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North East Respiratory Programme

North East Respiratory Programme. Vikki Bailey Respiratory Programme Manager. Progress to Date. Appointment of team 2 Clinical Leads: February 2010 Programme Manager March 2011 Regional Fast Focus Event for Clinicians & NHS Managers. Implementation plan. 12 months. 6 months.

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North East Respiratory Programme

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  1. North East Respiratory Programme Vikki Bailey Respiratory Programme Manager

  2. Progress to Date • Appointment of team • 2 Clinical Leads: February 2010 • Programme Manager March 2011 • Regional Fast Focus Event for Clinicians & NHS Managers

  3. Implementation plan 12 months 6 months 24 months 36 months Improving respiratory care in the North East Dedicated local delivery teams integrated with existing resp teams/services Fully commissioned HOAS service from a standardised service specification co-ordinated by a regional team lead Reducing initial prescriptions 24/7 service Care planning; appropriate Rx inc rehab & O2, self management, patient hello, OL-CAT? Designated lead for respiratory care in each locality Sharing best practice Care closer to home Community polmonary rehabilitation Establish a commissions & local authority engagement forum Common COPD pathway & assessment template/minimum assessment & training (self –management) Self management Spirometry – training & making a correct diagnosis Establish a patient engagement event Publicity: raise profile network resp disease/services Data on variation already gathered – breakdown by practice then the rest Training needs assessment(6-12 months) Review structure & role of clinical advisory group Standard setting committee Develop a communication website Variation in COPD care Educating the workforce Creating the voice of the network

  4. RESPIRATORY NETWORK

  5. HOS-AR • Development of Oxygen Procurement Commissioning Group • Business case for HOS-AR in 3 localities – Go live October 2012 • HOS-AR service specification • Review of existing HOS-AR • Transition of new Oxygen Provider • Transition Group • Training & education • Clinical meeting with BOC • Plans: Oxygen Workshop Event

  6. Respiratory Dashboard • Identify variance in COPD • Per PCT • Per GP practice • Develop respiratory pathways • Respiratory Prescribing variance • Per PCT • Per GP practice • Develop prescribing pathway

  7. Transforming Acute Care • CQUIN application approved 2012 /2013 • COPD Discharge Bundle • Working in partnership with ambulance services • Oxygen & COPD • Oxygen alert cards • Alerts on ambulance database • Training to ambulance personnel

  8. Education & Training • Training Needs Analysis • Initially primary care • Specialist teams • Other teams • Training to be based on TNA evaluation

  9. Smoking Cessation & COPD Awareness

  10. Future Activities 2012/2013 • Innovation Awards • Asthma – high dose steroid prescription • Sleep Apnoea • Pneumonia

  11. Governance Arrangements • Defined roles? • Respiratory Network – having the ‘right’ people • Policy -National & local • Structure • Organisational • Work plans • Progress reports • Meetings • 1:1 & performance review

  12. Key Lessons to date • Creating a Community of Practice and support for programme • Being out there…making contact…being contactable • Respiratory teams • Patients & Carers (Breathe Easy groups) • A resource of information

  13. Issues & Challenges • Rome wasn’t built in a day! • Building network to gain support for programme • Communication • Clinical Leads ‘day job’ • Different backgrounds • Other commitments can take priority • Understanding each others role • SHA engagement & support • People are busy!

  14. Support Needed & Current Gaps • Mentorship • Administrative support • SHA engagement & support • Leaders & experts

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