National Peer Review Report: Wales Paediatric Diabetes 2014
|
|
- Gervais Gilmore
- 6 years ago
- Views:
Transcription
1 National Peer Review Report: Wales Paediatric Diabetes 2014 An overview of the findings from the 2014 National Peer Review of Paediatric Diabetes Services in Wales 1
2 Contents 1.0 Introduction The Peer Review Process-Wales The Paediatric Diabetes Measures The Peer Review Process Configuration of Services National Paediatric Diabetes Service Summary Compliance with measures Immediate Risks (IRs) and Serious Concerns (SCs) identified at Peer Review Key Themes Compliance against all Paediatric Diabetes measures Hospital Measures MDT Measures
3 1.0 Introduction This report summarises the findings of the first national round of external peer review visits to Children and Young People Diabetes Services (CYPD) in Wales during A total of 13 services were assessed in that period. The findings are based on peer review visit reports that were completed between November 2014 and March All paediatric diabetes services undertook a self-assessment of their own service and were then subject to an external peer review visit by the National Peer Review Programme. The report principally summarises the numerical data contained within the Diabetes Quality Improvement Network System (DQuINS) that records the level of compliance by individual services against the measures for paediatric diabetes against two areas: Hospital Measures for CYPD Services Children and Young People Diabetes MDT In addition, the peer reviewers specific comments are referenced regarding the qualitative information gathered from the peer review visits. The identification of good practice for dissemination and recommendation is a vital positive component of the peer review process. This report therefore highlights examples of good practice that have been identified during this programme. The report also identifies the key messages that have emerged from the reviews and highlights some of the challenges facing the providers of services for patients with paediatric diabetes, and commissioners, as they strive to ensure the delivery of effective and high quality care. It should also be noted that the peer review programme uses clinical lines of enquiry against clinical outcomes drawn from the National Paediatric Diabetes Audit when reviewing a service. The outcomes of the audit should be read in conjunction with this report 1.1 The Peer Review Process-Wales A comprehensive peer review was carried out in the latter part of 2014 going into 2015 and in total thirteen paediatric diabetes units covering the whole of Wales participated in the review; giving a 100 percent involvement from all units. The request from NHS Wales to review the units followed a successful comprehensive peer review of all paediatric diabetes units across England. To enable the peer review process to happen it was necessary for commitment and support from the health boards, clinicians and service users across Wales. An enthusiastic and committed group of key stakeholders assisted the peer review process to happen, the overwhelming response enabled increased dissemination of good practice and improved network relationships to further develop. The contribution from all of the key stakeholders following each review gave rise to a robust feedback and report. Key themes started to come up early on in the peer review visits such as staffing issues for members of all of the multi-disciplinary team involvement in the care of children and young people with diabetes and the lack of a 24 hours expert on-call telephone for advice. The key themes were discussed with each health board. The involvement from the key stakeholders was important and necessary in order for the peer reviews to happen and in turn start the vital conversation of service improvement for paediatric diabetes across Wales. 3
4 1.2 The Paediatric Diabetes Measures The Measures used in the 2014 National Peer Review Programme were developed by an expert group of diabetes clinicians drawn from each of the 10 regional Paediatric Diabetes Network in England. The measures were developed by drawing from a number of key reference documents- these are: NICE recommendations Best Practice Tariff standards Yorkshire and Humber Paediatric Diabetes Network Pilot Measures West Midlands Quality Review Service quality standards for paediatric diabetes The measures are available on request or can be found of the resources page the DQUINS site The Peer Review Process The National Peer Review Programme aims to improve care for patients involved in Paediatric Diabetes and their families by: Ensuring services are as safe as possible; improving the quality and effectiveness of care; improving the patient and carer experience; undertaking independent, fair reviews of services; providing development and learning for all involved; encouraging the dissemination of good practice. The outcomes of the National Peer Review Programme are: Confirmation of the quality of services; speedy identification of major shortcomings in the quality of services where they occur so that rectification can take place; published reports that provide accessible public information about the quality of services; timely information for local commissioning as well as for specialised commissioners; validated information which is available to other stakeholders. The details of the process are provided in the handbook for peer review which is available on request or on the resources page of the DQuINS website: Configuration of Services There are 13 centres included in this report under 6 health boards. 2.0 National Paediatric Diabetes Service Summary This report presents an overview of the peer review visit findings from the National Peer Review Programme for Paediatric Diabetes services in Wales. 4
