Audiology Clinical Care Programme

Transcription

1 Audiology Clinical Care Programme 1 1

2 Audiology - Background Fragmented services acute and primary care Historic long waiting lists in all services No clinical leadership Poor governance Very little emphasis on quality Poor cost management awareness High risk service 2

3 Intervention NARG Report Timescale April 2010 to April 2011 Clinical Lead Prof. John Bamford/HSE Executive Lead Brian Murphy Bringing together of clinicians* across acute and primary care Service User representation Management representation NARG Recommendations under headings of - clinical services, infrastructure and support, patient focus and workforce, structure and governance Presented to HSE Management Team, DoHC and published by HSE in April 2011 * Audiology clinicians, ENT Surgeon, Senior Medial Officer, Speech and Language Therapist, Public Health Nurse, Consultant Public Health Specialist, Visiting Teacher for the Deaf. 3

4 Review Recommendations Clinical services: (1) National Programme of Newborn Hearing Screening (2) Consistent use of the new Care Pathways (3) Acceptable waiting lists (4) A national Bone Anchored Hearing Aid (BAHA) service (5) Bilateral cochlear implantation where appropriate (6) A designated national centre of excellence for auditory neuropathy spectrum disorder (7) More efficient and effective Service Level Agreements (SLAs) with external organisations. Infrastructure and support: (1) A national unified audiology Patient Management System (PMS) (2) A national procurement approach for purchasing and evaluating hearing aids and equipment. 4

5 Review Recommendations (Continued) Patient focus: (1) Full and comprehensive information provided to patients/carers (2) Individual Management Plans for all patients (3) A link worker for the parents/carers of children with permanent hearing impairment (4) Effective user-led support and information groups (5) Flexible working hours (for out-of-hours service) within all audiology departments. Workforce, structure and governance: (1) A unified audiology career pathway (2) Integrated regional audiology teams with sufficient staffing and efficient skill mix and excellent clinical leadership (3)The title of audiologist to be a protected title and to be registered under the Health and Social Care Professionals Council (4) In-country training 5

6 How Implementation is being Approached Implementation Group established group with passion, energy and determination focused on a single goal and undertaking multiple tasks! Stakeholder engagement key Non-adversarial approach Hands-up to mistakes RDO representatives key Sharing of Best Practice Focus on Win-Wins Focus on Excellent Communication winning hearts and minds Focus - ALWAYS about the patient 6

7 Progress to date Rollout of Newborn Screening in HSE South, HSE DML & HSE DNE by year end. Workforce planning exercise completed. National Lead role approved and filled. 10 candidates sponsored to pursue an accelerated MSc in Audiology. Plan finalised for domestic audiology training in Ireland. National BAHA programme ready for launch. Unified career structure ready for approval from DPER. MoU finalised between DeafHear, DES, HSE Staff. LEAN project on audiology clinics completed in HSE DNE. Three national procurement completed. Business case for a Patient Management System progressed with HSE ICT. 7 7

8 In Summary You Said We Did! Why did it take so long for my child to have his/her hearing loss identified? Waiting lists are too long Not enough staff Poor equipment There is no bone anchored hearing aid service Service providers do not talk to each other Lack of audiology leadership 8

9 Isn t this what it is all about making it real - seeing actual services happen for patients - roll out of newborn hearing screening, increase in hearing aid provision, BAHA programme etc 9