Integrated Nurse Led Respiratory Service Sandy Walmsley RGN, MSc Lead Respiratory Nurse Specialist –Solihull Care Trust Co Respiratory Clinical Lead –

Slides:

Advertisements

Similar presentations

West Essex Clinical Services Review Context 5 PCTs, 1 acute Trust, across 2 SHAs 5 PCTs, 1 acute Trust, across 2 SHAs Population of approx. 500,000 Population.

Advertisements

Why commission and develop Home Oxygen Clinical Assessment and Follow Up Services (CAFS)? Helen Ellis, Primary Care Contracting.

Early Intervention Memory Service Norfolk and Suffolk Foundation Trust (NSFT) has been commissioned by Ipswich and East Suffolk CCG to establish and run.

Welcome to the new acute and community County Durham and Darlington NHS Foundation Trust Clinical strategy FT member events April 2011.

North East Respiratory Programme Vikki Bailey Respiratory Programme Manager.

What will a cross boundary CCG mean for patients? Colin Renwick, GP Townhead Surgery,Settle. Board Member of Airedale Wharfedale and Craven Shadow CCG.

Transforming the quality of dementia care – consultation on a National Dementia Strategy Presenter name CSIP region logo here.

A Seamless Service..  Recognition that COPD and asthma a significant problem for our health economy  Data: 1800 admissions in 1996  1995: COPD and.

1 Developments and progress Dr Martin Freeman GP Clinical Lead for Dementia Services.

September 2012 Health & Social Care Reform Intermediate Care – where we are now and where are we going Damon Palmer – Health & Social Care Integration.

Virginia McClane Commissioning Manager October 2014 Commissioners intentions for supporting people to live in their own homes Kent Housing Group 22 October.

Hepatitis C Action Plan: Phase II Project Management Network – MCN Work Plan Guidance

Introduction This toolkit has been put together in an attempt to provide colleagues with a set of documents, tools, links and information to support the.

Long Term Conditions Community Matrons and the Respiratory Service: ‘a partnership in the making’ Julie Mountain Lynne White Anne Jones Vicky Walker.

Overview of services provided in Fareham and Gosport by Southern Health NHS Foundation Trust Fareham and Gosport Voluntary Sector Health Forum May 2015.

National COPD Programme Building QI into Your Audit from the Start Prof. Mike Roberts Royal College of Physicians Barts Health/ UCLPartners On behalf of.

Royal Wolverhampton Hospitals NHS Trust Medical Staff Induction Day Palliative Care at New Cross Hospital Dr Clare Marlow Dr Benoît Ritzenthaler Consultants.

Delayed Transfers of Care Nursing Home Beds Review Claire Walker Divisional Manager – Integrated Clinical Services.

Patient Empowerment in Chronic Obstructive Pulmonary Disease (COPD) Noreen Baxter Respiratory Nurse Specialist May 2005.

Transforming health and social care in East Sussex East Sussex Better Together Care for the Carers Forums April 2015.

Rehabilitation in Lung Cancer Jo Bayly Project Lead AHP Merseyside & Cheshire Cancer Network December 14 th 2009.

Nursing & Care Homes Support – East Sussex Sophie Clark, Older Peoples Strategic Commissioner, ESCC ASC Kay Muir, Programme Lead, End of Life Care, NHS.

Emotional Well Being on an Acute Stroke Unit Implementation of a Mood Screening Pathway Walsall Healthcare NHS Trust Dr Amanda Campbell - Clinical Psychologist.

Improving the Health and Wellbeing of People with Learning Disabilities: An Evidence-Based Commissioning Guide for Clinical Commissioning Groups Dr Matt.

Developing Integrated Mental Health Services Professor Mervyn Morris CCMH BCU 31 st MAY 2013.

NICE quality standard for COPD Craig Grime Technical Analyst Quality Standards NICE

London cancer services: Implementing the model of care London Borough of Bromley Health Scrutiny Sub-Committee meeting Tuesday, November 15, 2011.

Respiratory Benchmarking Packs Yorkshire and the Humber September 2010.

The Acute Oncology Project

IMPACT (Bath) – bringing primary and secondary care COPD services closer together Claire Bullard Respiratory Physiotherapist.

Clearing the air – National study of COPD Health Care Commission 2006.

Lymphoedema Management: the Northern Ireland Model Jane Rankin Regional Lead Lymphoedema Network Northern Ireland (LNNI) February 2010.

How can COPD Community Services reduce hospital admissions? Glenda Esmond Respiratory Nurse Consultant West Herts Community COPD Service.

Programme for Health Services Improvement in Cardiff and the Vale of Glamorgan REHABILITATION, INTERMEDIATE CARE AND SERVICES FOR FRAIL OLDER PEOPLE CARDIFF.

End of Life Care At the West Suffolk Hospital

Transforming Community Services AHP Referral to Treatment Data Collection Debbie Wolfe - AHP RTT Clinical Lead.

The Role of The Specialist Nurse In Respiratory Care Barbara Hanna Respiratory Specialist Nurse South Eastern Trust.

COPD Patient and carers Therapies inc pulm rehab Intermediate care team Social Worker Respiratory Physician EAW/General Physician Case manager/ Community.

© Imperial College LondonPage 1 Consultants in Integrated respiratory care? Martyn R Partridge Professor of Respiratory Medicine NHLI at Charing Cross.

OPAT in the community Paul Jhass. The Kent IVs in the community experience (holistic nursing care with enhance IV capabilities) Paul Jhass Project Lead.

COPD and Outreach Services Mandy Dickson Clinical Nurse Specialist Respiratory Outreach Service.

STRATHMORE DEMENTIA SERVICE The Journey So Far Jim McGuinness, Project Lead Kate Wright, Team Leader.

