across Scotland Patients have greater mobility as a result of increased portable O2 supply. Patients better able to receive the maximum benefit from their oxygen prescription through compliance with their prescription. (plus all other benefits associated with LTOT in COPD) All health care professionals need to recognise their responsibilities/roles. Effective operation of the national contract (training and education of engineers; ongoing monitoring of service by HFS). Monitor the rollout of portable oxygen modalities. HFS trial (document currently in draft form). Ad hoc face-to-face visits by HFS of patients, joint visits of patients by HFS with respiratory nurses. HFS monitoring of modality numbers in use More efficient condition or age, will receive a specialist initial assessment and be treated accordingly. NAG (National Advisory Group for Respiratory MCNs Managed Clinical Networks) Guidance. Less patients receiving inappropriate diagnosis and treatment. Appropriate use of LTOT in COPD improves survival, improves sleep, improves exercise All health care professionals need to recognise their responsibilities/roles. Implementation and adoption of NAG guidance Increased patients through assessment for LTOT service; overall decrease of O2. Decrease of
4 capacity; reduces unneccesary hospital admissions. SBOT. More equitable condition or age or geographical location, will receive a specialist initial assessment and be treated accordingly. Approval by NHS Directors of Finance Oxygen Sub-Group. Board papers produced and agreed. HomeFill: less need for transportation and logistics; patients in charge of their own oxygen supply. Subject to service standards within the National Contract from sole supplier. Subject to internal and external audit. Right treatment, right time, by the right person and delivered by the right person. Able to make more HomeFill available; therefore patients more mobile. Oxygen conservers conserve gas and enable patients to use their cylinders for a longer time period. Reduced patient anxiety over cylinder oxygen supplies. Access to specialist respiratory physicians rather than a GP. Increased rural patients being seen by a respiratory consultant. Patients will receive appropriate treatment regardless of age or other considerations. Discouraging GPs from prescribing SBOT, thereby reducing SBOT. Local HBs give guidance/training for GPs across Scotland. NAG Guidelines to be part of training package. Having sufficient time remaining in contract to allow new equipment to be introduced. Dependent on better outreach services so patients can receive O2 at local hospitals, for example. Logistics (applies to Dolby and Health Boards). More capacity for secondary care to deal with more patients. Monitoring the oxygen conservers and HomeFill systems in use. Audit of delivery should be able to prove equity of provision of O2: new service should attempt to demonstrate increased rurality of provision via comparison of old data to new data (before new
5 service/after new service). More timely condition or age or geographical location, will receive a specialist initial assessment and be treated accordingly. (Less wait times on clinical respiratory specialist assessment to achieve diagnosis.) More people have HomeFill; therefore increase in patient mobility. Monitoring of rollout of new equipment to ensure sensible distribution of available systems, ensuring fair access to services across Boards Today s service vs. future service. Increased provision of oxygen in rural areas. With HomeFill, easier access to oxygen without having to travel long distances. Patients will have better access to engineers and support. Right diagnosis, right treatment, right time, by the right person and delivered by the right person. Service is consistent in both rural and urban areas. It is crucial that the estimated 400 HomeFill systems be enough to meet the demand across the country. (If not, there would be a need to understand the reason behind the increase in demand and to ensure that the appropriate prescribing practies are being adhered to. Additional equipment can be sourced if required.) Ability of local HBs to organise resources/time to perform assessments. Analysis of use of oxygen systems following on from completion of project. Waiting times are lessened. One possible measure may be a step increase in COPD diagnosis.
