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NHS Pathways & CMS DOS. Working in Partnership. NHSPathways@wmas.nhs.uk. NHS Pathways & CMS DOS. Vision Delivering the right patient care, in the right place, at the right time, through a skilled and committed workforce, in partnership with local health economies. Values

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slide1

NHS Pathways

& CMS DOS

Working in Partnership

NHSPathways@wmas.nhs.uk

slide2

NHS Pathways & CMS DOS

Vision

Delivering the right patient care, in the right place, at the right time,

through a skilled and committed workforce, in partnership

with local health economies

  • Values
  • World Class Service
  • Patient Centred
  • Dignity and Respect for All
  • Skilled Workforce
  • Teamwork
  • Effective Communication

Strategic Objectives

Establish market

position

as an

Emergency

Healthcare Provider

Accurately assess patient

need and

direct resources appropriately

Achieve Quality

and Excellence

Work in

Partnership

Service Delivery Objectives

Deliver Service Improvement

Increase Efficiency

Develop our Workforce

Transform our Technology Infrastructure

slide3

NHS Pathways & CMS DOS

WMAS Ambulance Responses - Projected 5 Year Activity

2010/2011

slide4

Triage Process

R1,R2

NHS Pathways & CMS DOS

The Previous Position Within WMAS 999

G1,G2

G3,G4

CSD NHSD

4%

96% Response

68% To Hospital

slide5

NHS Pathways & CMS DOS

How Did We Change This?....NHS Pathways & CMS DOS

slide6

NHS Pathways & CMS DOS

CMS DOS (Multiple Presentations Shown)

https://nww.pathwaysdos.nhs.uk

DOS via NHS Pathways (999)

slide7

Pathways

Red Flag

NHS Pathways & CMS DOS

The Pathways Solution Within WMAS 999

CSD

Further Assessment

DOS

HCRT/REFS

MIU

DN

A&E

Immediate

GP

in hrs

GP

OOH

WiC

Midwife

Pharmacy

NHS Direct

Other services

72 Hours

slide8

Pathways Modules

CSD

NHS Pathways & CMS DOS

Time

Capacity

Clinical Need

CMS Directory of Services (DOS)

Module collects Clinical markers (Algorithms) based on ‘ruling out’

DOS

slide9

NHS Pathways & CMS DOS

The Importance of an Integrated NHS Pathways & CMS DOS

  • Key System Benefits:
  • Patients go to the ‘Right Place, First Time, All of the Time’
  • Improved patient journey and experience
  • Better use of available services
  • Cost base for assessment and referral to care much reduced
  • Inappropriate ambulance journeys avoided
  • Reduction in 999 conveyances and A&E attendances
  • Gives commissioners world class data on what services are needed
slide10

NHS Pathways & CMS DOS

Clinical Safety & Clinical Support

  • Extensive piloting – over 1.3 million patient calls safely assessed across 4 different sites– No adverse incidents
  • Academic evaluation by 3 universities – ‘safe and appropriate’
  • Ministerial license for use granted February 2009
  • BMA and Royal Colleges – overt support
  • National Clinical Governance Group chaired by RCGP
slide20

NHS Pathways & CMS DOS

WMAS CMS DOS User Guide

slide21

NHS Pathways & CMS DOS

WMAS CMS DOS Health Economy Leaflet

slide22

NHS Pathways & CMS DOS

Staffordshire, Coventry & Warwickshire Experience –

July 2011 (11 weeks)

slide23

NHS Pathways & CMS DOS

Birmingham, Black Country & West Mercia Experience – September 2011 (1 week)