5 A total of 13 Paediatric Diabetes Units were assessed against two sets of measures (Hospital measures and MDT measures) Across all teams, combining the measures: 0 teams achieved 90% 2 teams achieved 80% 4 teams achieved 70% 11 low performing teams with 50% or below. A number of teams had Immediate Risks and Serious Concerns identified at peer review. These have been reported to the relevant Trust CEO s and should have been acted upon immediately. 5 teams had an immediate risk identified in their peer review report All teams had serious concerns identified in their peer review report 5
6 3.0 Compliance with measures Table 1 SA and PR Compliance Hospital MDT SA PR SA PR Princess of Wales Hospital, Bridgend 43% 43% 62% 53% Neath Port Talbot Hospital, Baglan 71% 57% 55% 60% Singleton Hospital, Swansea 57% 57% 55% 53% Gwent Diabetes Service 86% 43% 97% 80% Ysbyty Gwynedd Hospital, Bangor 86% 86% 52% 50% Glan Clwyd District General Hospital, Rhyl 43% 43% 45% 57% Wrexham Maelor Hospital, Wrexham 43% 43% 48% 53% University Hospital of Wales, Cardiff 71% 43% 59% 57% Royal Glamorgan Hospital, Llantrisant 43% 43% 50% 63% Prince Charles Hospital, Merthyr Tydfil 43% 29% 73% 70% Bronglais Hospital, Aberystwyth 43% 43% 77% 70% Withybush General Hospital, Haverfordwest 57% 43% 73% 67% Glangwili General Hospital, Carmarthen 57% 57% 61% 50% Median 57% 43% 59% 57% Figure 1 Figure 1 above shows the difference between self-assessment and peer review compliance for There is a median average drop of 14% between SA and PR for the hospital measures and 2% for the MDT measures. 6
7 Figure 2 Figure 3 7
8 4.0 Immediate Risks (IRs) and Serious Concerns (SCs) identified at Peer Review No. of services with IR at PR % of Services with IR at PR No. of services with SC at PR 5 38% % % of Services with SC at PR 4.1 Key Themes Immediate Risks There were 5 Teams that had immediate risks across the 13 Hospitals. Neath Port Talbot Hospital, Baglan Singleton Hospital, Swansea Glan Clwyd District General Hospital, Rhyl Prince Charles Hospital, Merthyr Tydfil Bronglais Hospital, Aberystwyth The content of these IRs fall into one of the below categories Lack of protected time for the dietitian to cover Paediatric Diabetes. The absence of protected time means that the dietitian cannot see the newly diagnosed patients and without this vital input, it can potentially increase the risk of harm for the patient due to a lack of treatment discussion. The lack of a Paediatric Diabetes Specialist Nurse (PDSN) Serious Concerns All 13 teams had serious Concern. Staffing There is not enough PAs dedicated for the Consultant Paediatrician and no formal cover arrangements Lack of cover for other MDT members Single Handed PDSNs with high workload No or limited access to psychologist to support the children, young people and their families with diabetes The lack of whole time equivalent (WTE), for the Paediatric Dietitian and the pressing issue that the time is not protected nor is there cover arrangements for the dietitian to cover paediatric diabetes safely and effectively. 8
9 The absence of a '24 hour on-call' advice system for Paediatric Diabetes in order that families can contact 'expert' advice when they need support. The lack of multi-disciplinary (MDT) clinics to enable a full consultation and treatment pathway to be started. Insufficient capacity in clinic to offer 30 minute appointments, with a need for additional clinics a year in order to meet the standard for 30 mins consultations and see everyone 4 times per year with a recorded HbA1c. The lack of Point-of-Care testing delays treatment planning The deficiency of a young adult's transition service Reported lack of time, outside of patient contact, for all members of the multi-disciplinary team to attend appropriate training sessions specific to the care of children and young people with diabetes. Good Practice Cohesive team working, enabling the best use of all of the skills within the MDT. Excellent input into education by PDSNs, using different ways of delivery i.e. in school, groups or 1:1's. Virtual Clinic service on Educational family events Patient support groups. The teams being progressive and recognising the benefits of monitoring treatment i.e. use of CGM's. Extensive school visiting programmes, with attention given to individualised care plans and the emotional wellbeing of the child in schools. Establishing of electronic databases 9
