Integrated Care theme / Long Term Conditions priority
|
|
- Audrey McBride
- 5 years ago
- Views:
Transcription
1 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
2 WMAHSN Integrated Care & other themes and priorities Integrated Care Adoption & Diffusion Long Term Conditions Education & Training Wealth Creation Digital Delivery TECS Clinical trials Mental health Drug safety
3 Opportunities The NHS is one of the best places in the world to test innovations that involve staff, technology and funding We must combine different technologies and ways of working to transform delivery of care (primary care/all health & social care settings) The information revolution is changing the way patients can engage in their own healthcare 3
4 The Future: ICare Social Care Community Care Primary Care TECS General Hospital Specialist Facilities 4
5 Technology Enabled Care Services- Our ambition NHSE s ambition is to create the right commissioning environment that supports and encourages the innovative use of technology to improve health outcomes and deliver more cost effective services 5
6 The challenge Opportunities Our ambition What commissioners want Commissioning for outcomes Unlocking the potential of TECS 6
7 The challenge Opportunities Our ambition What commissioners want Commissioning for outcomes The commissioner s challenge 7
8 Newark and Sherwood Integrated Model of Care for Long Term Conditions Workforce Development, Training and Education Level Public Health Population wide Prevention Disease awareness campaigns Social marketing Education Health promotion Schools 1 Smoking Cessation, Health Promotion and Self Care Low RISK / Complexity 21% - 100% Proactive Self Care Support and Management in Primary Care Risk score recorded and reviewed annually Active Case Finding Disease Register Accurate diagnosis Information Prescriptions Care Planning Education relevant to patients needs Disease prevention and Health promotion CPM / PARR Tool for Systematic Risk Profiling to identify risk Patients step up and down as risk profile changes % Proactive Disease Management by General Practice supported by specialist community services and teams Care Planning and individualised Care plan Support to Self Manage Education Programmes Annual Review Specialist Medication reviews Anticipatory Care Remote monitoring via tele health where appropriate % Intensive disease / case management by specialist teams as part of the MDT Telehealth / Telecare Community Specialist Services and clinics with MDT support Care Planning and individual personalised care plan Planned Hospital Admission for those who need it and facilitated discharge via intermediate care to reduce LOS HIGH RISK / Complexity 4 Top 0.5% Community Matron / Virtual Ward as part of Multidisciplinary Team (Community Geriatrician, GP, Social Care, Therapists, Rehab, Domiciliary ) Care Planning and individual personalised care plan Disease Specialist Input where required from specialist community teams ( COPD, Diabetes) Telehealth and Tele Care Psychological Support Co-ordinated Social Planned Care hospital admission, proactive Personal Care Navigator / Named Lead in reach and facilitated discharge Special Patient Notes / 24/7 Access to Admissions Avoidance where specialist needed support
9 Targeting TECS at conditions & shared management Multiple Single Preventing
10 Driving integrated care via delivery of best practice care for long term conditions via patient empowerment, integration & innovation Best clinical practice & shared management Improved QUALITY of clinical care Tech 10
11 The Advice & Interactive Messaging (AIM) programme national rollout March September 2014 Uses a simple telehealth system ( Florence or Flo ) to help patients to take responsibility for the monitoring and shared management of their own condition, treatment, or lifestyle
12 12
13 Evidence of effectiveness published in: BMJ open access 13
14 Techniques employed for behaviour change via Flo: individual feedback on personal health measures social support Flo information on consequences of behaviour information on tailoring behaviour tailoring selected messages to patient, timing, frequency goal setting (behaviour, outcomes) relapse prevention follow up prompts clinician overview giving assurance, titrating treatment prompted self monitoring of behaviour (Free C, Phillips G, Galli L et al. The effectiveness of mobile-health technology based health behaviour.. PLOS Medicine 2013; 10 (1) )
15
16
17
