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Hampshire STEP Program: An Evolving Pathway

Hampshire STEP program is a collaborative initiative involving multiple organizations focusing on skill development and cross-boundary operation system (re)design. Co-directed by Howard Simpson, Bruce Armstrong, Jason Somerville, and Helen Rush, with clinical directors Charles Deakin and John Kitching. Pilot projects include ECP Pilot and HAST/NHHT collaboration, emphasizing multiprofessional teamwork and interprofessional education. The program aims at improving emergency care practitioner competency through a competency framework and innovative clinical focus.

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Hampshire STEP Program: An Evolving Pathway

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  1. Hampshire STEP program An evolving pathway

  2. Co-directors Howard Simpson Bruce Armstrong Jason Somerville Helen Rush Clinical Directors Charles Deakin John Kitching Organisations Hampshire Ambulance North Hants Hospital Queen Alexandra Hospital Royal Haslar Naval Hospital Shirley Walk-in Centre The Team

  3. STEP • ECP Pilot • HAST / NHHT collaboration • Clinical focus • Skill development • Competency framework • Multiprofessional teamwork • Interprofessional education • Crossboundary operation

  4. System (re)design • “You can’t solve a problem • with the same thinking • that caused it in the first • place.” • Albert Einstein

  5. The Geography NHHT HAST PrimaryCare

  6. No Sh!t Sherlock HAST / NHHT / ‘PRIMARY CARE’

  7. Emergency Care Practitioner“Rucksack” model

  8. Emergency Spectrum Life-threatening injury/illness Unscheduled Care Significant injury/illness Minor injury/illness Normal

  9. See & Treat: 999 Axis Pre-hospital In-hospital Patient journey

  10. Home? Hospital? GP? Synergy & signposting

  11. Safe Decision-Making DO NOT PASS GO PHONE A FRIEND CARRY ON COPING

  12. P A D I L Assessment Problem Diagnosis Link Interventions

  13. Rotation • Skill retention • Team works • Recruitment • Remuneration • Sustainability • 24/7 service

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