People living well with Dementia in the East Midlands: Improving the Quality of Care in Acute Hospitals
|
|
- Kory Harmon
- 6 years ago
- Views:
Transcription
1 PROJECT INITIATION DOCUMENT We re in it together People living well with Dementia in the East Midlands: Improving the Quality of Care in Acute Hospitals Version: 1.1 Date: February 2011 Authors: Jillian Guild East Midlands Strategic Health Authority Page 1 of 11
2 Project Initiation Document History Revision History Date of this revision: Revision Date Summary of Changes Version February 2011 Update following National Audit Office Report 1.1 Distribution Name Organisation QUPP Board Annette Lumb Professor Rowan Harwood Dr Steve Rutter Emma Spencer Clinical Leads Network Discovery Group people living with dementia Health and Social Care Regional Department of Health Nottingham Queens Medical Centre Kingsmill Hospital Mansfield Leicestershire Hospitals East Midlands East Midlands Page 2 of 11
3 1. Project Background National Context Dementia is one o f the most important issues we face as a society and as healthcare providers as more people are living longer. Numbers will double in England over the next 30 years and the cost of caring will treble from 17 billion in 2009 to 50 billion in In the East midlands, there were 52,836 people living with dementia in 2010 and prevalence of dementia will rise faster than the national average, expected rise to 82,155 by Such an unprecedented rise in numbers and associated costs means doing nothing is unaffordable Existing services for people with dementia are acknowledged to be underdeveloped across England and only a third of people with dementia receive a diagnosis (..% in East midlands) Up to 1/3 of people in hospital beds and 2/3 of people living in care homes have dementia. Anti psychotics are over prescribed to people with dementia and the Government expects prescriptions to be reduced by 2/3 by Nov 2011 People living with dementia are at greater risk of developing physical ill health and accidents (especially falls) as this is translated into a higher percentage of people with dementia in hospital populations than in the community populations Living Well with Dementia, the National Dementia Strategy (DH 2009) and the national review of anti psychotics (Banerjee2009) provide a framework for change. The strategy aims to support people to live well with dementia through better public awareness of dementia, improved early diagnosis and intervention and improved quality of care. Quality outcomes for people with dementia (DH 2010) and The Operating Framework (DH 2010, 4.19) describe the Coalition Governments continued commitment to the dementia strategy. Both reports specifically state that NHS organisations are expected to make progress to improve quality of care for people with dementia in acute hospitals as a priority. In addition, NICE Quality Standards for Dementia (July 2010) are part of The NHS Outcomes Framework 2011/12 and will inform commissioning and provider payment mechanisms. A number of reports have also been published on dementia care in acute hospitals (Counting the Cost 2009, Acute Awareness 2010, No health without mental health 20.. and Who cares wins 20..) and the Royal College of Psychiatrists has produced a case note audit, observational tool and organisational checklist for dementia in acute hospital care. Page 3 of 11
4 The key recommendations for acute hospitals from all policy documents and reports are summarised in table 1. Recommendations Data Collection and Review: Acute Hospitals 1. Coding of dementia 2. Length of Stay 3. Readmission rates for dementia 4. Regular review number of in-hospital falls 5. Complaints analysed by age 6. Review feedback from patients e.g. engage patient forums 7. Recording of incidents and risks 8. Audit access to CT and MRI for people suspected of having dementia 9. Audit maximum response time to obtain specialist assessment 10. Audit of environment Recommendations Acute Hospitals 1 Senior clinical lead for dementia 2 Access to liaison mental health service 3 Dementia pathways in place and all physical pathways have a mental health component 4 Resource Workforce Development plan for dementia 5 Routine nutritional and cognitive screening and help at meal times 6 Assessment of cognition and capacity 7 Personalised individual care plans 8 Carers assessments offered routinely 9 Plan to reduce prescribing of anti psychotics 10 Plan to improve discharge through dementia friendly discharge planning procedures and information sharing protocols 11 People admitted from their own home should only be discharged to a care home as an exception 12 Dementia friendly environments 13 Improve coding and data collection 14 Identify needs and plan palliative care Page 4 of 11