6 New service contract stipulates a certain standard that staff will be expected to adhere to. Patients over time will gain greater confidence in the new service which has contractual standards compared to the current provision which may vary from community pharmacist to community pharmacist. Dolby recruit staff across Scotland who are able to deliver on the contract. Cooperation from key sub contractors of Dolby Medical, including BOC Direct feedback from patients to HFS on the service they receive. More person centred condition or age or geographical location, will receive a specialist initial assessment and be treated accordingly. NAG (National Advisory Group for Respiratory MCNs Managed Clinical Networks) Guidance. NICE Guidelines (Natl Institute for Clinical Excellence); QIS Guidelines for COPD; ScotPHN Report This should reduce patient anxiety over oxygen supplies. There is no restriction in supplies that are currently in place through pharmacy. Reduced unnecessary hospital admissions due to prevention of exacerbated symptoms by initial appropriate preventative/anticipatory care. Capacity in secondary care; dependency on cooperation of GPs in referring patients to the service and stop prescribing O2; NAG Guidance to be enforced and locally disseminated by MCNs Increased patients through assessment for LTOT service; overall decrease of O2. Decrease of SBOT. Each patient will have an Right diagnosis, right treatment, right time, by Accurate diagnosis and proper risk Reduced
7 All patients will receive individual support from contractor 24/7 365 days, have all supplies delivered to their home rather than have to collect them, and generally have better access to supplies. This should enable better compliance with prescription (usually 15 hours per day) by allowing greater flexibility in how oxygen is used. assessment in secondary care based on their individual diagnosis they will then receive a visit by Dolby in their home for an individual risk assessment. ScotPHN report reference to ratio of portable oxygen supplies/static oxygen supplies. 70% in England and Wales and 40% in Scotland. the right person and delivered by the right person. This will lead to reduction in unnecessary hospital. Better compliance with prescription means greater survival, sleep, exercise capacity and reduced hospital admission. assessment. Effective operation of the new contract hospital admissions and GP appointments by oxygen at home. Improvement in ratio of ambulatory/static modality; is likely to improve in Scotland to above 40%.
8 What health outcomes could the project achieve? How will the project achieve these health outcomes? What is the evidence base for this? Are there key dependencies in achieving the health outcome? What measures of health outcomes could be used? DIRECT HEALTH IMPACT (to be used for direct patient care)
9 DESCRIPTIONS OF INDIRECT HEALTH IMPACTS - CONTRIBUTIONS TO THE QUALITY OF CARE Safe Effective Efficient Equitable Timely Person centred avoiding injuries to patients from care that is intended to help them; providing an appropriate, clean and safe environment; reducing harm from infectious and environmental hazards providing the most appropriate treatments, interventions, support and services avoiding waste, including waste of equipment, supplies, ideas and energy providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location or socio-economic status reducing waits and sometimes harmful and distressing delays for both those who receive care and those who give care providing care that is responsive to individual preferences, needs and values and assuring that patient values guide all clinical/health related decisions
COPD Units of Learning
COPD Units of Learning Title of overarching NOS: CHS60 Assess individuals with long term conditions Unit of learning to demonstrate competence: Undertaking as assessment of need for CHS 39 Assess an individual
More informationNHS community pharmacy advanced services Briefing for GP practices
NHS community pharmacy advanced services Briefing for GP practices August 2013 This document has been developed jointly by NHS Employers, the Pharmaceutical Services Negotiating Committee (PSNC) and the
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 informationAlberta Breathes: Proposed Standards for Respiratory Health of Albertans
Alberta Breathes: Proposed Standards for Respiratory Health of Albertans The concept of Alberta Breathes and these standards was developed in consultation with over 150 health professionals and stakeholders
More informationInformation shared between healthcare providers when a patient moves between sectors is often incomplete and not shared in timely enough fashion.
THE DISCHARGE MEDICINES REVIEW SERVICE Introduction During a stay in hospital a patient s medicines may be changed. Studies show that many patients may experience an error or problem with their medicines
More informationScottish Public Health Network (ScotPHN) A needs assessment of home oxygen services
Scottish Public Health Network (ScotPHN) A needs assessment of home oxygen services Dr Rachael Wood Ian Grant Andrew Millard December 2010 1 CONTENTS PAGE Preliminaries 3 Introduction 5 Aims and objectives