10 5.0 Compliance against all Paediatric Diabetes measures Hospital Measures Measure Number and Short Description SA PR W12-1D-101 Trust Wide Management Group for Children and Young People's Diabetes 54% 42% W12-1D-102 Service Specification for Twenty-four Hour Advice Service 15% 8% W12-1D-103 Minimum Consultation Period 69% 67% W12-1D-104 Availability of Information in an Outpatient Environment 100% 83% W12-1D-105 Point of Care Testing for HbA1c 77% 67% W12-1D-106 Review of Children and Young People Admissions 15% 17% W12-1D-107 Paediatric Ward Staff Training 69% 58% MDT Measures Measure Number and Short Description SA PR W12-2A-101 Lead Clinician and Responsibilities 100% 83% W12-2A-102 Children and Young People's Diabetes Network Attendance 71% - W12-2A-103 Children and Young People's Diabetes MDT Team Membership 31% 17% W12-2A-104 Treatment Planning Discussion 23% 33% W12-2A-105 Cover Arrangements for Team Members 54% 17% W12-2A-106 Informing the GP of the Diagnosis and Initial Prescribing 85% 92% W12-2A-107 Key Worker policy 38% 50% W12-2A-108 W12-2A-109 W12-2A-110 Specialist Training for Children and Young People's Diabetes Core Nursing Members Specialist Training for Children and Young People's Diabetes Medical Members Specialist Training for Children and Young People's Diabetes Dietetic Members 62% 92% 85% 92% 75% 58% W12-2A-111 Educational Training Sessions 100% 92% W12-2A-112 W12-2A-113 W12-2A-114 W12-2A-115 W12-2A-116 Access to Core Children and Young People's Diabetes MDT Members for Follow-up Patients Access to Core Children and Young People's Diabetes MDT Members for Follow-up Patients - HbA1c Measurement Access to Core Children and Young People's Diabetes MDT Members for Follow-up Patients - Psychological Assessment Access to Core Children and Young People's Diabetes MDT Members for Follow-up Patients - Dietetic Assessment Access to core Children and Young People's Diabetes MDT Members for Follow-up Patients - Additional Contact 54% 42% 69% 58% 15% 0% 46% 33% 44% 33% W12-2A-117 Did Not Attend (DNA) Policy 46% 58% W12-2A-118 Individualised Objectives 62% 42% W12-2A-119 Outcome of Patient Reported Experience Measures 77% 100% 10
11 W12-2A-120 Record of Care 69% 67% W12-2A-121 Provision of Written Patient Information 92% 75% W12-2A-122 Clinical Guidelines 58% 75% W12-2A-123 W12-2A-124 Policy for the Management of Patients whose HbA1c Rating is Greater than 75 mmol/mol Policy for the Screening of Children and Young People with Type 1 Diabetes 31% 33% 92% 100% W12-2A-125 Policy for Patient Choice of Insulin Pump Therapy 62% 75% W12-2A-126 Diabetes Self-Management Education 8% 8% W12-2A-127 Teaching Principles of Meal Planning 85% 92% W12-2A-128 Support for Children in Education 100% 100% W12-2A-129 Transfer of Young People to Adult Care 54% 42% W12-2A-130 Participation in the National Paediatric Diabetes Audit 100% 100% W12-2A-131 Presentation and Review of Audit Activity 30% 42% 11
Lung Cancer 2013 Peer Review All Wales Report
Lung Cancer 2013 Peer Review All Wales Report This publication and other HIW information can be provided in alternative formats or languages on request. There will be a short delay as alternative languages
More informationCERVICAL SCREENING WALES CERVICAL SCREENING PROGRAMME, WALES: 2001/02
CERVICAL SCREENING WALES INFORMATION TEAM STATISTICAL REPORT CERVICAL SCREENING PROGRAMME, WALES: 2001/02 For more information about this report contact: Helen Beer, Information Analyst / Manager, Screening
More informationHywel Dda Health Board Hospitals Diabetes Service Report. August 2012
Hywel Dda Health Board Hospitals Diabetes Service Report Introduction August 2012 The diabetes service within Hywel Dda Health Board is primarily delivered in primary care which is in turn served by 4
More informationAcute Oncology Martin Eatock Consultant Medical Oncologist NICaN Medical Director
Acute Oncology 2014 Martin Eatock Consultant Medical Oncologist NICaN Medical Director Patients admitted with cancer have a longer than average stay Berger et al. Clin Medicine (2013) Questions If your
More informationSheffield s Emotional Wellbeing and Mental Health Strategy for Children and Young People
Sheffield s Emotional Wellbeing and Mental Health Strategy for Children and Young People The Sheffield Vision In Sheffield we want every child and young person to have access to early help in supporting
More informationCommissioning for Outcomes in Diabetes. Joanne Taylor Primary Care Commissioning Manager
Commissioning for Outcomes in Diabetes Joanne Taylor Primary Care Commissioning Manager Current Diabetes Model in Dudley History and Current Diabetes Pathway Primary Care 46 2 no LIS practices Annual review
More informationNational Cancer Peer Review Programme
National Cancer Peer Review Programme Julia Hill Acting Deputy National Co-ordinator What is Cancer Peer Review? A quality assurance process for cancer services. An integral part of Improving Outcomes
More informationCARDIAC REHABILITATION PROGRAMME FINDER WALES A-Z BY COUNTY