5 Key Facts and Figures: Dementia and Acute Hospitals Efficiency Reports indicate that improving quality in acute hospital care has potential to save money and such savings would benefit both acute trusts and commissioners. For example If a person with dementia left hospital 1 week earlier this would save at least 80 million nationally (Counting the Cost) 6 million per DGH could be saved If dementia was better managed (Quality outcomes for people with dementia) Implementation of the strategy is dependent on achieving 1.9 billion of efficiency savings by reducing reliance on care provided to people with dementia in care homes and acute hospitals (House of Commons Committee report 2010) therefore commissioners will be looking to contract with acute providers to deliver improved efficiency. Incidence in Acute hospitals People 65+ with dementia occupy 25-30% of total hospital beds 42% of individuals over 70 with unplanned admissions to an acute hospital have dementia rising to 48% over age 80 60% of people with dementia enter hospital from their own home and 33% of people with dementia enter hospital from a care home The TOP 5 reasons for admission where dementia is a secondary diagnosis are falls, fractured hip, UTI, chest infection, stroke People with dementia are more prone to develop physical illness and the presence of dementia complicates another illness Dementia is a major risk factor for falls (50% of hip fracture patients have dementia) and falls account for 40% of patient safety incidents in general hospitals 2/3 of people with dementia in hospital have delirium and delirium is associated with increased mortality, increased length of stay and poor prognosis. Preventative interventions can reduce incidence of delirium in acute hospitals by 30-40% Length of Stay People with dementia stay longer than others admitted for the same procedure and the longer the length of stay the worse the effect on physical health and symptoms of dementia and the more likely discharge to a care home Use of anti psychotic drugs increases with longer length of stay The presence of dementia and delirium increases with length of stay by up to 10 days Page 5 of 11
6 Specialist multidisciplinary care can reduce length of stay following hip fracture for those with mild and moderate dementia Experience and outcomes Over 1/3 of people with dementia admitted from their own home are discharged to a care home Dementia is a predictor of inappropriate or delayed discharge Counting the cost (200 ) found that 47% of carers said hospital had a significant negative effect on the person with dementia physical health which was not as a direct result of the medical condition,77% carers were dissatisfied with the overall quality of acute hospital care and 1/3 of these carers went on to make a complaint Poorer outcomes result from a person with dementia admitted to a general hospital for a medical procedure than a person without dementia being admitted for the same procedure The presence of mental illness including dementia may overshadow the recognition and treatment of physical health problems Key findings from the RCP National Audit of Dementia (Care in general hospitals) 95% of hospitals do not have mandatory training in dementia awareness Less than 1/2 of patients received a formal mental status test upon admission to hospital. Very few hospitals collect details about a person s background, routine and care needs ( personal profile ) 1/3 of patients referred to in-hospital psychiatry liaison services not seen within 96 hours. Fewer than one in ten hospital executive boards regularly review readmission data for patients with dementia and only one in five regularly review information on delayed patient transfers. Page 6 of 11
7 2. Objectives To support the lead clinical network on a regular basis To ensure that each acute hospital has a clinical leadership board in place To ensure that each acute hospital has a clinical lead in place To ensure that each acute hospital has an action plan in place to drive quality up Support each acute hospital to identify each of its main strategic priorities for action Support all the acute hospitals with the outcomes of the National Audit of Dementia by providing them with support for either one regional event or 5 individual sub-locality events Work with the Royal College of xxx to run the events Support each locality with action plans and care pathways 3. Project Scope Acute Hospital providers All hospitals in the East Midlands Care Pathways within the hospitals 4. Constraints Engaging with key stakeholder in a timely way Regional Dementia Leads finish 31st March 2011 Clinical leads finish June 2011 Local Dementia leads finish between April 2011 and July 2011 Conflicting local priorities 5. Assumptions Key stakeholders will engage Collective response from Acute Trusts Existing work will be built upon Build on existing work and enthusiasm Relationships are good with shared vision and understanding Good practice will be shared across partners New priorities to be agreed and performance managed Royal College will continue to work with us and provide support Key partners understand the pathway Completion o f new specifications Page 7 of 11