More informationProcess for prescribing of Long Term Oxygen Therapy (LTOT) or Ambulatory oxygen therapy by HSC Trusts
Process for prescribing of Long Term Oxygen Therapy (LTOT) or Ambulatory oxygen therapy by HSC Trusts Prescribing before assessment or by non-specialist staff It may, in some circumstances, be necessary
More informationNHSGGC Respiratory Managed Clinical Network Annual Report 2010/11 Executive Summary and Table of Contents
NHSGGC Respiratory Managed Clinical Network Annual Report 2010/11 Executive Summary and Table of Contents The full report is available on the Respiratory MCN Website www.nhsggc.org.uk/respmcn 1. Executive
More informationLincolnshire JSNA: Chronic Obstructive Pulmonary Disease (COPD)
Disease (COPD) What do we know? Summary is a long-term condition, which is affecting increasing numbers of people. There is a wide range of interventions to address COPD, from prevention to the ongoing
More information97% 18% 2% self-employed/ freelancer/contractor. 30% part time. 27% Part time
Pharmacy professionals - Overview Gender by population Male 39.6 Female 60.4 Age range by population Gender by population Male 10.3 Female 89.7 Age range by population 21.6 31.9 22.4 17.4 6.8 15.0 28.2
More informationNational COPD Audit Programme
National COPD Audit Programme COPD: Working together Clinical audit of COPD exacerbations admitted to acute hospitals in England and Wales 2017 Findings and quality improvement The audit programme partnership
More informationChrissie Bryant, Business Director Wales, GlaxoSmithKline - Chair of session. Date of Preparation 30/11/2012 UK/RESP/0115/12
Bobby Bolt Divisional Director for Primary Care and Networks Dr Patrick Flood-Page - Project Lead Respiratory Consultant Dr Jackie Abbey, Project Lead GP Clinician Chrissie Bryant, Business Director Wales,
More informationSection 6: Referral record headings
Section 6: Referral record headings Referral record standards: the referral headings are primarily intended for recording the clinical information in referral communication between general practitioners
More informationNATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE 1 Guideline title SCOPE Medicines optimisation: the safe and effective use of medicines to enable the best possible outcomes 1.1 Short title Medicines
More informationPCA (P) (2016) 1. Background
Healthcare Quality and Strategy Directorate Pharmacy and Medicines Division Dear Colleague STOMA APPLIANCE SERVICE IN THE COMMUNITY PUBLICATION OF STOMA CARE QUALITY AND COST EFFECTIVENESS REVIEW REPORT
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 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 informationPowys Teaching Health Board. Respiratory Delivery Plan
Powys Teaching Health Board Respiratory Delivery Plan 2016-17 CONTENTS 1. BACKGROUD AND CONTEXT 1.1 The Vision 1.2 The Drivers 1.3 What do we want to achieve? 2. ORGANISATIONAL PROFILE 2.1 Overview 3.
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 informationNorthern Ireland COPD Audit
Northern Ireland COPD Audit A regional audit of chronic obstructive pulmonary disease (COPD) care September 2017 www.rqia.org.uk Assurance, Challenge and Improvement in Health and Social Care Contents
More informationRegistrant Survey 2013 initial analysis
Registrant Survey 2013 initial analysis April 2014 Registrant Survey 2013 initial analysis Background and introduction In autumn 2013 the GPhC commissioned NatCen Social Research to carry out a survey
More informationAssociation of Pharmacy Technicians United Kingdom
Please find below APTUKs views to the proposals for change in Community Pharmacy as discussed at the Community Pharmacy in 2016/2017 and beyond stakeholder meeting on the 4 th February 2016 Introduction
More informationRESPIRATORY HEALTH DELIVERY PLAN
RESPIRATORY HEALTH DELIVERY PLAN 1. BACKGROUND AND CONTEXT Together for Health a Respiratory Health Delivery Plan was published in April 2014 and provides a framework for action by Health Boards and NHS
More informationAbout me. This page was updated by. Date (dd/mm/yy) Name. has been diagnosed with. My home address. My date of birth is (dd/mm/yy) My NHS number is
About me This page was updated by Date (dd/mm/yy) Name has been diagnosed with My home address My date of birth is (dd/mm/yy) My NHS number is My hospital number is The hospital I go to is My contact at
More informationConsultation on proposals to introduce independent prescribing by paramedics across the United Kingdom
Patient and public summary for: Consultation on proposals to introduce independent prescribing by paramedics across the United Kingdom The full consultation document is available on the NHS England consultation
More informationWhat are the potential ethical issues to be considered for the research participants and
What are the potential ethical issues to be considered for the research participants and researchers in the following types of studies? 1. Postal questionnaires 2. Focus groups 3. One to one qualitative
More informationJOB DESCRIPTION. Progressive: A learning organization, encouraging innovation and continuous improvement.