18 Hypertension protocols Reminder protocols Smoking cessation protocols AIM01: Diagnosis of hypertension (1 week) AIM04: Inhaler reminders for adults/teens with asthma or COPD (3 months) AIM 06: within first 4 weeks of supported stop smoking service provision (3 months) AIM02: Hypertension monitoring poor control or newly diagnosed (2 months) AIM05: Inhaler reminders for parent of child with asthma (3 months) AIM07: smokers who have quit, end of three months quit smoking service (9 months) AIM03: Hypertension monitoring stable BP (3 months) AIM10: Hypertension monitoring poor control or newly diagnosed for CKD or diabetes and/or ACR 70 mg/mmol (3 months) AIM09: Medication reminder (3 months) AIM08: contemplating quitting but not yet decided to do so (3 months)
19 Usage of protocols Hypertension Reminder Smoking cessation AIM01 AIM02 AIM03 AIM10 AIM04 AIM05 AIM09 AIM06 AIM07 AIM08
20 Registered between March 2013-January patients Evaluation population 425 practices 31 CCGs
21 Primary aims Complete a national roll out of Simple Telehealth ( Flo ) in England Introduce CCGs and frontline primary care practitioners to the everyday use of telehealth through the Flo system Enhance patient experience of shared management of their long term condition(s) via Flo telehealth Secondary aims Illustrate cost-effective application of Flo Raise awareness of the complementary telehealth market for those with more complex needs Raise awareness of a tried and tested method for remote monitoring of long term condition(s) for DES
22 What could be improved Themes What went well Doubt the educational value Time not saved due to patient set-up time and anxieties, problems receiving texts, reviewing data and patients not returning equipment Patients and professional users struggled with Flo and equipment. Cross-cover was problematic Patients not interested or anxious, responses fail/unreliable, no mobile reception. Little benefit over traditional methods, found the system complex/increased work. Wanted direct integration with patient records and to track patients after protocol end More support at the practice level to launch the service and educate staff about its use (e.g. leaflets). Tardy Read code details Puts patients in control of their health Use of appointments Ease of use Acceptability of the system Support using the system Encouraged patients to acknowledge, take responsibility for and feel involved in their health problems/management Saved (nurses and GP) appointments, patients time/inconvenience and resources Patients and professional users found Flo easy Patients are happy, interested, and value the feedback and flexibility. Professional users liked the flexibility of managing patients remotely, being able to send simple messages and having readings on record Valued initial briefing session and demos, case studies, examples of how others are using Flo and the patient pack
23 Implementing Simple Telehealth/Flo drives integrated care across treatment pathways and organisational boundaries to improve patient outcomes care & is cost effective Patients selected on basis of acuity and their suitability for Flo by clinicians Evaluation of Implementation across CCG Clusters (project in deployment stage commencement of patient sign up from Oct 2014) Data within Flo across all clusters - feedback from patients and patient outcomes Data across the North Cluster - health care usage There has been over 14,000 patients across England who have utilised Flo since April 2013 Out of 3000 patients, 96% confirmed they would prefer to use Flo rather than visit their GP Practice Nurse - has given her patients confidence to monitor their own health which in turn has drastically reduced their attendance at A&E or being admitted to hospital, especially for COPD patients. Reduced face to face contacts in surgery to 1/6 th. Main participating Organisations in Clusters - North (6 ), Central (3 ), South (2) (6 CCGs, 3 Acute Trusts, 1 Community Trust and 1 Mental Health Trust) Main project LTCs COPD, asthma, hypertension, diabetes, heart failure, dementia and medication reminders Main participating organisations are also considering the development further protocols e.g. community trust Pressure area management, measuring drainage. Pilot themes/organisations - Pharmacies (medication reviews/integrated care with general practice ), Local Authorities (Carers support - anxiety management ) Network with other AHSNs using Flo (North East & Cumbria/East Midlands) re: gestational diabetes
24 Why do we think this time will be different? Focus on patient outcomes not technology Whole system approach: primary care integral Ability to measure impact and value We know it can be done 24
Technology enabled care is a must for delivery of care for long term conditions- now!