8 6. Outline Business Benefits Enhanced quality Efficiency gains Robust business planning Trusts positioning themselves for future GP consortia commissioning arrangements Reduction in length of stays Prevention of hospital admissions 7. Project Approach / What we are going to do / How are we are doing it Regional leads to support with co ordination until 31 st March 2011 Clinical leads in place until June 2011 Action plans from all acute trusts submitted by Feb 2011 performance teams performance manage the action plans Regional leads work with Royal College to plan events/workshops Staff resource printed and disseminated to all acute trusts Work in partnership with EMPACT to ensure correct consistent approach to data collection and coding Collate and share good practice across the region Metrics grid for social care data from EMPHO Variation for NHS/Acute and QOF data from Quality Observatory 8. Project Budget Budget of up to 120k to support with the regional Dementia program is held with Derbyshire Mental Health trust under Chief Ex sponsor Mike Shewan Staff resource pack to be funded from EMDC budget Page 8 of 11
9 9 Project Plan and milestones Project stage or phase Milestones Anticipated completion / delivery date Leadership group First meeting Dec 22 nd 2010 Draft letter to Acute Hospital Chief Ex to Understand their priorities in relation to the Royal College Audit Letter agreed and signed by Professor Harwood And Kathy McLean Letter sent to All trusts January 5 th 2011 Letters sent and returns back 1 st February st February 2011 Chase Trusts if no response to first request Liaise with Royal College Project Team to organise event/workshops for all 5 sub-localities First prompt to letter Contact Chloe Hood NAO project Team 14 th February 2011 Jan 2011 Design resource pack for staff working in acute settings Leadership group Agreed contents February 2011 Data coding guidelines for acute hospitals Work in partnership with Clinical Leads Network and EMPACT to agree data collection Share at Regional Clinical Leads Meeting Agree data with Clinical Leads 16 th February 2011 February 2011 Work with the performance team to Ensure that they are fully up to date with the Program and the action plans from each acute trust Plan event/workshops with regional leads And Royal College Meet with Performance team Meet with clinical Leads to agree Way forward February 2011 February 2011 Page 9 of 11
10 10. Project Organisation Structure Position Name Title Project Sponsor Mike Shewan Chief Executive Derbyshire Foundation Trust Project Manager Jill Guild Strategic Relationship and Program Manager EM QUIPP Lead Annette Lumb EM Regional Department of Health Regional Clinical Lead Professor Rowan Harwood Consultant Geriatrician Queens Medical Hospital Nottingham Clinical Lead Dr Steve Rutter Consultant Geriatrician Kingsmill, Mansfield, Notts Clinical Lead Emma Spencer Service Development Leicester Hospitals Discovery Group Members Heather and Dave Roberts Patient and Carer 11. Project Communication Plan Both regional leads are working with the East Midlands and the Regional Joint Improvement Partnership to ensure that both web sites will be up to date with all communications in relation to the East Midlands Dementia Strategy Page 10 of 11
11 12. Risks Risk No regional capacity from 31 March 2011 Likelihood Impact Mitigation 1 (low) (low) Localities Own projects Person Responsible Acute Hospitals do Not identify dementia As a priority 3 5 Performance manager Commissioners Will not performance Manage acute Trusts 3 5 Performance manage Acute trusts may not Appoint a clinical Lead and give enough of their resource to lead the plans 3 5 and Commissioners Performance manage Commissioners Ensuring that local Intermediate care/re ablement Plans that do include Dementia 3 5 Discussions with Lead commissioners to Ensure that service specs Include this element Acute trusts adopting the Coding guidance for Dementia 3 5 Discussions with acute Chief Ex Page 11 of 11
Dementia 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 informationSupporting and Caring in Dementia
Supporting and Caring in Dementia Surrey and Sussex Healthcare, Delivering the National Dementia Strategy Strategy and Implementation Plan Final November 2011 1 National Strategy The National Dementia
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 informationReport by the Comptroller and. SesSIon January Improving Dementia Services in England an Interim Report
Report by the Comptroller and Auditor General HC 82 SesSIon 2009 2010 14 January 2010 Improving Dementia Services in England an Interim Report 4 Summary Improving Dementia Services in England an Interim
More information2010 National Audit of Dementia (Care in General Hospitals) Guy's and St Thomas' NHS Foundation Trust
Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: Guy's and St Thomas' NHS Foundation Trust The 2010 national
More informationGOVERNING BODY MEETING in Public 22 February 2017 Agenda Item 3.4
GOVERNING BODY MEETING in Public 22 February 2017 Paper Title Purpose of paper Redesign of Services for Frail Older People in Eastern Cheshire To seek approval from Governing Body for the redesign of services
More informationBGS Spring The Dementia and Delirium CQUIN
The Dementia and Delirium CQUIN Dr Louise Allan Clinical Senior Lecturer in Geriatric Medicine Institute of Neuroscience Newcastle University Outline Why should it have happened? Why did it happen? How
More informationAppendix 1. Cognitive Impairment and Dementia Service Elm Lodge 4a Marley Close Greenford Middlesex UB6 9UG
Appendix 1 Mr Dwight McKenzie Scrutiny Review Officer Legal and Democratic Services Ealing Council Perceval House 14 16 Uxbridge Road Ealing London W5 2HL Cognitive Impairment and Dementia Service Elm
More informationREPORT TO CLINICAL COMMISSIONING GROUP
REPORT TO CLINICAL COMMISSIONING GROUP 12th December 2012 Agenda No. 6.2 Title of Document: Report Author/s: Lead Director/ Clinical Lead: Contact details: Commissioning Model for Dementia Care Dr Aryan
More informationThe Prime Minister s Challenge on Dementia. Lorraine Jackson Deputy Director: Domestic Dementia Policy Department of Health
The Prime Minister s Challenge on Dementia Lorraine Jackson Deputy Director: Domestic Dementia Policy Department of Health 1 Costs and impact of dementia Estimated 676,000 people in England with dementia,
More informationThe Prime Minister s Challenge on Dementia Lorraine Jackson Deputy Director: Dementia Policy Department of Health 12 April 2016
The Prime Minister s Challenge on Dementia 2020 1 Lorraine Jackson Deputy Director: Dementia Policy Department of Health 12 April 2016 Costs and impact of dementia Estimated 676,000 people in England with
More information2010 National Audit of Dementia (Care in General Hospitals)
Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: Barking, Havering and Redbridge Hospitals NHS Trust The 2010
More information2010 National Audit of Dementia (Care in General Hospitals) Chelsea and Westminster Hospital NHS Foundation Trust
Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: NHS Foundation Trust The 2010 national audit of dementia
More informationHERTS VALLEYS CCG PALLIATIVE AND END OF LIFE CARE STRATEGY FOR ADULTS AND CHILDREN
HERTS VALLEYS CCG PALLIATIVE AND END OF LIFE CARE STRATEGY FOR ADULTS AND CHILDREN 2016-2021 1 1. Introduction Herts Valleys Palliative and End of Life Care Strategy is guided by the End of Life Care Strategic
More informationOur dementia STRATEGY
South Tyneside and Sunderland Healthcare Group Our dementia STRATEGY 2018-2021 City Hospitals Sunderland and South Tyneside NHS Foundation Trusts working in partnership Introduction Dementia has become
More informationRichard Watson, Chief Transformation Officer. Dr P Holloway, GP Clinical Lead for Cancer Lisa Parrish, Senior Transformation Lead
GOVERNING BODY Agenda Item No. 08 Reference No. IESCCG 18-02 Date. 23 January 2018 Title Lead Chief Officer Author(s) Purpose Cancer Services Update Richard Watson, Chief Transformation Officer Dr P Holloway,
More information2010 National Audit of Dementia (Care in General Hospitals) North West London Hospitals NHS Trust
Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: rth West London Hospitals NHS Trust The 2010 national audit
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 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 informationDraft Falls Prevention Strategy
Cheshire West & Chester Council Draft Falls Prevention Strategy 2017-2020 Visit: cheshirewestandchester.gov.uk Visit: cheshirewestandchester.gov.uk 02 Cheshire West and Chester Council Draft Falls Prevention
More informationAssessment and early identification
The Right Care: creating dementia friendly hospitals Assessment and early identification Good practice for better care 1 Assessment and early identification Section 1 Self assessment statements from National
More informationSouth Norfolk CCG Dementia Strategy and Action Plan Dr Tony Palframan, SNCCG Governing Body Member
Agenda item: 9.4 Subject: Presented by: Submitted to: South Norfolk CCG Dementia Strategy and Action Plan Dr Tony Palframan, SNCCG Governing Body Member Governing Body Date: 28 th July Purpose of paper:
More informationProgress in improving cancer services and outcomes in England. Report. Department of Health, NHS England and Public Health England
Report by the Comptroller and Auditor General Department of Health, NHS England and Public Health England Progress in improving cancer services and outcomes in England HC 949 SESSION 2014-15 15 JANUARY
More informationVision for quality: A framework for action - technical document
3. Frailty Vision for quality: A framework for action - technical document Contents 1.0 Introduction 1 2.0 The current situation in Warwickshire North 2 3.0 The case for change 4 4.0 Views and opinions