JOB DESCRIPTION Job Title: Medicines Management Support Assistant Pay Band: Band 3 Hours of Work: Responsible to: Accountable to: Base Point: Contract Type 37.5 hours per week Prescription Order Line Manager
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 informationNHS PCA (P) (2015) 17 ANNEX B. Specials Frequently Asked Questions for Community Pharmacy. Pre-authorisation:
ANNEX B Specials Frequently Asked Questions for Community Pharmacy Pre-authorisation: Q: When do I need to seek authorisation? A: You need to seek authorisation for all Specials manufactured medicines
More informationCorso di Informatica Medica
Università degli Studi di Trieste Corso di Laurea Magistrale in INGEGNERIA CLINICA CENNI DI TELEMEDICINA Corso di Informatica Medica Docente Sara Renata Francesca MARCEGLIA Dipartimento di Ingegneria e
More informationGuidance For Health Care Staff Within NHS Grampian On Working With The Pharmaceutical Industry And Suppliers Of Prescribable Health Care Products
Title: Identifier: Guidance For Health Care Staff Within NHS Grampian On Working With The Pharmaceutical Industry And Suppliers Of Prescribable Health Care Products NHSG/guid/PharmInd/GMMG/738 Replaces:
More information2. What is the main similarity between quality assurance and quality improvement?
Chapter 6 Review Questions 1. Quality improvement focuses on: a. Individual clinicians or system users b. Routine measurement of performance c. Information technology issues d. Constant training 2. What
More informationMedicines Management Strategy
Medicines Management Strategy 2012 2014 Directorate responsible for the strategy: Medical and Governance Directorate Staff group to whom it applies: All clinical staff and Trust managers Issue date: 30/6/12
More informationNHS Grampian. Intensive Psychiatric Care Units
NHS Grampian Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We have assessed the performance
More informationAlcock P (Phil) This has been received from an external party and has been swept for the presence of computer viruses.
Page 1 of 1 Alcock P (Phil) From: Andrew Power [Andrew.Power@gartnavel.glacomen.scot.nhs.uk] Sent: 05 September 2003 11:08 To: Cc: Appliance Contractors Consultation iain.bishop@fvpc.scot.nhs.uk; lorna
More informationImplementation guidance report Mental Health Inpatient Discharge Standard
Implementation guidance report Mental Health Inpatient Discharge Standard 1 Introduction 1 2 Purpose 1 3 Guidance applicable to all standards 2 3.1 General guidance 2 3.2 Mandatory and optional 3 3.3 Coding
More informationApril /13 PHARMACEUTICAL CARE SERVICES PLAN
April 2012 2012/13 PHARMACEUTICAL CARE SERVICES PLAN CONTENTS 1 INTRODUCTION...1 1.1 Purpose and Context of Pharmaceutical Care Services Plan...1 1.2 Geography and Population...2 1.3 Information presented
More informationCommunity Pharmacy in 2016/17 and beyond
Community Pharmacy in 2016/17 and beyond Stakeholder briefing sessions 1 CONTENTS Contents This presentation describes our vision for community pharmacy, and outlines proposals for achieving that vision,
More informationGuidance on the provision of pharmacy services affected by religious and moral beliefs
Guidance on the provision of pharmacy services affected by religious and moral beliefs September 2010 Guidance on the provision of pharmacy services affected by religious and moral beliefs The General
More informationMedical and Clinical Services Directorate Clinical Strategy
www.ambulance.wales.nhs.uk Medical and Clinical Services Clinical Strategy Unique reference No: Version: 1.4 Title of author: Medical and Clinical Services No of Pages: 11 Implementation date: Next review
More informationNational Institutes of Health, National Heart, Lung and Blood Institute (NHLBI)
October 27, 2016 To: Subject: National Institutes of Health, National Heart, Lung and Blood Institute (NHLBI) COPD National Action Plan As the national professional organization with a membership of over
More informationWales Psychological Therapies Plan for the delivery of Matrics Cymru The National Plan 2018
Wales Psychological Therapies Plan for the delivery of Matrics Cymru The National Plan 2018 Written by the National Psychological Therapies Management Committee, supported by 1000 Lives Improvement, Public
More informationUsing information and technology to transform health and care
Using information and technology to transform health and care Welcome to NHS Digital We are the national information and technology partner to the health and social care system. We re at the forefront
More informationHealth Care Home Model of Care Requirements
Health Care Home Model of Care Requirements Contents Introduction Health Care Home Model of Care Requirements 2 1. Domain: Urgent and Unplanned Care 4 2. Domain: Proactive Care for those with more complex
More informationLiberating the NHS: No decision about me, without me Further consultation on proposals to shared decision-making