Technology enabled care is a must for delivery of care for long term conditions- now! Professor Ruth Chambers OBE WMAHSN Clinical lead for LTC priority The challenges Number of Conditions 1 % self reporting
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 informationFlo resource pack for clinicians
Simple Telehealth SMS texting service Flo resource pack for clinicians AIM for HEALTH version Authors : Dr Ruth Chambers Chris Chambers Phil O Connell www.stoke.nhs.uk/simple/aim CONTENTS page Introduction
More informationThis will activate and empower people to become more confident to manage their own health.
Mid Nottinghamshire Self Care Strategy 2014-2019 Forward The Mid Nottinghamshire Self Care Strategy will be the vehicle which underpins our vision to deliver an increased understanding of and knowledge
More informationMid-Nottinghamshire NHS Better Care Fund Case Study August 2014
Mid-Nottinghamshire NHS Better Care Fund Case Study Contents # Section Page 1 Introduction 3 2 Case for Change 5 3 Using the evidence base to select appropriate interventions (including risk stratification)
More informationIntegrated Health and Care in Ipswich and East Suffolk and West Suffolk. Service Model Version 1.0
Integrated Health and Care in Ipswich and East Suffolk and West Suffolk Service Model Version 1.0 This document describes an integrated health and care service model and system for Ipswich and East and
More informationPsychological Therapies for Depression and Anxiety Disorders in People with Longterm Physical Health Conditions or with Medically Unexplained Symptoms
Psychological Therapies for Depression and Anxiety Disorders in People with Longterm Physical Health Conditions or with Medically Unexplained Symptoms Guide for setting up IAPT-LTC services 1. Aims The
More informationDelivering Local Health Care
Delivering Local Health Care Accelerating the pace of change Contents Joint foreword by the Minister for Health and Social Services and the Deputy Minister for Children and Social Services Foreword by
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 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 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 informationA view from Across the Pond. Dorothy Blundell, Chief Officer & Charlotte Mullins, Director of Sustainable Insights
A view from Across the Pond Dorothy Blundell, Chief Officer & Charlotte Mullins, Director of Sustainable Insights Working with the people of Camden to achieve the best health for all Away from the past
More informationInnovative Telehealth Programme Across NHS Northern England Strategic Clinical Networks
Innovative Telehealth Programme Across NHS Northern England Strategic Clinical Networks In Conjunction with Projects ID37 (MECS) and ID51 (T1KDZ) Mr Paul Marriot TECS Consultant and Clinical Advocate NHS
More information04c. Clinical Standards included in the Strategic Outline Care part 1, published in December 216
0c Clinical s included in the Strategic Outline Care part, published in December 6 Clinical standards The following clinical standards were included in the Strategic Outline Case part (SOC), published
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 informationNational Primary Care Cluster Event ABMU Health Board 13 th October 2016
National Primary Care Cluster Event ABMU Health Board 13 th October 2016 1 National Primary Care Cluster Event - ABMU Health Board Introduction The development of primary and community services is a fundamental
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 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 informationYou said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18
Commissioning Intentions Engagement for 2017/18 You said We did Care Closer to home Acute and Community Care services Top three priorities were: Shifting hospital services into the community Community
More informationChallenges and Innovations in Community Health Nursing
Challenges and Innovations in Community Health Nursing Diana Lee Chair Professor of Nursing and Director The Nethersole School of Nursing The Chinese University of Hong Kong An outline The changing context
More informationBedfordshire, Luton and Milton Keynes. Sustainability and Transformation Plan. Central Brief: February 2018
Bedfordshire, Luton and Milton Keynes Sustainability and Transformation Plan Central Brief: February 2018 Issue date: February 2018 News Transforming care closer to home Our ambition is to build high quality,
More informationImproving General Practice for the People of West Cheshire
Improving General Practice for the People of West Cheshire Huw Charles-Jones (GP Chair, West Cheshire Clinical Commissioning Group) INTRODUCTION There is a growing consensus that the current model of general
More informationBristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019
Bristol CCG North Somerset CGG South Gloucestershire CCG Draft Commissioning Intentions for 2017/2018 and 2018/2019 Programme Area Key intention Primary and community care Sustainable primary care Implement
More 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 informationEnd of Life Care Strategy