More informationDorset Health and Wellbeing Board
Dorset Health and Wellbeing Board Date of Meeting 09 November 2016 Subject of Report Sustainability and Transformation Plan Refresh Update Report Author Partner Organisation Tim Goodson, Chief Officer,
More informationFINANCE COMMITTEE DEMOGRAPHIC CHANGE AND AGEING POPULATION INQUIRY SUBMISSION FROM NATIONAL OSTEOPOROSIS SOCIETY
FINANCE COMMITTEE DEMOGRAPHIC CHANGE AND AGEING POPULATION INQUIRY SUBMISSION FROM NATIONAL OSTEOPOROSIS SOCIETY What is your view of the effects of the demographic change and an ageing population on the
More informationJob Description. In range 38,000 to 42,000 depending on qualifications and experience. Board of Directors/Trustees of the Trent DSDC and Dementia UK
Job Description Position: Salary: Hours: Location: Accountable to: Development Director In range 38,000 to 42,000 depending on qualifications and experience 35 hours per week 9 Newarke Street, Leicester
More informationStrategic Plan
Strategic Plan 2015 18 President s message The Royal College of Psychiatrists is committed to improving the lives of people with mental illness. This strategic plan is based on the top three priorities
More informationPRIMARY CARE CO-COMMISSIONING COMMITTEE 18 March 2016
Part 1 Part 2 PRIMARY CARE CO-COMMISSIONING COMMITTEE 18 March 2016 Title of Report Supporting deaf patients to access primary care services Purpose of the Report The report is to provide the co-commissioning
More informationReshaping Care Pathways for Older People. Anne Hendry National Clinical Lead for Quality
Reshaping Care Pathways for Older People Anne Hendry National Clinical Lead for Quality Reshaping Care for Older People 10 Year Programme to 2021 300 million Change Fund to 2015 32 Partnerships between
More informationNHFD Chester Feb 3 rd 2010
NHFD Chester Feb 3 rd 2010 Commissioning Toolkit for Falls & Fractures Finbarr C Martin Geriatrician, Guys and St Thomas, London Acting National Clinical Director, DH Co-chair NHFD Standard 6: Falls The
More informationDementia Care in Acute Hospitals. A Report from the Dementia Action Alliance. South East Coast Region
Dementia Care in Acute Hospitals A Report from the Dementia Action Alliance South East Coast Region Foreword Dementia is the number one health concern for people over 50 and is described by the Prime Minister
More informationin North East Lincolnshire Care Trust Plus Implementation Plan Executive Summary
North East Lincolnshire Care Trust Plus Living Well with Dementia in North East Lincolnshire Implementation Plan 2011-2014 Executive Summary Our vision is for all Individuals with Dementia and their carers
More informationEmergency Care Strategy Guide
International Clinical Operations Board Emergency Care Strategy Guide Volume 3: Tool Suite Road Map 5 1 2 3 Introduction to the Emergency Care Tool Suite 4 The Emergency Department Performance Audit Profiled
More information2010 National Audit of Dementia (Care in General Hospitals) North Middlesex University Hospital NHS Trust
Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: rth Middlesex University Hospital NHS Trust The 2010 national
More informationCommitment for commissioners in heath, social care and GP commissioning
Commitment for commissioners in heath, social care and GP commissioning 1. Improving the quality and experience of care for people with dementia (and their carers), by commissioning a whole systems approach
More informationAUTISM ACTION PLAN FOR THE ROYAL BOROUGH OF GREENWICH
AUTISM ACTION PLAN FOR THE ROYAL BOROUGH OF GREENWICH NATIONAL CONTEXT Fulfilling and Rewarding Lives (2010) is the Government s strategy for adults with Autistic Spectrum Disorders. It sets out the Government
More informationAlzheimer s Society. Consultation response. Our NHS care objectives: A draft mandate to the NHS Commissioning Board.
Alzheimer s Society Our NHS care objectives: A draft mandate to the NHS Commissioning Board 26 September 2012 Delivering Dignity Securing dignity in care for older people in hospitals and care homes: A
More informationSummary of progress. key commitments and actions
against key commitments and actions against key commitments and actions The Prime Minister s Challenge on Dementia set out a number of key commitments across each of the three strands of the challenge,
More informationCABINET PROCURING A SUBSTANCE MISUSE & COMMUNITY TREATMENT SERVICE IN RUTLAND
CABINET Report No: 105/2017 PUBLIC REPORT 16 May 2017 PROCURING A SUBSTANCE MISUSE & COMMUNITY TREATMENT SERVICE IN RUTLAND Report of the Director of Public Health Strategic Aim: Safeguarding Key Decision:
More informationPOLICY BRIEFING. Prime Minister s challenge on dementia 2020 implementation plan
POLICY BRIEFING Prime Minister s challenge on dementia 2020 implementation plan Date: 14th March 2016 Author: Christine Heron LGiU associate Summary The Prime Minister s challenge on dementia contains
