hampshire step program

Hampshire STEP program

An evolving pathway

The Team

• Co-directors– Howard Simpson

– Bruce Armstrong

– Jason Somerville

– Helen Rush

• Clinical Directors– Charles Deakin

– John Kitching

• Organisations– Hampshire Ambulance

– North Hants Hospital

– Queen Alexandra Hospital

– Royal Haslar Naval Hospital

– Shirley Walk-in Centre

STEP

• ECP Pilot• HAST / NHHT collaboration• Clinical focus• Skill development• Competency framework• Multiprofessional teamwork• Interprofessional education• Crossboundary operation

System (re)design

“You can’t solve a problem

with the same thinking

that caused it in the first

place.”

Albert Einstein

NHHT

HAST

Primary Care

The Geography

No Sh!t Sherlock

HAST / NHHT / ‘PRIMARY CARE’

Emergency Care

Practitioner

“Rucksack” model

Unscheduled CareLife-threatening injury/illness

Normal

Significant injury/illness

Minor injury/illness

Emergency Spectrum

Pre-hospital In-hospital

Patient journey

See & Treat: 999 Axis

Synergy & signposting

Home?

Hospital?

GP?

P A D I L

Problem Link

Assessment

Diagnosis

Interventions

Safe Decision-Making

DO NOT PASS GO

PHONE A FRIEND

CARRY ON COPING

P A D I L

Problem Link

Assessment

Diagnosis

Interventions

•Rotation

•Skill retention

•Team works

•Recruitment

•Remuneration

•Sustainability

•24/7 service