Liberating the NHS: No decision about me, without me Further consultation on proposals to shared decision-making Royal Pharmaceutical Society response The Royal Pharmaceutical Society (RPS) is the professional
More informationNICE guideline 5: Medicines optimisation: the safe and effective use of medicines to enable the best possible outcomes
NICE guideline 5: Medicines optimisation: the safe and effective use of medicines to enable the best possible outcomes Louise Picton Medicines Advice Senior Adviser, Medicines and Prescribing Centre Outline
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 informationWig and Hair Replacement Policy
Leeds CCGs Wigs and Hair Replacement Policy 2016-19 Wig and Hair Replacement Policy Version: 2016-19 Ratified by: NHS Leeds West CCG Assurance Committee on; 16 vember 2016 NHS Leeds rth CCG Governance
More informationNPSA Alert 03: Reducing the harm caused by oral Methotrexate. Implementation Progress Report July Learning and Sharing
NPSA Alert 03: Reducing the harm caused by oral Methotrexate Implementation Progress Report July 2006 Learning and Sharing CONTENTS Page 1 Background 3 2 Findings 4 Appendix 1 Summary of responses 6 Appendix
More informationNHS ENGLAND CALL TO ACTION: IMPROVING HEALTH AND PATIENT CARE THROUGH COMMUNITY PHARMACY
Delivering local pharmacy solutions in Sunderland Chair David Carter Secretary Louise Lydon Chair Umesh Patel Secretary Jim Smith NHS ENGLAND CALL TO ACTION: IMPROVING HEALTH AND PATIENT CARE THROUGH COMMUNITY
More informationPrescribing Policy between Nottinghamshire Commissioning Organisations and local providers of NHS Services
Prescribing Policy between Nottinghamshire Commissioning Organisations and local providers of NHS Services Document Purpose Version 2.2 To detail the specific contractual issues associated with prescribing
More informationNHS Prescription Services CPAF Screening Questionnaire 2018/19
NHS Prescription Services CPAF Screening Questionnaire 08/9 Important Information about this Document This is a reference copy of the Community Pharmacy Assurance Framework Screening Questionnaire, the
More informationElectronic Prescribing Medicine Administration (epma)
Electronic Prescribing Medicine Administration (epma) Christine Walters Director of IM&T The Pennine Acute Hospitals NHS Trust 10 th July 2013 How to get IM&T to be seen as a benefit not just a cost Example
More informationIntroduction. Singapore and its Quality and Patient Safety Position. Singapore 2004: Top 5 Key Risk Factors. High Body Mass
Introduction Singapore and its Quality and Patient Safety Position Singapore 2004: Top 5 Key Risk Factors High Body Mass (11.1%; 45,000) Physical Inactivity (3.8%; 15,000) Cigarette Smoking (7.4%; 28,000)
More informationImproving compliance with oral methotrexate guidelines. Action for the NHS
Patient safety alert 13 Alert Immediate action Action Update Information request Ref: NPSA/2006/13 Improving compliance with oral methotrexate guidelines Oral methotrexate is a safe and effective medication
More informationNorth West COPD Report Nov 2011
North West COPD Report Nov 2011 Working together to improve respiratory care in the North West 1 Contents Introduction foreword by NW Respiratory Leads... 3 4 reasons why COPD is important in the North
More informationPosition within the Organisation GP Research Lead
Document Description Document Type Standard Operating Procedure C-Reactive Protein (CRP) Testing Service Application General Practitioners, Version 1.0 Ratification date August 2016 Review date March 2018
More informationSERVICE SPECIFICATION
SERVICE SPECIFICATION Service Rotherham Hospice Lead Gail Palmer Provider Lead Paula Hill / Mike Wilkerson Period 21 st July 2010 20 th July 2013 1. Purpose This specification describes the services which
More informationGuidelines for the appointment of. General Practitioners with Special Interests in the Delivery of Clinical Services. Respiratory Medicine
Guidelines for the appointment of General Practitioners with Special Interests in the Delivery of Clinical Services Respiratory Medicine April 2003 Respiratory Medicine This General Practitioner with a
More informationNHS standard contract letter templates for practice use
1 Use the hyperlinks to quickly reach each appendix. Appendix 1 Template response for missed appointment Letter to Trust requesting that the hospital liaises directly with a patient who has missed an outpatient
More informationPolicy for Patient Access
Policy for Patient Access DOCUMENT CONTROL Revision Date Old Version 10/12/2014 1.0 01/07/2016 1.1 30/04/17 1.2 Amendment General Management Review General Management Review General Management Review Authored
More information3. In December 2014, Circular PCA(P)(2014)30 advised that the trial was extended until 30 September 2015.