End of Life Care Strategy 2016-2020 Foreword Southern Health NHS Foundation Trust is committed to providing the highest quality care for patients, their families and carers. Therefore, I am pleased to
More informationCommunity Care in England
The Future of Primary and Community Care in England Towards Integrated Care Organisations Nick Goodwin, PhD Senior Fellow, Health Policy, The King s Fund, London Paper to Bsalut/RISAI, Barcelona, 22 nd
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 informationSWLCC Update. Update December 2015
SWLCC Update Update December 2015 Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth NHS Clinical Commissioning Groups and NHS England Working together to improve the quality of care in South West
More informationWorkforce Transformation
1 Workforce Transformation Prof Lis Paice OBE FRCP North West London Whole Systems Integrated Care Julie Screaton, Managing Director, Health Education South London 5 themes from 30 enquiries into major
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 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 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 informationWolverhampton CCG Commissioning Intentions
Wolverhampton CCG Commissioning Intentions 2015-16 * Areas of particular focus and priority CI Ref Contract Provider Brief CI001 CI002 CI003 Child Protection Information Sharing Implement the new Child
More informationWhat is changing in the NHS
What is changing in the NHS Dr. Lynne Maher Director for Innovation and Design @LynneMaher1 What is the extent of our challenge? Around 1.4 million people work in the NHS and 54 million people use NHS
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 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 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 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 informationAn improvement resource for the district nursing service: Appendices
National Quality Board Edition 1, January 2018 Safe, sustainable and productive staffing An improvement resource for the district nursing service: Appendices This document was developed by NHS Improvement
More informationPersonalised Health and Care 2020: Next steps
Personalised Health and Care 2020: Next steps Paul Rice PhD Head of Technology Strategy NHS England www.england.nhs.uk Better use of data and technology has the power to improve health, transforming
More informationQuality Strategy and Improvement Plan
Quality Strategy and Improvement Plan 2015-2018 STRATEGY DOCUMENT DETAILS Status: FINAL Originating Date: October 2015 Date Ratified: Next Review Date: April 2018 Accountable Director: Strategy Authors:
More informationCambridgeshire and Peterborough Sustainability and Transformation Plan / Fit for the Future Programme. Frequently Asked Questions Second Edition
Cambridgeshire and Peterborough Sustainability and Transformation Plan / Fit for the Future Programme Frequently Asked Questions Second Edition Contents Introduction to the Sustainability and Transformation
More informationTransforming Care in the NHS through Digital Technology
Transforming Care in the NHS through Digital Technology Paul Rice PhD Head of Technology Strategy NHS England 13 th April, 2015 DISCLAIMER: The views and opinions expressed in this presentation are those
More informationNutrition in Older People
Nutrition in Older People Programme Lessons Learnt from Community Integrated Care Nutrition Projects Introduction The Wessex AHSN Nutrition in Older People Programme is focused on the prevention and treatment
More information5. Improving Asthma Awareness in Schools. What has been learnt so far?
In this issue: Asthma UK Study Managing Respiratory disease : A holistic approach COPD toolkit Publication of Respiratory Annual Report 2012 Home Oxygen Service World COPD day Respiratory Network News
More informationPATIENT EXPERIENCE AND INVOLVEMENT STRATEGY
Affiliated Teaching Hospital PATIENT EXPERIENCE AND INVOLVEMENT STRATEGY 2015 2018 Building on our We Will Together and I Will campaigns FOREWORD Patient Experience is the responsibility of everyone at
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 informationPharmacy in 2020: Director s View
In 2020: Grampian now has fewer community pharmacies than in 2012. The move to capitation based payments allied to the transfer of planning responsibility for pharmacy contracts to NHS Boards has led to
More informationDRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8
DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8 West London Clinical Commissioning Group This document sets out a clear set of plans and priorities for 2017/18 reflecting West London CCGs ambition
More informationCommissioning for Quality and Innovation (CQUIN) Schemes for 2015/16
Commissioning for Quality and Innovation (CQUIN) Schemes for 2015/16 Goal No. Indicator Name Contract 1 Acute Kidney Injury CWS CCG Contract - National CQUIN 2a Sepsis Screening CWS CCG Contract - National
More informationChapter 2. At a glance. What is health coaching? How is health coaching defined?