More informationALCOHOL AND DRUGS PLANNING FRAMEWORK
ALCOHOL AND DRUGS PLANNING FRAMEWORK 1. NATIONAL CONTEXT 1.1 Scotland continues to have the highest alcohol and drug-related death rates in the UK with drug and alcohol problems particularly affecting
More informationNHS RightCare Frailty Pathway An optimal frailty system
NHS RightCare Frailty Pathway An optimal frailty system Martin Vernon National Clinical Director for Older People Adrian Hopper Consultant Physician & Frailty Pathway GiRFT Lead Alex Thompson Pathways
More informationThe NHS Cancer Plan: A Progress Report
DEPARTMENT OF HEALTH The NHS Cancer Plan: A Progress Report LONDON: The Stationery Office 9.25 Ordered by the House of Commons to be printed on 7 March 2005 REPORT BY THE COMPTROLLER AND AUDITOR GENERAL
More informationCommissioning Cancer Services. Andy McMeeking RCGP/NCIN Primary Care Workshop, 13 th February 2013
Commissioning Cancer Services Andy McMeeking RCGP/NCIN Primary Care Workshop, 13 th February 2013 The Health & Social Care Bill (27 th March 2012) Two New Organisations NHS Commissioning Board (NHS CB)
More informationSouth East Coast Operational Delivery Network. Critical Care Rehabilitation
South East Coast Operational Delivery Networks Hosted by Medway Foundation Trust South East Coast Operational Delivery Network Background Critical Care Rehabilitation The optimisation of recovery from
More informationDorset Health Scrutiny Committee
Dorset Health Scrutiny Committee Date of Meeting 15 June 2018 Officer/Author Diane Bardwell, Dementia Services Review Project Manager, NHS Dorset Clinical Commissioning Group Subject of Report Dementia
More informationRGP Operational Plan Approved by TC LHIN Updated Dec 22, 2017
RGP Operational Plan 2017-2018 Approved by TC LHIN Updated Dec 22, 2017 1 Table of Contents Introduction... 1 Vision for the Future of Services for Frail Older Adults... 1 Transition Activities High Level
More informationIntelligent kindness: responding to the needs of vulnerable adults in hospital: improving dementia care
Article Intelligent kindness: responding to the needs of vulnerable adults in hospital: improving dementia care Authors: Kate Schneider, BA (Hons), MSc Programme Lead for Dementia, Mental Health, Autism,
More informationongoing development of governance and leadership to support improvement ongoing national roll out of the electronic palliative care summary (epcs)
Update to the Review of Palliative Care Services in Scotland Since the publication of Living and Dying Well a national action plan for palliative and end of life care in Scotland in October 2008 considerable
More informationIntroduction of Early Supported Discharge to Intermediate Care Pathway for Hip Fracture
Introduction of Early Supported Discharge to Intermediate Care Pathway for Hip Fracture Neil Pendleton, Mark Brown, Heather Spence Salford Royal NHS Hospital Introduction of Early Supported Discharge to
More informationProject Initiation Document Meeting the Dementia Challenge Timely Diagnosis (Phase 1)
Project Initiation Document Meeting the Dementia Challenge Timely Diagnosis (Phase 1) West Midlands Strategic Clinical Network and Senate Version 0.4 1 Project Initiation Document Meeting the Dementia
More informationStandard Operating Procedure: Early Intervention in Psychosis Access Times
Corporate Standard Operating Procedure: Early Intervention in Psychosis Access Times Document Control Summary Status: New Version: V1.0 Date: Author/Owner: Rob Abell, Senior Performance Development Manager
More informationDRAFT MINUTES OF AWP Mental Health Partnership Trust Held on 11 September 2013 at Jenner House, Langley Park, Chippenham. SN15 1GG
DRAFT MINUTES OF AWP Mental Health Partnership Trust Held on 11 September 2013 at Jenner House, Langley Park, Chippenham. SN15 1GG These Minutes are presented for Approval Board members present Tony Gallagher
More information2. The role of CCG lay members and non-executive directors
CCG Lay Members, Non-Executive Directors and STP Governance and Engagement 1. Introduction Report from network events organised by NHS England and NHS Clinical Commissioners in February 2017 This briefing
More informationMCIP Recruitment Pack
MCIP Recruitment Pack Page 1 of 13 Welcome Thank you for the interest you have shown in the MCIP Programme. An exciting partnership has been established to redesign cancer care in Manchester. Funded by
More informationCommissioning for Better Outcomes in COPD
Commissioning for Better Outcomes in COPD Dr Matt Kearney Primary Care & Public Health Advisor Respiratory Programme, Department of Health General Practitioner, Runcorn November 2011 What are the Commissioning
More informationItem No: 6. Meeting Date: Tuesday 12 th December Glasgow City Integration Joint Board Performance Scrutiny Committee
