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North East Respiratory Programme
Vikki BaileyRespiratory 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 plan6 months 12 months 24 months 36 months
Care
clo
ser t
o ho
me
Redu
cing
initi
al
pres
crip
tions
Designated lead for respiratory
care in each locality
Creating the voice of the network
Dedicated local delivery teams integrated with
existing resp teams/services
Community polmonary
rehabilitation
Publicity: raise profile network
resp disease/services
Standard setting committee
Educating the workforce
Training needs assessment
(6-12 months)
Sharing best practice
Improving respiratory care in the North East
24/7 service
Data on variation already gathered –
breakdown by practice then the rest
Common COPD pathway & assessment
template/minimum assessment & training (self –management)
Spirometry – training & making
a correct diagnosis
Self management
Fully commissioned HOAS service from a standardised service
specification co-ordinated by a regional
team leadCare planning;
appropriate Rx inc rehab & O2, self management, patient hello, OL-CAT?
Variation in COPD care
Establish a commissions & local
authority engagement forum
Review structure & role of clinical advisory group
Establish a patient
engagement event
Develop a communication
website
Respiratory Clinical Advisory
Group
Respiratory Patient & Carer
Group
Respiratory Pharmaceutical Alliance Group
Respiratory Interest Group
For Nurses & AHPs
Respiratory Executive
Steering Group
Locality GroupsBreathe Easy
Groups
Joint Respiratory Clinical Lead
Professor Paul Corris
Joint Respiratory Clinical Lead
Sharon Haggerty
Respiratory Programme Manager
Vikki Bailey
RESPIRATORY
NETWORK
HOS-AR
Development of Oxygen Procurement Commissioning GroupBusiness case for HOS-AR in 3 localities
– Go live October 2012HOS-AR service specificationReview of existing HOS-AR
Transition of new Oxygen ProviderTransition GroupTraining & educationClinical meeting with BOCPlans: Oxygen Workshop Event
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
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
Education & Training
• Training Needs Analysis– Initially primary care– Specialist teams– Other teams
• Training to be based on TNA evaluation
Smoking Cessation & COPD Awareness
Future Activities 2012/2013
• Innovation Awards• Asthma – high dose steroid prescription• Sleep Apnoea• Pneumonia
Governance Arrangements
• Defined roles?• Respiratory Network – having the ‘right’ people• Policy -National & local• Structure
– Organisational– Work plans – Progress reports – Meetings
– 1:1 & performance review
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
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!
Support Needed & Current Gaps
• Mentorship
• Administrative support
• SHA engagement & support
• Leaders & experts