Chapter 2 What is health coaching? This chapter describes: What health coaching is and it s applications How health coaching relates to wider systems and programmes of care How health coaching relates
More informationReducing costs through integrating health and care services
Reducing costs through integrating health and care services Similar challenges A growing, ageing population Significant increases in obesity, dementia and diabetes 2 Our accountable care system What it
More informationNEW MODELS OF CARE AND THE PREVENTION AGENDA: AN INTEGRAL PARTNERSHIP CHAIR: ROB WEBSTER, CHIEF EXECUTIVE, NHS CONFEDERATION
NEW MODELS OF CARE AND THE PREVENTION AGENDA: AN INTEGRAL PARTNERSHIP CHAIR: ROB WEBSTER, CHIEF EXECUTIVE, NHS CONFEDERATION 10.10am 10.30pm 11.15am 12.00pm 12.45pm 1.30pm 2.15pm 2.45pm 3.30pm Interview
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 informationThe prevention and self care workshop 16 th September Dr. Jenny Harries Regional Director PHE South Regional Office
The prevention and self care workshop 16 th September 2016 Dr. Jenny Harries Regional Director PHE South Regional Office Jenny.harries@phe.gov.uk The health and wellbeing gap If the nation fails to get
More informationNHS Bradford Districts CCG Commissioning Intentions 2016/17
NHS Bradford Districts CCG Commissioning Intentions 2016/17 Introduction This document sets out the high level commissioning intentions of NHS Bradford Districts Clinical Commissioning Group (BDCCG) for
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 informationA meeting of Bromley CCG Primary Care Commissioning Committee 22 March 2018
A meeting of Bromley CCG Primary Care Commissioning Committee 22 March 2018 ENCLOSURE 7 PROPOSAL FOR ENHANCED MEDICAL SUPPORT TO BROMLEY CARE HOMES SUMMARY: Bromley CCG gained agreement at the CCG Clinical
More informationGreater Manchester Neuro-Rehabilitation Services information for patients and carers
THIS BOOKLET IS BEING TRIALLED Greater Manchester Neuro-Rehabilitation Services information for patients and carers Greater Manchester Neuro-Rehabilitation Services gmnrodn@srft.nhs.uk All Rights Reserved
More informationWestminster Partnership Board for Health and Care. 17 January pm pm Room 5.3 at 15 Marylebone Road
Westminster Partnership Board for Health and Care 17 January 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 informationHaringey and Islington
Haringey and Islington Wellbeing Partnership Who we are Thoughts on system leadership and on leading within complex systems Observations from our experience Recognising where we are seeing and showing
More informationWhat matters to Me Supporting the health and wellbeing of our older population
What matters to Me Supporting the health and wellbeing of our older population The new way of working for health and social care across the Western bay region What we will do 1. We will focus on the needs
More informationLEARNING FROM THE VANGUARDS:
LEARNING FROM THE VANGUARDS: STAFF AT THE HEART OF NEW CARE MODELS This briefing looks at what the vanguards set out to achieve when it comes to involving and engaging staff in the new care models. It
More informationREPORT 1 FRAIL OLDER PEOPLE
REPORT 1 FRAIL OLDER PEOPLE Contents Vision f-3 Principles / Parameters f-4 Objectives f-6 Current Frail Older People Model f-8 ABMU Model for Frail and Older People f-11 Universal / Enabling f-12 Specialist
More 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 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 informationTelehealth. Putting the patient at the heart of the journey
Telehealth Putting the patient at the heart of the journey Why telehealth? 1 Telehealth is the remote monitoring of a patient s vital signs and symptoms in their own home proven to enhance the quality
More informationAugust Planning for better health and care in North London. A public summary of the NCL STP