Being an Integrated Respiratory SpR April March 2014 Melissa Heightman, SpR to Dr Myra Stern.

Long Term Conditions Strategy There are 3 key aims to our improvement strategy: WHCCG has already achieved: – Commissioned Diabetes education through the.

Using CQUINS to improve COPD care on discharge from Acute Trust

EPR – A work in progress. Advances in medical science have revolutionised how we treat illness. Today we can cure illnesses that previously would have.

“COPD specialist nurse in the Community” Tony De Soyza, AHSN-NENC Regional Respiratory Clinical Lead Snr Lecturer Newcastle University Honorary Consultant.

Respiratory Service Framework Asthma and COPD Care (Nursing) Project Learning and Development Strategy.

Right Care in the right place, human centred care at home and in the community Sally King MSc MCSP NMP Respiratory Specialist Physiotherapist.

Examples of good practice elsewhere. Examples of models elsewhere Monnow Vale Health and Care Centre Social care day services for older people, memory.

Find out more online: Improving the quality of respiratory care Dr Felix Blaine.

Head and Neck Cancer Rehabilitation in the Community Samantha Tordesillas South East London Community Head and Neck Cancer Team.

THE ROLE OF INTERMEDIATE CARE IN DELIVERING IMPROVED OUTCOMES FOR OLDER PEOPLE Seminar Presentation November 2015 By Professor John Bolton (Institute of.

The Implementation of a COPD Discharge Care Bundle Louise Sewell Clinical Lead for Pulmonary Rehabilitation & COPD Nurse Specialists Services.

Building the House of Care for diabetes and respiratory conditions in Berkshire West CCGs TIPS January 28 th 2015 Richard Croft, diabetes and respiratory.

Development of a Community Stroke Rehabilitation Team “meeting the need” NHS Blackburn with Darwen Tracy Walker Team Leader.

South Wales Cardiac Network Cardiac Rehabilitation Advisory Group Meeting Aneurin Bevan Local Health Board Cardiac Rehabilitation Service Suzanne Indge.

PULMONARY REHABILITATION.

MACMILLAN AFTERCARE REHABILITATION TEAM (MARS) Anne Hope Head and Neck CNS.

Welcome to Southern Health Southern Health exists to improve the health, wellbeing and independence of the people we serve.

Working for healthier lungs The Whys and Whats of Care Bundles 23 November 2012.

Blaenau Gwent Local Health Board Sharing Best Practice Oxygen Therapy Assessment for Patients with COPD Coral Wood Service Improvement Lead Respiratory.

Transforming the quality of dementia care – consultation on a National Dementia Strategy Mike Rochfort Programme Lead Older People’s Mental Health WM CSIP.

Survey of acute hospital resources for patients with COPD T McCarthy, M O’Connor, on behalf of the National COPD (Respiratory) Strategy Group Population.

COPD Pathway MDM (10new Or 8new 4 FU)

National COPD Audit Programme

COPD Discharge Bundle Project Jo Congleton Clinical Lead

Supported Care Service

National COPD Audit Programme

Nottingham City Care Integrated Respiratory Service and Home Oxygen Service Zoe Styles Senior Physiotherapist.

Presentation transcript:

Integrated Nurse Led Respiratory Service Sandy Walmsley RGN, MSc Lead Respiratory Nurse Specialist –Solihull Care Trust Co Respiratory Clinical Lead – West Midlands SHA

Session Overview Background Current service Future projects/developments Reflections

How did it all start? Offered job in September 2005 Remit was to initiate Pulmonary Rehabilitation in Community Funding also available for full time physiotherapist

If at first you don’t succeed…… Physiotherapist who was originally appointed declined the offer After much discussion a Service level Agreement (SLA) was agreed with local Acute Trust

Friends need to be made! GPs Practice Nurses Consultants Commissioners Professional Executive Committee (PEC) Patients

Progress……. Referrals started to come in from GPs, Practice Nurses & consultants Nurse led clinics initiated to assess patients for PR Community PR successfully initiated But……….. More staff were needed to help manage referrals

What happened next? Presentation of business case to PEC Agreed to appoint Another nurse Occupational therapist Admin assistant

Community Pulmonary Rehab expanded Additional site identified Maintenance classes commenced at both sites Local Breathe Easy group “born” out of rehab classes

Admission figures from Pulmonary Rehabilitation

But quality was needed too Further presentation to PEC to request yet more funding Funding for provision for COPD diploma for 1 practice nurse and 1 GP from every surgery Further funding awarded from SHA with proviso that training be offered to hospital nurses too.

Integration, integration, integration! After lengthy discussions with consultants & physiologists Business case submitted for 2 blood gas analysers Pathway developed for integrated oxygen assessment pathway Post discharge oxygen pathway

Rationalising oxygen use to improve patient safety and to reduce waste The IMPRESS step-by-step guide

Partnership working One GP consortia decided to address COPD with LES. Agreed to fund further staff for team Band 7 nurse 2 HCAs Early supported discharge to be initiated Integrated discharge planning with acute care

Early Supported Discharge Figures & Trends

NH S where to now?

The White Paper This represents a significant shift in focus for the NHS – moving away from monitoring the processes of care to monitoring the results of the care and treatment provided to patients Sets out the Government’s strategy for the NHS

Transforming Community Services Integrating with acute care Preparations have already started Meetings with acute & community teams Reviewing current pathways with all stakeholders

Current Projects Working closely with Smoking Cessation Services to identify “Missing Millions” One of 6 National End of Life projects. Working with Specialist Palliative Care Team

We CAN do it!! Draft consultation document & NICE Guidelines foundation for quality care Collect your data & benchmark with similar PCTs to use as rationale for service improvement and delivery Contact SHA Leads for help & support Showcase your service Identify “friends” and share best practice

Together we will get the whole picture