Item No: 6 Meeting Date: Tuesday 12 th December 2017 Glasgow City Integration Joint Board Performance Scrutiny Committee Report By: Susanne Millar, Chief Officer, Strategy & Operations / Chief Social Work
More informationDementia care - working together to support complex needs
Dementia care - working together to support complex needs Rachel Thompson Professional & Practice Development Lead for Admiral Nursing February 2015 Dementia - everyone s business 850,000 people in the
More informationImproving services for upper GI (OG) cancer Application template (Version 2)
Trust Clinical lead Improving services for upper GI (OG) cancer Application template (Version 2) Managerial lead Date completed 14 June 2013 Barnet & Chase Farm Hospitals NHS Trust Dr Marta Carpani Upper
More informationMedicines Optimisation the opportunities and challenges. Christina Short Medicines Optimisation Project Manager
Medicines Optimisation the opportunities and challenges Christina Short Medicines Optimisation Project Manager The remit:- Clinical Pharmacy input into the Locality Model Proposal: To contract a senior
More informationTHE SCOTTISH ENHANCED SERVICES PROGRAMME FOR PRIMARY AND COMMUNITY CARE ( ) Falls Prevention and Bone Health Service Specification
THE SCOTTISH ENHANCED SERVICES PROGRAMME FOR PRIMARY AND COMMUNITY CARE (2007-2009) Falls Prevention and Bone Health Service Specification Rationale The Delivery Framework for Adult Rehabilitation and
More informationAcute care for older people with frailty
Acute care for older people with frailty Professor Simon Conroy Clinical lead, Acute Frailty Network, England Geriatrician, University Hospitals of Leicester CONFLICT OF INTEREST DISCLOSURE I have the
More informationSafeguarding Business Plan
Safeguarding Business Plan 2015-2018 Contents 1. Introduction 2. The Care Act 3. Organisational Development 4. Vision, Values and Strategic Objectives 5. Financial Plan 6. Appendix A Action Plan 7. Appendix
More informationSix step guide to improving diabetes footcare. Putting feet. first
Six step guide to improving diabetes footcare Putting feet first In England there are over 140 leg, foot or toe amputations a week. Diabetes related amputations and foot ulcers cost the NHS in England
More informationOf those with dementia have a formal diagnosis or are in contact with specialist services. Dementia prevalence for those aged 80+
Dementia Ref HSCW 18 Why is it important? Dementia presents a significant and urgent challenge to health and social care in County Durham, in terms of both numbers of people affected and the costs associated
More informationQuality of Information on CT Brain Request Forms in Memory Service East (MHSOP) 2018/19 Project #1677
Quality of Information on CT Brain Request Forms in Memory Service East (MHSOP) 2018/19 Project #1677 6. Implement change 1. Agree best practice 5. Action plan Action Planning 2. Define methodology Audit
More informationAcute care for older people with frailty
Acute care for older people with frailty Professor Simon Conroy Clinical lead, Acute Frailty Network, England Geriatrician, University Hospitals of Leicester Why acute frailty? Demography Absence of immortality
More informationDementia Strategy. Contents
Section Dementia Strategy Contents Page 1. Introduction 2 2. Context of Northern and Eastern Devon 2 3. Our Values and Principles 3 4. Key Result Areas 5 5. Needs Analysis 6 6. Model of Service Delivery
More informationNumber of people with diabetes
Written evidence from Diabetes UK DIABETES: THE BIGGEST HEALTH CHALLENGE OF OUR TIME A SYSTEM IN CRISIS 1. The Rising Tide of Diabetes and the Challenge for the NHS 2.1 Diabetes has become one of the biggest
More informationAtrial Fibrillation Collaborative. Thursday 7 May 2015
Atrial Fibrillation Collaborative Thursday 7 May 2015 Welcome and introductions Peter Carpenter KSS AHSN Nicky Jonas SEC CVD SCN AF Project Support KSS Academic Health Science Network & South East Cardiovascular
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 informationSouth East Mental Health and Dementia Clinical Network Charlotte Clow, CN Manager Jill Rasmussen, Dementia Clinical Lead
South East Mental Health and Dementia Clinical Network Charlotte Clow, CN Manager Jill Rasmussen, Dementia Clinical Lead South East Mental Health Commissioning Network 17/5/16 Content Update on Clinical
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 Greater Manchester Stroke Operational Delivery Network
The Dr Jane Molloy Clinical Lead What is the GMSODN? Established in July 2015 Only Stroke ODN in the country Non-statutory body constituted from all public sector stroke provider organisations across Greater
More informationProject Manager Mental Health Job Description and Application Pack
Project Manager Mental Health Job Description and Application Pack Groundswell is seeking an experienced professional for the new role of Project Manager Mental Health. This is an opportunity to develop
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 informationInfluencing planning to improve the quality of Parkinson s care in Scotland