August 2017 Planning for better health and care in North London A public summary of the NCL STP Planning for better health and care in North London North London NHS organisations are working together with
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 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 informationHerefordshire Clinical Commissioning Group Long Term Conditions Strategy & Implementation Plan
Herefordshire Clinical Commissioning Group Long Term Conditions Strategy & Implementation Plan 2013-2016 1 Contents Definition.3 Background.3 Framework for Long Term Conditions 4 Chronic disease management
More informationCare of Adults with Long-Term Conditions Care of Children & Young People with Diabetes
Care of Adults with Long-Term Conditions Care of Children & Young People with Diabetes Worcestershire Health Economy Visit Date: 18 th 22 nd March 2013 Report Date: July 2013 Images courtesy of NHS Photo
More informationDevon Pre-Consultation Business Case
Devon Pre-Consultation Business Case 21 September 2016 Contents 1 Executive summary... 5 1.1 Introduction... 5 1.2 Stakeholder engagement... 5 1.3 Context... 6 1.4 Case for change... 6 1.5 Responding to
More informationFACTS AND FIGURES 120, ,000 - The estimated number of people with FH in the UK
HEART UK FH Primary Care Audit Programme There is an enormous opportunity to prevent the occurrence of coronary heart disease (CHD) by exploiting the information contained within GP electronic patient
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 informationJob Description: Clinical Nurse Specialist Long Term Conditions
Job Description: Clinical Nurse Specialist Long Term Conditions Position: Reports to: Job Purpose: Responsibility: Clinical Nurse Specialist Long Term Conditions Nurse Manager To provide specialist clinical
More informationObesity - Tier 3 Weight Management Programme and Bariatric Surgery Criteria Based Access Protocol
NHS Dorset Clinical Commissioning Group Obesity - Tier 3 Weight Management Programme and Bariatric Surgery Criteria Based Access Protocol Supporting people in Dorset to lead healthier lives 1. INTRODUCTION
More 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 informationTransition between inpatient hospital settings and community or care home settings for adults with social care needs
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Transition between inpatient hospital settings and community or care home settings for adults with social care needs NICE guideline: full version, November
More informationNHS Wiltshire Clinical Commissioning Group. Summary report of Stakeholder Events Have Your Say
NHS Wiltshire Clinical Commissioning Group Summary report of Stakeholder Events Have Your Say 16 th 18 th July 2013 HAVE YOUR SAY EVENT SUMMARY REPORT Introduction As part of the NHS reforms set out by
More information21 March NHS Providers ON THE DAY BRIEFING Page 1
21 March 2018 NHS Providers ON THE DAY BRIEFING Page 1 2016-17 (Revised) 2017-18 (Revised) 2018-19 2019-20 (Indicative budget) 2020-21 (Indicative budget) Total revenue budget ( m) 106,528 110,002 114,269
More informationMilton Keynes University Hospital NHS Foundation Trust
Milton Keynes University Hospital NHS Foundation Trust Enter and View Review of Staff/ Patient Communication Ward 17 and 18 September 2017 Contents Contents... 2 1 Introduction... 3 1.1 Details of the
More informationSunderland Health & Care System Strategic Plan Version 1.0 Working Draft
Sunderland Health & Care System Strategic Plan 2014-2019 Version 1.0 Working Draft 1 Contents 1.0 Sunderland Health & Care System... 3 2.0 Our Vision and Strategic Objectives... 5 2.1 Our Vision for 2018/19...
More information2017/ /19. Summary Operational Plan
2017/18 2018/19 Summary Operational Plan Introduction This is the summary Operational Plan for Central Manchester University Hospitals NHS Foundation Trust (CMFT) for 2017/18 2018/19. It sets out how we
More informationTelehealth in Kent: what s behind its success?
