unscheduled care taskforce - nias transformation programme sarah williamson – transformation and...
TRANSCRIPT
Unscheduled Care Taskforce- NIAS Transformation Programme
Unscheduled Care Taskforce- NIAS Transformation Programme
Sarah Williamson – Transformation and Organisational Change Programme Manager
Ciaran McKenna – Clinical Service Improvement Lead
Sarah Williamson – Transformation and Organisational Change Programme Manager
Ciaran McKenna – Clinical Service Improvement Lead
NIAS Transformation &
ModernisationProgramme
TYCICP led projects
Acute hospital redesign
Acute hospital pressures
See Assess
Treat
Convey
See
See Assess Convey
TR
AD
ITIO
NA
L M
OD
EL
NE
W P
AT
HW
AY
S
Hear Assess
See Assess
Assess
ED
ED
Refer/Convey
Treat
GP/OOH
MIU
ED
Community Nursing
Frail/Elderly Service
Specialist Services
Leave
Refer/Convey
NIAS Alternative Care PathwaysNIAS Alternative Care Pathways
Alternative Care Pathways Diabetes Cardiac Minor Injuries Community Nursing Referrals (eg for
Blocked Catheters) Falls Epilepsy Mental Health COPD Palliative Care Frequent Callers Clinical Support Desk
Asthma Nursing home patient
pathways Alcohol-related episodes Next steps for Cardiac & Stroke
See and Treat and Referor Hear and ReferSee and Treat and Referor Hear and Refer
Potential Alternate Care Pathways
Minor Injuries Blocked Catheters Palliative Care Falls Epilepsy Mental Health COPD/Asthma Frail/Elderly
In order to implement…we need access to: Primary Care (in hours &
OOH) Minor Injuries Units District Nursing Services/
Rapid Response/Palliative Care
Falls Teams Crisis Response Rapid Response from
Respiratory Teams Acute Care at Home teams
Clinical Support DeskClinical Support Desk
• - Plans for pilot have been approved• - Paramedic-Led for six months
Decision Support Software
Enhanced secondary triage
Signposting to appropriate services
Support to crews
Directory of ServicesDirectory of Services• - Procurement underway• - Hosted by NIAS relating to NIAS referral
pathways and ACPs• - Pivotal to success of this is access to services
Appropriate Care
Pathway
NIAS Read-iness
RAG Status
- NIBelfast
South East
South North West
Diabetes
Cardiac Minor
Injuries N/A
Falls
Frail/Elderly District Nursing
Palliative Care
Seizures
Respiratory 15/16 15/16 15/16 15/16 15/16 Mental Health
15/16 15/16 15/16 15/16 15/16
Appropriate Care
Pathway
NIAS Read-iness
RAG Status -
NIBelfast
South East
South North West
Falls
Biggest reason for calls 3 different models being proposed for Rapid
assessment with pros and cons to each. SET – Band 4 Falls Assessors – home visit Southern – Band 7 Physiotherapist - phone
assessment Northern Band 6 Nurse - phone assessment We need consistency and services asap in
West and Belfast.
Appropriate Care
Pathway
NIAS Read-iness
RAG Status
- NIBelfast
South East
South North West
Palliative Care
’Go live’ 20/04/15
’Go live’ 20/04/15
’Go live’ 20/04/15
Working with HSCB & Marie Curie Discussions underway in Belfast and SET Referrals via OOH Contingency/support from OOH crucial
Appropriate Care Pathway
NIAS Read-iness
RAG Status -
NIBelfast
South East
South North West
Community Nursing
Go-live is TBC
Go-live is TBC
Discussions underway in all Trusts (some more productive than others)
Significant variation (eg management of IVs) Variety of referral pathways and phone
numbers within each Trust Encouragement from top teams needed…