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Health Foundation Safety Improvement in Primary Care SIPC. SIPC1 Aims. To enable 80 Primary Care teams to: 1. Identify and reduce risk and harm to patients 2. Improve reliability of care for patients On High Risk Medications With Heart Failure. Why ?. Link to SPSP SIGN Guidance
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To enable 80 Primary Care teams to:
1. Identify and reduce risk and harm to patients
2. Improve reliability of care for patients
“Improving Quality in Primary Care” August 2010
NHS Scotland will
“Design and implement a Patient Safety Programme in Primary Care”
" Guided by outputs from SIPC”
95 %Compliance with Bundle of care
Aim Primary Driver Secondary Drivers
(Areas of focus) (Measurements of Success)
B Blocker prescribed
B Blocker to target doese
Functional Assessment -NYHA
Written info -signs and symptoms of exacerbation/
Measured by trigger tool
20% Reduction in harm
Improve Patient Experience
Defined by focus group or other tools
Use of ACE
Use of B-Blockers
Warfarin if AF
Current use of licensed B Blocker Bisoprolol, Carvedilol and Nebivolol
B blocker prescribed at target or max tolerated dose
Functional Assessment Documented - NYHA recorded in last year
Self management - Recorded that patient given information about the recognition of worsening of heart function/condition and/or LVSD
Immunise Appropriately - Pneumococcal vaccine given
B Blocker 70%
B blocker at target dose 32%
Patient information – 42%
All 5 - 30%
What is Left Ventricular Systolic Dysfunction (LVSD)?
Left Ventricular Systolic Dysfunction (LVSD) is a term to describe when there is evidence that the pumping effect of the heart is reduced. “Left” refers to the side of the heart that is affected. The word “Ventricular” refers to the chamber of the heart that is affected. “Systolic” refers to the phase of the heart beat where the blood is being pumped maximally from the heart. “Dysfunction” simply means that the heart is not working optimally.
Plenty of Positive feedback !
Difficulties on discharge from hospital
Communication “Lack of communication between GP/Hospital/Patient”
Self care - Unclear/ variable self help/ education
Carers/Relatives Lack of info/ support
Investigations completed 10%
Use of ACE 75%
Use of B-Blockers 60%
Anticoagulation if in AF 87%
Pneumococal Vaccs 5%
Influenzae Vaccs 20%
Management of Exacerbations 30%
Patient education and self management 50%
All Criteria 0%
Initially time consuming
Quick to update
Thanks for the opportunity to feedback.
My immediate reaction was "If only more letters could be like this!!“
“Looks very GP friendly –i.e. simple. I like the clear instructions on what to do next “