CARDIAC REHABILITATION PROGRAMME FINDER WALES A-Z BY COUNTY Programme: Aneurin Bevan University Health Board (North Gwent Cardiac Rehab & Aftercare), Abergavenny Contact: Suzanne Indge Telephone: 01873
More informationNational Children and Young People with Diabetes (NCYPD) Quality Programme. Self-Assessment Measures. May Reviewing, Supporting, Improving
National Children and Young People with Diabetes (NCYPD) Quality Programme Self-Assessment Measures May 2018 Reviewing, Supporting, Improving National Children and Young People's Diabetes Quality Programme
More informationFrequently Asked Questions on Paediatric Diabetes Best Practice Tariff
Frequently Asked Questions on Paediatric Diabetes Best Practice Tariff Background Standards of paediatric diabetes care vary quite widely across the UK. Compared with many European countries, outcomes
More informationBest Practice Tariff can payment improve results? Dr Tabitha Randell Consultant in Paediatric Diabetes and Endocrinology
Best Practice Tariff can payment improve results? Dr Tabitha Randell Consultant in Paediatric Diabetes and Endocrinology Background ~23,500 children and young people under 18 with diabetes in England and
More informationUptake of pertussis and influenza vaccination in pregnant women in Wales
Vaccine Preventable Disease Programme Uptake of pertussis and influenza vaccination in pregnant women in Wales 2013-14 Authors: Anne McGowan, Richard Lewis, Richard Roberts, Simon Cottrell. Vaccine Preventable
More informationAll about the adult cystic fibrosis service
All about the adult cystic fibrosis service All about the adult cystic fibrosis service Lay Introduction to Cystic Fibrosis Service Specification Since April 2013, NHS England has taken on direct responsibility
More informationCancer Delivery Plan. April Abertawe Bro Morgannwg University Health Board
Cancer Delivery Plan 16 April Abertawe Bro Morgannwg University Health Board Page 1 of 15 1. Background and context Together for Health a Cancer Delivery Plan was published in 2012 and provides a framework
More informationCumbria Diabetes Dr Cathy Hay Clinical Director Cumbria Diabetes Cumbria Partnership NHS Foundation Trust
Cumbria Diabetes 2011 Dr Cathy Hay Clinical Director Cumbria Diabetes Cumbria Partnership NHS Foundation Trust Forecasted Numbers for Diabetes in Cumbria 2005 2025 (Source: PBS Prevalence Model) 45,000
More informationThe audit is managed by the Royal College of Psychiatrists in partnership with:
Background The National Audit of Dementia (NAD) care in general hospitals is commissioned by the Healthcare Quality Improvement Partnership on behalf of NHS England and the Welsh Government, as part of
More informationUK Inflammatory Bowel Disease Audit. A summary report on the quality of healthcare provided to people with inflammatory bowel disease
UK Inflammatory Bowel Disease Audit A summary report on the quality of healthcare provided to people with inflammatory bowel disease Section heading UK IBD Audit summary report 2014 This summary report
More informationConception rate. Merthyr Tydfil North East. Wrexham Rhondda, Cynon, Taf Yorkshire and the Humber. Blaenau Gwent Neath Port Talbot
Introduction Sexual Health Strategy in Wales Suzanne Mckeown Health Improvement Division National Assembly for Wales Sexual health in Wales. Overview of Welsh Assembly Government s strategic direction
More informationPATIENTS VIEWS ABOUT CANCER SERVICES IN SOUTH WEST WALES: PATIENT SATISFACTION SURVEY
PATIENTS VIEWS ABOUT CANCER SERVICES IN SOUTH WEST WALES: PATIENT SATISFACTION SURVEY ANALYSIS OF QUESTIONNAIRES BY NHS TRUST VOLUME 3 JANUARY 26 Acknowledgements This survey would not have been possible
More informationNational Diabetes Treatment and Care Programme
National Diabetes Treatment and Care Programme Introduction to and supporting documentation for VALUE BASED TRANSFORMATION FUNDING SITE SELECTION December 2016 1 Introduction and Contents The Planning
More informationConsulted With Post/Committee/Group Date Alison Cuthbertson / Miss Divisional Director for Women s and Children s June 2017
CHILDREN AND YOUNG PEOPLE S DIABETES SERVICE OPERATIONAL POLICY Type: Policy Register No: 14013 Status: Public Developed in response to: DQUINs peer review Contributes to CQC Outcome number: 1, 4, 6 9
More informationCare and Social Services Inspectorate Wales. Care Standards Act Inspection Report. ategi Shared Lives Scheme. Cardiff
Care and Social Services Inspectorate Wales Care Standards Act 2000 Inspection Report ategi Shared Lives Scheme Cardiff Type of Inspection Focused Date of inspection Monday, 11 January 2016 Date of publication
More informationSELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM)
SELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM) Network Trust MDT MDT Lead Clinician ASWCN TAUNTON AND SOMERSET Taunton Lung MDT (11-2C-1) - 2011/12 Dr Sarah Foster Compliance Self Assessment LUNG MDT
More informationEye Clinic Liaison Officers in Wales
Supplement no. 1 Eye Clinic Liaison Officers in Wales A day in the life of Keira, the Powys ECLO. Rebecca Colclough on working together to integrate health, social care and community support services.