Telehealth in Kent: what s behind its success? 1 What kit did Kent use? The governing factor for KCC when choosing their telehealth kit was simplicity for the user. Typically, each telehealth patient has:
More informationTransforming Primary Care
Transforming Primary Care Co-commissioning - a new local way for designing and providing Primary Care Services What will it mean for me and my family? Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth
More informationNHS Rotherham. Contact Details Lead GP Richard Cullen Lead Officer Dominic Blaydon Head of LTC and Urgent Care Purpose:
NHS Rotherham Clinical Commissioning Group Committee: 3 October 2012 Care Co-ordination Centre Contact Details Lead GP Richard Cullen Lead Officer Dominic Blaydon Title Head of LTC and Urgent Care Purpose:
More informationModelling Health and Social Care in Nottinghamshire
and Social Care in As part of Nottingham North and East CCG s on-going programme of reviewing and improving services, it is sometimes necessary to change the way services are organised and delivered. Often,
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 informationNHS RightCare scenario: The variation between standard and optimal pathways
NHS RightCare scenario: The variation between standard and optimal pathways Sarah s story: Parkinson s Appendix 1: Summary slide pack January 2018 Sarah s story This is the story of Sarah s experience
More informationSheffield: using co-design & technology to deliver person-centred care Learning from the NHS England Test Bed Programme
Sheffield: using co-design & technology to deliver person-centred care Learning from the NHS England Test Bed Programme www.ppptestbed.nhs.uk Philippa Hedley-Takhar @Perfect_Pathway #PerfectPathway Sheffield
More informationContents. Care Homes Admissions Avoidance Schemes. Leeds West Clinical Commissioning Group. Dec Final Version
Contents Care Homes Admissions Avoidance Schemes Leeds West Clinical Commissioning Group Dec 2014 Page 1 of 33 Final Version Contents Con VERSION CONTROL 3 SUMMARY 4 BACKGROUND 6 EVIDENCE 8 LEEDS ENHANCED
More informationThe Whole System Demonstrator Trial: delivery, initial results and plans for the future
MATCH Colloquium 26 th June 2012 Glasgow The Whole System Demonstrator Trial: delivery, initial results and plans for the future Sharon O Callaghan WSD Newham Research and Systems Manager (nb thanks to
More informationINNOVATION, HEALTH AND WEALTH A SCORECARD
INNOVATION, HEALTH AND WEALTH A SCORECARD Page 2 CONTENTS 4 EXECUTIVE SUMMARY 6 INTRODUCTION 7 3 MILLION LIVES 9 INTRA-OPERATIVE FLUID MANAGEMENT/OESOPHAGEAL DOPPLER MONITORING 11 CHILD IN A CHAIR IN A
More informationAcademic Health Science Network for the North East and North Cumbria Mental Health Programme. Elaine Readhead AHSN NENC Mental Health Programme Lead
Academic Health Science Network for the North East and North Cumbria Mental Health Programme Elaine Readhead AHSN NENC Mental Health Programme Lead Background No health without mental health Five Year
More informationTrust Board Meeting 05 May 2016
Trust Board Meeting 05 May 2016 Title of the paper: Sustainability and Transformation Plan (STP) Update Agenda item: 15/37 Lead Executive: Trust objective: Purpose: Link to Board Assurance Framework (BAF)
More information1. EXECUTIVE SUMMARY Plan on a page CONTEXT... 7
November 2016 NHS South West London Local Digital Roadmap 2 1. EXECUTIVE SUMMARY... 4 1.1 Plan on a page... 6 2. CONTEXT... 7 2.1 The National Context... 7 2.2 The London Context... 8 2.2.1 London Digital
More informationA National Service Model for Home and Mobile Health Monitoring
A National Service Model for Home and Mobile Health Monitoring RELEASE 1.1 May 2017 Document Control Title A National Service Model for Home and Mobile Health Monitoring Version Number 1.1 Document Type
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 informationDelivering the Five Year Forward View Personalised Health and Care 2020
Paper Ref: NIB 0607-006 Delivering the Five Year Forward View Personalised Health and Care 2020 INTRODUCTION The Five Year Forward View set out a clear direction for the NHS showing why change is needed
More information