ALLIED HEALTH ALLIED HEALTH PROFESSIONALSPROFESSIONALS

ECG WORKSHOPECG WORKSHOP

7 MAY 20107 MAY 2010

DHSSPS OVERVIEWDHSSPS OVERVIEW

CROSS-CUTTING THEMESCROSS-CUTTING THEMES

NICE Guidance, Strategic Themes, NICE Guidance, Strategic Themes, policies, Service Frameworks, Adverse policies, Service Frameworks, Adverse Incidents, e.g.Incidents, e.g. Physical Disability StrategyPhysical Disability Strategy Safeguarding Vulnerable AdultsSafeguarding Vulnerable Adults Emotional Health and Wellbeing StrategyEmotional Health and Wellbeing Strategy

CROSS-CUTTING THEMES CROSS-CUTTING THEMES (Cont’d)(Cont’d)

Multidisciplinary training and education Multidisciplinary training and education opportunitiesopportunities CPD for Non –medical PrescribersCPD for Non –medical Prescribers Uni-Professional requirementsUni-Professional requirements

Inter-professional review of safety and Inter-professional review of safety and quality in undergraduate curriculaquality in undergraduate curricula

Team Working (clinical decision making)Team Working (clinical decision making) LeadershipLeadership

CONTEXTCONTEXT

CSR 3 years and beyond:CSR 3 years and beyond: Reduced public services purse ie £344 million Reduced public services purse ie £344 million

efficiency target 2008-2011efficiency target 2008-2011• Equivalent 9% of budget per Trust over 3 yearsEquivalent 9% of budget per Trust over 3 years• Vacancy/workforce controlsVacancy/workforce controls• Reconfiguration of servicesReconfiguration of services• Reform and modernisationReform and modernisation• Added focus on quality and productivityAdded focus on quality and productivity

HEALTH AND SOCIAL CARE HEALTH AND SOCIAL CARE BOARDBOARD

Plan and commission services across Plan and commission services across Northern IrelandNorthern Ireland

With LCGs ensure services reflect local With LCGs ensure services reflect local need and priorities within five localitiesneed and priorities within five localities

Drive improved efficiency and Drive improved efficiency and performance (old SDU)performance (old SDU)

PUBLIC HEALTH AGENCYPUBLIC HEALTH AGENCY Improve health in generalImprove health in general Reduce health inequalitiesReduce health inequalities Health promotion, eg obesity, suicide Health promotion, eg obesity, suicide

prevention, teenage pregnancyprevention, teenage pregnancy Focus on better co-ordination of health Focus on better co-ordination of health

and social care interventionsand social care interventions Patient safetyPatient safety Personal and Public Involvement (PPI)Personal and Public Involvement (PPI)

PFA TARGETSPFA TARGETS

To be achieved by March 2011 e.g.To be achieved by March 2011 e.g. Elective care (9 weeks)Elective care (9 weeks) Improving acute services, eg A&E and StrokeImproving acute services, eg A&E and Stroke Supporting people at home, egSupporting people at home, eg

• Reducing unplanned admissionsReducing unplanned admissions• Facilitating dischargeFacilitating discharge• Delivering care in the domiciliary settingDelivering care in the domiciliary setting

Improving Mental Health Services, egImproving Mental Health Services, eg• Preventing admissionsPreventing admissions• Resettling long-stay patientsResettling long-stay patients• Assessment and treatment pathwaysAssessment and treatment pathways

MENTAL HEALTHMENTAL HEALTH

Bamford Action Plan and Mental Health Service Bamford Action Plan and Mental Health Service FrameworkFramework

Key Components include:Key Components include: Psychological Therapies Strategy (2009)Psychological Therapies Strategy (2009) Personality Disorder Strategy (2010)Personality Disorder Strategy (2010) Risk Assessment and Management (2009)Risk Assessment and Management (2009) Dementia Strategy (2010)Dementia Strategy (2010) Mental Health Promotion Strategy (2010)Mental Health Promotion Strategy (2010) Patient Safety: (McCleery, O’Neill, McElhill inquiries)Patient Safety: (McCleery, O’Neill, McElhill inquiries) Prison Health Care – Patient safety, self harm/suicide, Prison Health Care – Patient safety, self harm/suicide,

mental health awareness and learning disability mental health awareness and learning disability awareness and long term conditions.awareness and long term conditions.