More informationNetworking for success: A burning platform in Berkshire West
SERVICE REDESIGN CASE STUDY 1: NOVEMBER 2014 Networking for success: A burning platform in Berkshire West SUMMARY In 2012, four federated CCGs set up a network to redesign diabetes services in Berkshire
More informationDiabetes in Pregnancy Network: Scoping survey March 2013
Diabetes in Pregnancy Network: Scoping survey March 2013 Diabetes in Pregnancy Network Scoping Survey Aim To inform the development of a National Diabetes in Pregnancy Network Objectives To identify the
More informationFixing footcare in Sheffield: Improving the pathway
FOOTCARE CASE STUDY 1: FEBRUARY 2015 Fixing footcare in Sheffield: Improving the pathway SUMMARY The Sheffield Teaching Hospitals NHS Foundation Trust diabetes team transformed local footcare services
More informationNational information for commissioners on commissioning specialist level palliative care. Maureen McGinn, Senior Project Manager, RM Partners
National information for commissioners on commissioning specialist level palliative care Maureen McGinn, Senior Project Manager, RM Partners National information for commissioners on commissioning specialist
More informationA06/S(HSS)b Ex-vivo partial nephrectomy service (Adult)
A06/S(HSS)b 2013/14 NHS STANDARD CONTRACT FOR EX-VIVO PARTIAL NEPHRECTOMY SERVICE (ADULT) PARTICULARS, SCHEDULE 2 THE SERVICES, A - SERVICE SPECIFICATION Service Specification No. Service Commissioner
More informationINTERNAL VALIDATION REPORT (MULTI-DISCIPLINARY TEAM)
INTERNAL VALIDATION REPORT (MULTI-DISCIPLINARY TEAM) Network Trust MDT NECN N Tees & Hartlepool North Tees And Hartlepool Date Self Assessment Completed 23rd July 2009 Date of IV Review 19th June 2009
More informationNational Paediatric Diabetes Audit
National Paediatric Diabetes Audit Parent and Carers Report 2015-16 Commissioned by the Healthcare Quality Improvement Partnership Managed by the Royal College of Paediatrics and Child Health National
More informationPaediatric Diabetes Service Operational Policy
Paediatric Diabetes Service Operational Policy Department / Service: Paediatric Diabetes Service Originator: Dr John Scanlon Diane Cluley PDSN Accountable Director: Dr Andrew Short Approved by: Paediatric
More informationShaping Diabetes Services in Southern Derbyshire. A vision for Diabetes Services For Southern Derbyshire CCG
Shaping Diabetes Services in Southern Derbyshire A vision for Diabetes Services For Southern Derbyshire CCG Vanessa Vale Commissioning Manager September 2013 Contents 1. Introduction 3 2. National Guidance
More informationBritish Association of Stroke Physicians Strategy 2017 to 2020
British Association of Stroke Physicians Strategy 2017 to 2020 1 P age Contents Introduction 3 1. Developing and influencing local and national policy for stroke 5 2. Providing expert advice on all aspects
More informationDraft Implementation Plan for Consultation Adult Type 1 Diabetes Guidelines
Draft Implementation Plan for Consultation Adult Type 1 Diabetes Guidelines 1 Adult Type 1 Diabetes Guidelines - Implementation Plan 1. Introduction The following section is a national implementation plan,
More informationChildren s palliative care is defined as an active and total approach to care, from the point of diagnosis or recognition, throughout the child s
Level : a consultant paediatrician in PPM, or a small number of children s hospice medical leaders (mainly leaders in sub-specialty formation and development, and with roles beyond their local hospice),
More informationStop Smoking Wales Quarterly Report 1 January to
Quarterly Report 1 January to 31 March 2009 - Regional Smoking Cessation Co-ordinator Date: 23/06/09 Version: 1 Status: Final Intended Audience: WAG / Public (Internet) / NHS Wales (Intranet) / NPHS (Intranet)
More informationSandwell & West Birmingham integrated community care diabetes model (DICE) the future of diabetes services?
Sandwell & West Birmingham integrated community care diabetes model (DICE) the future of diabetes services? Dr PARIJAT DE DUK Clinical Champion Clinical Lead for Diabetes & Endocrinology, Sandwell & West
More informationASD and ADHD Pathway. Pride in our children s, young people s and families s e r v i c e s A member of Cambridge University Health Partners
ASD and ADHD Pathway 30-11-2017 Pride in our care Pride in our children s, young people s and families s e r v i c e s A member of Cambridge University Health Partners ADHD NICE Guidance: Organisation
More informationSolihull Safeguarding Adults Board & Sub-committees
Solihull Safeguarding Adults Board & Sub-committees 2016 Safeguarding Adults Board Solihull Safeguarding Adults Board [SSAB or the Board] was established in 2008. It is a multi-agency partnership comprising
More informationEating Disorders Young People s Service (EDYS, Alder Hey CAMHS)
Eating Disorders Young People s Service (EDYS, Alder Hey CAMHS) A Local Comprehensive Eating Disorder Service for Young People in Liverpool and Sefton. 1 1. Introduction: Alder Hey Children s NHS Foundation
More informationCosting report: Lipid modification Implementing the NICE guideline on lipid modification (CG181)
Putting NICE guidance into practice Costing report: Lipid modification Implementing the NICE guideline on lipid modification (CG181) Published: July 2014 This costing report accompanies Lipid modification:
More informationWestern Bay Together for Mental Health Local Partnership Board
Western Bay Together for Mental Health Local Partnership Board s of the meeting held on 8 th September 2016 In the Boardroom ABMU Health Board Headquarters 2.00pm. Present: Hazel Powell Lily Bidmead Dawn
More informationIntegrated Diabetes Care in Oxfordshire -patient's perspective. Avril Surridge
Integrated Diabetes Care in Oxfordshire -patient's perspective Avril Surridge Today How does diabetes care in Oxfordshire look like from a patient s perspective? Good things What could be improved? National
More informationSELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM)
SELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM) Network Trust MDT MDT Lead Clinician GMCN ROYAL WOLVERHAMPTON HOSPITALS The Royal Wolverhampton Hospitals Trust Lung MDT (11-2C-1) - 2011/12 Dr Angela Morgan
More informationEvaluation of the Health and Social Care Professionals Programme Interim report. Prostate Cancer UK
Evaluation of the Health and Social Care Professionals Programme Interim report Prostate Cancer UK July 2014 Contents Executive summary... 2 Summary of the research... 2 Main findings... 2 Lessons learned...
More informationSELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM)
SELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM) Network Trust MDT MDT Lead Clinician NECN NORTH TEES AND HARTLEPOOL North Tees And Hartlepool Lung MDT (11-2C-1) - 2011/12 Dr D N Leitch Compliance Self
More informationAPPENDIX 26: RESULTS OF SURVEY OF ANTENATAL AND POSTNATAL MENTAL HEALTH PRIMARY CARE SERVICES IN ENGLAND AND WALES
APPENDIX 26: RESULTS OF SURVEY OF ANTENATAL AND POSTNATAL MENTAL HEALTH PRIMARY CARE SERVICES IN ENGLAND AND WALES Background In order to inform the guideline development process, the guideline development
More informationMaggie Keswick Jencks Cancer Caring Centres Trust Job Description. 1. JOB TITLE: Cancer support specialist. procedures
Maggie Keswick Jencks Cancer Caring Centres Trust Job Description 1. JOB TITLE: Cancer support specialist REPORTS TO: PROFESSIONAL SUPERVISION: RESPONSIBLE FOR: LIAIASES WITH: Centre Head In accordance
More informationDr Belinda McCall Consultant Geriatrician
Dr Belinda McCall Consultant Geriatrician Overview Background to our service Project Initial service provision Further developments Benefits of a geriatrician Questions Background National Dementia Strategy
More informationSAFE PAEDIATRIC NEUROSURGERY A Report from the SOCIETY OF BRITISH NEUROLOGICAL SURGEONS
SAFE PAEDIATRIC NEUROSURGERY 2001 A Report from the SOCIETY OF BRITISH NEUROLOGICAL SURGEONS SAFE PAEDIATRIC NEUROSURGERY 2001 INTRODUCTION In 1997 the SBNS agreed to the setting up of a task force to
More information1.2. Please refer to our submission dated 27 February for further background information about NDCS.
Educational Attainment Gap The role of parents and guardians NDCS response to call for written evidence The National Deaf Children s Society (NDCS) welcomes the opportunity to contribute to this call for
More informationDiabetes is a lifelong, chronic. Survey on the quality of diabetes care in prison settings across the UK. Keith Booles
Survey on the quality of diabetes care in prison settings across the UK Article points 1. The Royal College of Nursing Diabetes Forum conducted an audit of prisons within the UK to determine the level
More informationCompare your care. How asthma care in England matches up to standards R E S P I R AT O R Y S O C I E T Y U K
Compare your care How asthma care in England matches up to standards PRIMARY CARE R E S P I R AT O R Y S O C I E T Y U K Asthma matters Around 4.5 million people in England that s 1 in 11 are being treated
More informationA Suite of Enhanced Services for. Prudent Structured Care for Adults with Type 2 Diabetes
An Enhanced Service for Prudent Structured Care for Adults with Type 2 Diabetes Page 1 A Suite of Enhanced Services for Prudent Structured Care for Adults with Type 2 Diabetes 1. Introduction All practices
More informationResource impact report: Eating disorders: recognition and treatment (NG69)
Resource impact report: Eating disorders: recognition and treatment (NG69) Published: May 2017 Summary This report looks at the resource impact of implementing NICE s guideline on eating disorders: recognition
More informationThey are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:
Chronic fatigue syndrome myalgic encephalomyelitis elitis overview bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They are updated
More informationNational Diabetes Inpatient Audit (NaDIA) 2016
National Diabetes Inpatient Audit (NaDIA) 2016 DIABETES A summary report for people with diabetes and anyone interested in the quality of care for people with diabetes when they stay in hospital. Based
More informationA. Service Specification
A. Service Specification Service Specification No: 1767 Service Adult Highly Specialist Pain Management Services Commissioner Lead For local completion Lead For local completion 1. Scope 1.1 Prescribed
More informationNational Cancer Peer Review Sarcoma. Julia Hill Acting Deputy National Co-ordinator
National Cancer Peer Review Sarcoma Julia Hill Acting Deputy National Co-ordinator Improving Outcomes Guidance The Intentions of Improving Outcomes for People with Sarcoma Changes in the provision of care
More informationA project in partnership with Llamau, CBSA Ltd, Sova, Construction Youth Trust and Gisda funded by the BIG Fund
A project in partnership with Llamau, CBSA Ltd, Sova, Construction Youth Trust and Gisda funded by the BIG Fund PROJECT AIM The overarching aim of the project is to enable vulnerable care leavers or young
More informationCase scenarios: Patient Group Directions
Putting NICE guidance into practice Case scenarios: Patient Group Directions Implementing the NICE guidance on Patient Group Directions (MPG2) Published: March 2014 [updated March 2017] These case scenarios
More informationIntegrated Cancer Services Action Plan. Colchester Hospital University NHS Foundation Trust 31 March 2014
Integrated Cancer Services Action Plan Colchester Hospital University NHS Foundation Trust 31 March KEY Implemented, clearly evidenced and externally approved On Track to deliver Some issues narrative
More informationJob planning checklists and diary. Specialty doctors and associate specialists
Job planning checklists and diary Specialty doctors and associate specialists April 2008 Introduction This guidance is offered as an aid to job planning. It comprises checklists and a diary for use by
More informationNHS Rotherham Clinical Commissioning Group
