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AAA QIP Update

AAA QIP Update. Patient experience Daniel Devitt Dee Broadley , Yasmin Uddin, Meryl Davis. Context. 2011 Vascular review NCL - clear focus on patient experience and outcomes Process underway - accepted in principle and now undergoing due diligence and process development

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AAA QIP Update

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  1. AAA QIP Update Patient experience Daniel Devitt Dee Broadley, Yasmin Uddin, Meryl Davis

  2. Context • 2011 Vascular review NCL - clear focus on patient experience and outcomes • Process underway - accepted in principle and now undergoing due diligence and process development • Clear call to enhance patient experience and ability to respond - linking this into the overall NCL AAA Screening related strategy • Possible model of care will expand surveillance resources between 100% and 200% of current capacity to up to 3 WTE staff dealing with patients.

  3. Update 1 • Update 1 - Working for the past year on developing the AAA Screening programme uptake promotion and communication offer Key points: • AAA Screening Uptake and promotions strategy - embraced warmly by commissioners - now being reviewed by NAAASP and hopefully adopted by them • A suite of 6 communications products to support - many TBC • All supporting outreach and uptake developments for the community  • Commissioner Supported offers are • AAA 3 D models • AAA Patient & professional facing AV resource – explicit on AAA QIP care pathway • Print and promotions resources • PH interventions training and patient facing resource - others addressing DNA levels on hold till next financial year

  4. Update 2 Update 2 • A Picker inpatient survey adapted and now being rolled out - action plan to disseminate to 570 known patients who have undergone endovascular procedures (infrarenal, suprarenal and thoracoabdominal) currently under surveillance.  • B  Uptake & Promotion Strategy  a "care pathway" specific communications and promotion strategy Key use: To drive and improve change to the patient experience and enhance uptake of overall post op surveillance and care pathway.

  5. Update 2 cont’d • Status: Underway  - aiming for circa 10% of overall cohort by end of march- moving to >50% over next two years.  Potentially rich data source and development tool. • Detail: Two modes of engagement: 1 Inpatient stays - use as an opportunity to collect data and add richness to the survey - more than the ticking of boxes 2 Surveillance follow up - use as a lever to encourage better take up of care pathway support offers and share with primary/secondary care givers in aggregated form

  6. Uptake 2 cont’d • B  Uptake & Promotion Strategy  a "care pathway" specific communications and promotion strategy   • Key use: To identify key stakeholders and engage with them on care pathway delivery • Status: Drafted - out for consultation - today- mapping this to overall Vascular Review and design. • Detail: Review of how we engage patients and professionals- overall surveillance guidelines and offer clarity

  7. What our patients said.... •  “....I felt that I was looked after well at the central hospital but after a month I was shipped out to another hospital and there things did not go well, it was an entirely different medical and nursing team and I felt my condition was not fully understood. Then a few days after being discharged I became seriously ill with a hospital acquired bladder infection and was readmitted as an emergency. After the second discharge and two months of physio I was left without support, sort of cut adrift to fend for myself as it were, with only my GP for backup.... • ....Although statistically I know I am very fortunate to be alive, I have had many issues relating to the AAA rupture and am still very anxious that the implant might leak. I have not experienced much helpful follow up advice and although my GP is very good she knows very little about my condition. • ....Contacting the surgical team at the hospital for advice is extremely difficult and can take a very long time. It would help enormously to have a named person to contact within the hospital so I could get rapid advice before involving the surgical team. Even a lay person with the ability to contact the relevant nursing, medical or surgical staff would be a great advantage for me.... • Whilst the various doctors I have met since the AAA all tell me that I am now completely back to normal, I know this is not really true. ("how normal do you want to get?" they have said). • From a vascular standpoint I might be completely back to normal and a great surgical success, I don't know, but there is more to being back to normal than the technical success of successfully repairing the tubes....”

  8. Next steps • Proceed with overall AAA related comms and uptake plans & products • Develop more Case studies, Press releases, outreach capacity • Assess data on experience and develop related service responses • Proceed with dissemination and analysis of Picker survey • Feedback learning into Vascular Review and design of service for NCL

  9. NCL AAA Screening and Uptake Communications Strategy Dan Devitt Public Health Advisor NCL AAA Screening Programme

  10. NCL AAA Screening and Uptake Communications Strategy • Challenge from commissioners to address promotion and uptake • Strategy based on Public Health principles and drawn from existing successful programmes – COI /NSMC • Evidence and data driven • Area specific – but balanced by universal issues • Social Marketing benchmarking criteria

  11. NCL AAA Screening and Uptake Communications Strategy

  12. NCL AAA Screening and Uptake Communications Strategy

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  15. NCL AAA Screening and Uptake Communications Strategy

  16. NCL AAA Screening and Uptake Communications Strategy • There’s a lot in there • We would really welcome feedback and will be sharing our findings as we go • We will send you everything we are working on – please feel free to use it/make it better!

  17. NCL AAA Screening and Uptake Communications Strategy Many Thanks Questions?

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