LEARNING DISABILITYLEARNING DISABILITY

Bamford Action Plan and Learning Disability Bamford Action Plan and Learning Disability Service FrameworkService Framework

Key components include:Key components include: Focus on health improvement, health facilitation, in Focus on health improvement, health facilitation, in

both Primary Care and Acute careboth Primary Care and Acute care Risk Assessment and ManagementRisk Assessment and Management Community Forensic care for people with learning Community Forensic care for people with learning

disabilitiesdisabilities Autism Strategy Autism Strategy Impact of Ageing and Dementia StrategyImpact of Ageing and Dementia Strategy Children with complex needs guidanceChildren with complex needs guidance Community based assessment and treatmentCommunity based assessment and treatment

OLDER PEOPLEOLDER PEOPLE Key components include:Key components include:

Stroke strategy (2008)Stroke strategy (2008) Dementia StrategyDementia Strategy Safeguarding Vulnerable AdultsSafeguarding Vulnerable Adults Northern Ireland Single Assessment toolNorthern Ireland Single Assessment tool Chronic and complex disease management Chronic and complex disease management

(Respiratory and Cardiovascular Service (Respiratory and Cardiovascular Service Frameworks)Frameworks)

Connected health and technologyConnected health and technology End of life careEnd of life care Patient experience standardsPatient experience standards Older people’s services frameworkOlder people’s services framework

QUALITY STRATEGY: BEST QUALITY STRATEGY: BEST PRACTICE BEST CAREPRACTICE BEST CARE

Standards, Safety, Patient Experience and Standards, Safety, Patient Experience and PPIPPI Understanding and applying Quality Metrics to Understanding and applying Quality Metrics to

focus on outcomesfocus on outcomes Understanding Safety methodology Understanding Safety methodology

(prediction, Prevention, Safer Patient (prediction, Prevention, Safer Patient Initiatives)Initiatives)

Public Health Thinking – Starting to look at Public Health Thinking – Starting to look at StrategyStrategy

eHEALTHeHEALTH

Preparation for information age healthcarePreparation for information age healthcare ICT skills to use systems and softwareICT skills to use systems and software Informatics skills to synthesise and Informatics skills to synthesise and

analyseanalyse Understanding of application of technology Understanding of application of technology

in AHP practicein AHP practice

PALLIATIVE AND END OF LIFE PALLIATIVE AND END OF LIFE CARE STRATEGYCARE STRATEGY

End of Life Care Pathways (100% of staff End of Life Care Pathways (100% of staff who initiate/manage must be trained)who initiate/manage must be trained)

Generic Skills in Symptom Management (4 Generic Skills in Symptom Management (4 commonest symptoms – pain, nausea, commonest symptoms – pain, nausea, agitation and breathlessness)agitation and breathlessness)

Communication skills at all levelsCommunication skills at all levels Inter-professional learning at Specialist Inter-professional learning at Specialist

Palliative Care levelPalliative Care level

HEALTH CARE ASSOCIATED HEALTH CARE ASSOCIATED INFECTIONINFECTION

Review of HCAI education (NIPEC)Review of HCAI education (NIPEC) Identify Core Knowledge/skillsIdentify Core Knowledge/skills Identify Specialist knowledge/skillsIdentify Specialist knowledge/skills Improve skills in surveillance methodologyImprove skills in surveillance methodology Responsibility of all HSC staffResponsibility of all HSC staff

CHILDREN AND FAMILY CHILDREN AND FAMILY SERVICESSERVICES

AHPAHP Ongoing Safeguarding Supervision training on Ongoing Safeguarding Supervision training on

new processesnew processes Reviewed Child Health Promotion Programme Reviewed Child Health Promotion Programme

(CHPP)(CHPP) Applicable to AHPs, Health Visitors, School Nurses Applicable to AHPs, Health Visitors, School Nurses

and Midwives, GPs, etcand Midwives, GPs, etc Ongoing updating of practice and training requiredOngoing updating of practice and training required E.g. new standards, WHO growth chart, new contact E.g. new standards, WHO growth chart, new contact

schedules, National Screening Committee and NICE schedules, National Screening Committee and NICE guidance (neonatal screening, ASD Action plan guidance (neonatal screening, ASD Action plan recommendations, etc)recommendations, etc)

CHILDREN AND FAMILY CHILDREN AND FAMILY SERVICESSERVICES

Children and Young People with physical Children and Young People with physical health care needshealth care needs

TransitionsTransitions Specialist practice within CommunitySpecialist practice within Community