NHS Rotherham Clinical Commissioning Group Operational Executive: 2 nd November 2015 Governing Body: 4 th November 2015 Review of Stroke Care Pathway GP Lead: Dr Phil Birks Lead Executive: Keely Firth
More informationSmoking Cessation Profile: Betsi Cadwaladr University Health Board 2012/2013
Smoking Cessation Profile: Betsi Cadwaladr University Health Board 2012/2013 Authors: Delyth Jones, Principal Public Health Officer, Claire Jones, Public Health Intelligence Specialist & Dr Chris Stockport,
More informationCore Competencies Clinical Psychology A Guide
Committee for Scrutiny of Individual Clinical Qualifications Core Competencies Clinical Psychology A Guide Please read this booklet in conjunction with other booklets and forms in the application package
More informationReferral and Ongoing Care for Children with Suspected Diabetes
South West Paediatric Diabetes Regional Network Pathway for Referral and Ongoing Care for Children with Suspected Diabetes Dear Colleagues, On behalf of the South West Paediatric Diabetes Network, I m
More informationMulti-agency Safeguarding Training Strategy
Wandsworth Safeguarding Children Board Multi-agency Safeguarding Training Strategy 2017-18 Foreword This strategy sets out our framework and direction for ensuring that all staff and volunteers working
More informationFreedom of Information Act Request Physiotherapy Services for Neurological Conditions
Freedom of Information Act Request Physiotherapy Services for Neurological Conditions 1. In total how many physiotherapists does C&V UHB employ? s services 33 qualified paediatric physiotherapy staff in
More informationNational Paediatric Diabetes Audit
National Paediatric Diabetes Audit Parent and Carers Report 2014-15 Commissioned by the Healthcare Quality Improvement Partnership Managed by the Royal College of Paediatrics and Child Health 2 National
More informationPEER REVIEW VISIT REPORT (MULTI-DISCIPLINARY TEAM)
PEER REVIEW VISIT REPORT (MULTI-DISCIPLINARY TEAM) Regional Trauma Network Trauma Centre Trauma Service RMTN Network Organisation Measures (T13-1C-1) - 2013/14 Peer Review Visit Date 29th April 2014 Compliance
More informationConsultation response form: Together for a Dementia Friendly Wales ( ) Proposed Together for a Dementia Friendly Wales ( )
Consultation response form: Together for a Dementia Friendly Wales (2017-22) Overview Proposed Together for a Dementia Friendly Wales (2017-22) How to respond Responses should be submitted by 3 April 2017
More informationQuality Standards for Care of Older People Living with Frailty: Assessment and Coordination of Care
Quality Standards for Care of Older People Living with Frailty: Assessment and Coordination of Care Version 2.1 November 2015 November 2015 West Midlands Quality Review Service These Quality Standards
More informationAWP Five Year Strategy. An invitation to comment and get involved October 2017
AWP Five Year Strategy An invitation to comment and get involved October 2017 Transforming the future of AWP AWP has embarked upon an ambitious plan to transform the organisation, working in partnership
More informationDementia Strategy MICB4336
Dementia Strategy 2013-2018 MICB4336 Executive summary The purpose of this document is to set out South Tees Hospitals Foundation Trust s five year strategy for improving care and experience for people
More informationEstimating NHS Hearing Aid Uptake in Wales Using AuditBase
Estimating NHS Hearing Aid Uptake in Wales Using AuditBase Rhys Meredith 1, Vinaya K. C. Manchaiah 2 & Dafydd Stephens 3 1 Audiology Department, Singleton Hospital, ABM University Health Board, Swansea
More informationNZ Organised Stroke Rehabilitation Service Specifications (in-patient and community)
NZ Organised Stroke Rehabilitation Service Specifications (in-patient and community) Prepared by the National Stroke Network to outline minimum and strongly recommended standards for DHBs. Date: December
More informationNational Peer Review Report: Sarcoma Cancer Services Report 2012/2013
National Peer Review Programme National Peer Review Report: Sarcoma Cancer Services Report 2012/2013 www.nationalpeerreview.nhs.uk Sarcoma MDT Overall Performance All 15 services reviewed against the 36
More informationGuidance on colleague and patient questionnaires
Guidance on colleague and patient questionnaires 2 Revalidation is the process by which doctors must demonstrate to the General Medical Council (GMC), normally every five years, that they are up to date
More informationFRAILTY PATIENT FOCUS GROUP
FRAILTY PATIENT FOCUS GROUP Community House, Bromley 28 November 2016-10am to 12noon In attendance: 7 Patient and Healthwatch representatives: 4 CCG representatives: Dr Ruchira Paranjape went through the
More informationINTERNAL VALIDATION REPORT (MULTI-DISCIPLINARY TEAM)
INTERNAL VALIDATION REPORT (MULTI-DISCIPLINARY TEAM) Network Trust MDT MVCN EAST AND NORTH HERTFORDSHIRE Mount Vernon Cancer Centre Cancer Network MDT (11-2K-1) - 2011/12 Date Self Assessment Completed
More informationQuality Standards for Diagnosis and Treatment in Breast Units Across Greater Manchester
Quality Standards for Diagnosis and Treatment in Breast Units Across Greater Manchester Greater Manchester Cancer Clinical Director: Mr Mohammed Absar Pathway Manager: Rebecca Price Pathway approval: 24
More informationLCA Mental Health & Psychological Support Mapping
LCA Mental Health & Psychological Support Mapping November 2013 Contents 1 Introduction... 3 2 Method... 3 3 Results... 3 3.1 Information Centres... 3 3.2 Training and Education... 5 3.3 Level Two Supervision...