Healthcare Quality & Strategy Directorate Pharmacy & Medicines Division ADDITIONAL PHARMACEUTICAL SERVICES OUTCOME OF REVIEW OF THE GLUTEN FREE FOOD SERVICE Summary 1. This Circular advises that following
More informationIntensive Psychiatric Care Units
NHS Lothian St John s Hospital, Livingston Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We
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 informationHealthy lives, healthy people: consultation on the funding and commissioning routes for public health
Healthy lives, healthy people: consultation on the funding and commissioning routes for public health December 2010 The coalition Government published Healthy Lives, Health people: consultation on the
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Access to Drugs Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Access to Drugs Policy Version No.: 3.0 Effective From: 25 January 2016 Expiry Date: 25 January 2019 Date Ratified: 4 November 2015 Ratified By: Medicines
More informationPrevention and control of healthcare-associated infections
Prevention and control of healthcare-associated infections Quality improvement guide Issued: November 2011 NICE public health guidance 36 guidance.nice.org.uk/ph36 NHS Evidence has accredited the process
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 informationNATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE HEALTH AND SOCIAL CARE DIRECTORATE QUALITY STANDARD CONSULTATION SUMMARY REPORT
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE HEALTH AND SOCIAL CARE DIRECTORATE QUALITY STANDARD CONSULTATION SUMMARY REPORT 1 standard title Nocturnal enuresis Date of Standards Advisory Committee
More informationReview of Local Enhanced Services
Review of Local Enhanced Services 1. Background and context 1.1 CCGs are required to prepare for the phasing out of LESs by April 2014 by reviewing the existing LES portfolio and developing commissioning
More informationSection 7: Core clinical headings
Section 7: Core clinical headings Core clinical heading standards: the core clinical headings are those that are the priority for inclusion in EHRs, as they are generally items that are the priority for
More informationFramework for Patient and Public Involvement and Wider External Engagement and Relationship Building
Framework for Patient and Public Involvement and Wider External Engagement and Relationship Building 1 Table of contents Introduction... 3 Definition of Engagement and Involvement... 3 Proposed Engagement/Relationship
More informationLiving With Long Term Conditions A Policy Framework
April 2012 Living With Long Term Conditions A Policy Framework Living with Long Term Conditions Contents Page Number Minister s Foreword 3 Introduction 4 Principles 13 Chapter 1 Working in partnership
More 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 informationSection 3: Handover record headings
Section 3: Handover record headings Handover record standards: standard headings for the clinical information that should be recorded and used for handover of patient care from one professional or team
More informationMedicines New Zealand
Implementing Medicines New Zealand 2015 to 2020 Medicines New Zealand Access Quality Optimal use Released 2015 health.govt.nz Citation: Ministry of Health. 2015. Implementing Medicines New Zealand 2015
More informationAll Wales Multidisciplinary Medicines Reconciliation Policy
All Wales Multidisciplinary Medicines Reconciliation Policy June 2017 This document has been prepared by the Quality and Patient Safety Delivery Group of the All Wales Chief Pharmacists Group, with support
More informationCOMPETENCIES FOR HEALTHCARE ASSISTANT IN SEXUAL HEALTH (BAND 3)
COMPETENCIES FOR HEALTHCARE ASSISTANT IN SEXUAL HEALTH (BAND 3) Dimension Level Indicators Areas of application to nursing practice Achieved - Signature and Date 1. Communication Level 2 Communicate with
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 informationSharing your information to improve care
Sharing your information to improve care North West London health and care professionals are working together to provide your care. Those involved can see relevant information about you, so you can receive
More informationGeneral Practice 5 Year Forward View Operational Plan Leicester, Leicestershire and Rutland (LLR) STP
Leicester City Clinical Commissioning Group West Leicestershire Clinical Commissioning Group East Leicestershire and Rutland Clinical Commissioning Group General Practice 5 Year Forward View Operational
More informationCommunity Pharmacy Future
Community Pharmacy Future Supporting better outcomes for patients with COPD 17 March 2015 The King s Fund 1 CPF context Most austere period in a generation Healthcare spending ring fenced in cash terms