Influencing planning to improve the quality of Parkinson s care in Scotland This short guide enables you to influence commissioning by making the case for high quality, cost-effective care for people affected
More informationMental Health in STH Mike Richmond, Medical Director Mark Cobb, Clinical Director of Professional Services Debate & Note
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE TRUST HEALTHCARE GOVERNANCE COMMITTEE E TO BE HELD ON 27 FEBRUARY 2012 Subject: Supporting Director: Author: Status 1 Mental
More informationDraft v1.3. Dementia Manifesto. London Borough of Barnet & Barnet Clinical. Autumn 2015
Dementia Manifesto for Barnet Draft v1.3 London Borough of Barnet & Barnet Clinical Commissioning Group 1 Autumn 2015 .it is estimated that by 2021 the number of people with dementia in Barnet will grow
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 informationELR CCG Annual General Meeting. Tuesday 26 September 2017
ELR CCG Annual General Meeting Tuesday 26 September 2017 1 Programme Welcome and introductions Responses to questions submitted today A patient and carer experience - Living with Dementia An introduction
More informationAcute care for older people with frailty
Acute care for older people with frailty Professor Simon Conroy Clinical lead, Acute Frailty Network, England Geriatrician, University Hospitals of Leicester Worldview that will colour this talk Demography
More informationFalls and non-hip fragility fractures: The past decade and the way ahead..
Falls and non-hip fragility fractures: The past decade and the way ahead.. David Oliver Regional NHFD Meeting, London September 2011 I: Epidemiology of falls and fractures in England Falls Epidemiology
More informationLeicester, Leicestershire and Rutland Autism Strategy Group Delivery Action Plan for the Autism Strategy and the Diagnostic and Support Pathway
Leicester, Leicestershire and Rutland Autism Strategy Group Delivery Action Plan for the Autism Strategy and the Diagnostic and Support Pathway Forward notes This group has evolved from the LLR Asperger
More informationThe next steps
Greater Manchester Hepatitis C Strategy The next steps 2010-2013 Endorsed by GM Director of Public Health group January 2011 Hepatitis Greater Manchester Hepatitis C Strategy 1. Introduction The Greater
More informationTRANSFORM CANCER SERVICES
WORKING TOGETHER to TRANSFORM CANCER SERVICES in SOUTH EAST WALES 1 Understanding the context Cancer survival rates are increasing. But the number of people getting cancer is increasing too. At Velindre
More informationSAFEGUARDING ANNUAL REPORT
SAFEGUARDING ANNUAL REPORT 1 APRIL 2017 31 MARCH 2018 A summary of key achievements and future plans for Mid Nottinghamshire and Greater Nottinghamshire CCGs to fulfil their duties to safeguard and promote
More informationNorth Somerset Autism Strategy
North Somerset Autism Strategy Approved by: Ratification date: Review date: September 2017 1 Contents 1 Introduction and background... 3 2 Defining Autism...Error! Bookmark not defined. 3 National and
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 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 informationCommunity alcohol detoxification in primary care
Community alcohol detoxification in primary care 1. Purpose The purpose of this primary care enhanced service is to improve the health and quality of life of people whose health may be compromised by their
More informationThink Delirium. Dr Linda Wolff Scotland
Think Delirium Dr Linda Wolff Scotland Delirium Management Pathway Scottish Delirium Association: Linda Wolff and Brian McGurn Health Improvement Scotland: Michelle Millar and Karen Goudie Outline Patrick
More informationDementia Action Alliance
Dementia Action Alliance Dementia-Friendly Hospital Charter Introduction In October 2012 the Dementia Action Alliance launched the Right Care: a call to action to create dementia-friendly hospitals. All
More informationNewcastle Safeguarding Children Board Business Group Terms of Reference
Newcastle Safeguarding Children Board Business Group Terms of Reference 1. Purpose Newcastle Safeguarding Children Board (NSCB) Business Group will act as the executive business group on behalf of Newcastle
More informationNHS PREPAREDNESS FOR A MAJOR INCIDENT
NHS PREPAREDNESS FOR A MAJOR INCIDENT In light of the recent tragic events in Paris, NHS England has asked that the Trust reviews the following, and that assurance is provided in the form of a Statement
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 informationPublic Engagement and Public and Patient Involvement. NIHR Newcastle Biomedical Research Centre and Biomedical Research Unit
Public Engagement and Public and Patient Involvement NIHR Newcastle Biomedical Research Centre and Biomedical Research Unit Our vision Patients, their carers and the wider public are a fundamental and
More information