More informationPatient and Carer Network. Work Plan
Patient and Carer Network Work Plan 2016 2020 Introduction from our chair When it was established over a decade ago, the RCP s Patient and Carer Network (PCN) led the way in mapping and articulating the
More informationMaggie Keswick Jencks Cancer Caring Centres Trust Job Description. In accordance with Maggie s policies and procedures
Maggie Keswick Jencks Cancer Caring Centres Trust Job Description 1. JOB TITLE: Cancer Support Specialist REPORTS TO: PROFESSIONAL SUPERVISION: Centre Head In accordance with Maggie s policies and procedures
More informationNHS GG&C Introduction of Freestyle Libre flash glucose monitoring system
NHS GG&C Introduction of Freestyle Libre flash glucose monitoring system The Freestyle Libre flash glucose monitoring system is a sensor based, factory-calibrated system that measures interstitial fluid
More informationEpilepsy12 Round 3 Organisational Audit dataset
Organisational Audit (Service Descriptor) Questionnaire Yearly published reports will be based on completion and submission by a defined time after the yearly census day Fields can be updated at any time
More informationSpecialised Services Policy Position PP151
Specialised Services Policy Position PP151 Complex Devices: Implantable Cardioverter Defibrillators and Cardiac Resynchronisation Therapy for arrhythmias and heart failure January 2019 Version 1.0 Document
More informationEquality of Opportunity Committee
Equality of Opportunity Committee EOC(3)-12-09 (p8) Inquiry into Discrimination against People Living with HIV by Healthcare Professionals and Providers Written evidence from Abertawe Bro Morgannwg University
More informationGOVERNING BODY REPORT
GOVERNING BODY REPORT DATE OF MEETING: 20th September 2012 TITLE OF REPORT: KEY MESSAGES: NHS West Cheshire Clinical Commissioning Group has identified heart disease as one of its six strategic clinical
More informationAWHILES Annual Report July June 2015 All Wales Health Information
AWHILES Annual Report July 2014 - June 2015 All Wales Health Information Information & Library Extension Services Llandudno Bodelwyddan Bangor Wrexham Aberystwyth Bronllys Glangwili Haverfordwest Hafan
More informationNational Diabetes Insulin Pump Audit, England and Wales
National Diabetes Insulin Pump Audit, 2016-2017 England and Wales V0.22 7 March 2017 Prepared in collaboration with: The Healthcare Quality Improvement Partnership (HQIP). The National Diabetes Audit (NDA)
More informationDual Diagnosis. Themed Review Report 2006/07 SHA Regional Reports East Midlands
Dual Diagnosis Themed Review Report 2006/07 SHA Regional Reports East Midlands Contents Foreword 1 Introduction 2 Recommendations 2 Themed Review 06/07 data 3 Additional information 13 Weighted population
More informationNational Audit of Dementia
National Audit of Dementia (Care in General Hospitals) Date: December 2010 Preliminary of the Core Audit Commissioned by: Healthcare Quality Improvement Partnership (HQIP) Conducted by: Royal College of
More informationSouth Lanarkshire Council. Autism Strategy. Action Plan. Update April 2014
South Lanarkshire Council Autism Strategy Action Plan Update April 2014 Ten Indicators for current best practice in the provision of effective Autism Spectrum Disorder (ASD) services 1. A local Autism
More informationStop Delirium! A complex intervention for delirium in care homes for older people
Stop Delirium! A complex intervention for delirium in care homes for older people Final report Summary September 2009 1 Contents Abstract...3 Lay Summary...4 1. Background...6 2. Objectives...6 3. Methods...7
More informationNHS Greater Glasgow & Clyde. Managed Clinical Network for Diabetes. Annual Report
NHS Greater Glasgow & Clyde Managed Clinical Network for Diabetes Annual Report 2009 / 2010 1. Introduction This annual report of the NHS Greater Glasgow and Clyde (NHS GGC) Managed Clinical Network (MCN)
More informationDiabetes Network
1 Diabetes Network - 2019 Network Manager: Alison Featherstone Aims/Objectives Clinical Lead(s) Network Lead 1.0 Support the delivery of the national NHS Diabetes Prevention Programme for Dr Caroline Sprake
More informationChild and Adolescent Mental Health Service (CAMHS)
Oxford Health NHS Foundation Trust CAMHS Child and Adolescent Mental Health Service (CAMHS) CAMHS Introduction Welcome to Oxford Health NHS Foundation Trust. This leaflet aims to provide you with answers
More information