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 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 informationEmployment and Support Allowance Medical Reports A Guide to Completion
Health, Work and Well-being Directorate ESA 205 Employment and Support Allowance Medical Reports A Guide to Completion Contents 1 Introduction 3 1.1 Background 3 1.1.1 Why does DWP request reports? 3 1.1.2
More informationCatherine Hughson Kathryn Kearney Number of supervisors relinquishing role since last report:
Name of Local Supervising Authority: Western Isles Health Board Period of report: 2005/2006 Date: September 2006 1. Supervision of Midwives and Midwifery Practice 1.1 Designated Local Supervising Authority
More informationCare Home support and medicines optimisation: Community Pharmacy National Enhanced Service
Care Home support and medicines optimisation: Community Pharmacy National Enhanced Service 1 1. Introduction Back in 2006 the National Service Framework for Older People in Wales 1 highlighted the problem
More informationNON-MEDICAL PRESCRIBING POLICY
NON-MEDICAL PRESCRIBING POLICY To be read in conjunction with the Medicines Policy, Controlled Drug Policy and the FP10 Prescribing Forms Policy Version: 5 Date of issue: August 2017 Review date: August
More informationSafer use of anticoagulants: the NPSA patient safety alert Steve Chaplin MSc, MRPharmS
Safer use of anticoagulants: the NPSA patient safety alert Steve Chaplin MSc, MRPharmS Steve Chaplin describes the NPSA s anticoagulant patient safety alert and the measures it recommends for making the
More informationCCG: CO01 Access and Choice Policy
Corporate CCG: CO01 Access and Choice Policy Version Number Date Issued Review Date V2 21 January 2016 January 2018 Prepared By: Consultation Process: NECS Commissioning Manager CCG Head of Corporate Affairs.
More informationPatient survey report Outpatient Department Survey 2011 County Durham and Darlington NHS Foundation Trust
Patient survey report 2011 Outpatient Department Survey 2011 County Durham and Darlington NHS Foundation Trust The national survey of outpatients in the NHS 2011 was designed, developed and co-ordinated
More informationNHS North Yorkshire and York
CASE STUDY NHS North Yorkshire and York Managing long term conditions through redesigning the care pathways and integrating telehealth North Yorkshire and York The challenge Strategic plans NHS North Yorkshire
More informationVersion 1.0. Quality, Performance & Finance. Date Ratified 31 st March 2015 Iain Stewart, Head of Direct Commissioning
Joint working with the pharmaceutical industry Policy (Template based upon DH Best Practice Guidance for Joint Working between the NHS and the Pharmaceutical Industry, February 2008) Version 1.0 Ratified
More informationDear Colleague. Update on Scottish QOF Framework 2013/2014 Guidance for NHS Boards and GP Practices. Summary
NHS Circular: PCA(M)(2013) 06 Health and Social Care Integration Directorate Primary Care Division Dear Colleague Update on Scottish QOF Framework 2013/2014 Guidance for NHS Boards and GP Practices Summary
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Named Key Worker for Cancer Patients Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Named Key Worker for Cancer Patients Policy Version No.: 4 Effective 07 December 2017 From: Expiry Date: 07 December 2020 Date Ratified: 17 October
More informationOut of tariff high cost drug / technology business case template
Out of tariff high cost drug / technology business case template Out of tariff high cost drug / technology business case template Please read all the criteria before completing any of the template For
More informationNOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.
TITLE USE OF PORTABLE OXYGEN DURING PATIENT TRANSFERS SCOPE Calgary Zone Rockyview General Hospital: Acute Care with the exception of emergent situations, ICU, NICU, and OR transfers to PACU APPROVAL AUTHORITY
More informationThe New NHS What does this mean for the patient pathway?
The New NHS What does this mean for the patient pathway? Jesme Fox In general, Patients haven t noticed yet! Much anxiety / suspicion about quality of NHS care (Mid Staffs etc...) Focus should be on clinical
More informationDocument Details Clinical Audit Policy
Title Document Details Clinical Audit Policy Trust Ref No 1538-31104 Main points this document covers This policy details the responsibilities and processes associated with the Clinical Audit process within
More informationMental Health (Wales) Measure Implementing the Mental Health (Wales) Measure Guidance for Local Health Boards and Local Authorities
Mental Health (Wales) Measure 2010 Implementing the Mental Health (Wales) Measure 2010 Guidance for Local Health Boards and Local Authorities Januar y 2011 Crown copyright 2011 WAG 10-11316 F6651011 Implementing
More information