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What are they and what do they do?. Managed Clinical Networks. Around long time Different types/functions Combat isolation/share opinions Promote (consensus) good practice Social/belonging BUT. Networks (clinical/professional). Must be externally acknowledged: To be a body of expertise

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Presentation Transcript
networks clinical professional
Around long time

Different types/functions

Combat isolation/share opinions

Promote (consensus) good practice

Social/belonging

BUT

Networks (clinical/professional)
influence
Must be externally acknowledged:

To be a body of expertise

To give advice

To be a partner in planning

To influence practice

Influence
must have
Clear unambiguous remit and function

Beware – same words, different meanings:

Perinatal

Mental health

Maternal health

Networks

Must have
definition
Perinatal mental illness:

Complicate pregnancy and first postpartum year

Perinatal psychiatric services provide care for:

Women and their infants

Serious and/or complex mental illness

Both new onset and existing illness

Infant before and after delivery

Central to speciality, care and services

Definition
slide7
What is a Managed Clinical Network?

Organisation delivering quality cost effective care for conditions

Involve different professions

trusts

organisations

levels of service provision

Most severe uncommon, critical mass only possible at regional level

Mildest common-provision locality level

Requires specialist skills resources (evidence better outcome)

Suited to “hub & spoke” suited to integrated care pathways

Amenable audit/outcome measures

Includes at its core a clinical network

slide8
MCN

Managed

Accountable to SHA & SCG

Funded

Lead Chief Executive (PCT)

Premises

Director & Manager

Infrastructure

Governance & terms of reference

Clear function and work plan

Subject to periodic review

slide9
MCN

Care/Clinical

- Complete/Integrated

- All levels of provision/severity

- Access and equity

- Appropriate to needs

- Patient journey/care pathway

- Standard driven

- Evidence based

-Cost effectiveness/clinical effectiveness

- Outcomes

slide10
MCN

Network

- Professionals/Resources

- Horizontal/Vertical

- Develops/maintains skills,

knowledge and resources

- Supports and informs staff

- Common philosophies and standards

- Common integrated care pathways

- Internal/external review of standards

mcn function
1. Partnership with SHA, SCG, PCTs:

Strategic planning

Service model

Commissioning framework

Procurement and implementation

Workforce planning

MCN Function
mcn function12
2. Within Network:

Standards of care and provision

Care pathways

Advice and information

Education and training

Patient involvement

Maintaining integration of hub and spokes

Interface with other services

Quality control and audit

Data collection

MCN Function
slide13
East Midlands Perinatal Mental Health MCN

Pop 4.4 million a.b.r. 54,000

Leicestershire, Northamptonshire, Nottinghamshire, Derbyshire & Lincolnshire

5 M.H. Trusts

9 Acute (Maternity) Trusts

9 PCTs

Perinatal Mental Health Clinical Network

Promoting quality care for all mothers

east midlands mcn
Cost £150,000 per year

Funded 9 PCTs

Recurrent 3 year review

Medical Director (2 sessions)

Manager 8a f/t

Coordinator/PA 5b f/t

5 year pilot (2004), annual funding to formal status 2009

Perinatal Mental Health Clinical Network

East Midlands MCN

Promoting quality care for all mothers

in the new world
Commissioners reign

Right advice

Standards

Monitoring

MCN essential to ensure

Seamless integrated care

Equity access & standards

Continued improvement

In the new world
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