Transcript Hampshire STEP program

Hampshire STEP program
An evolving pathway
The Team
• Co-directors
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Howard Simpson
Bruce Armstrong
Jason Somerville
Helen Rush
• Clinical Directors
– Charles Deakin
– John Kitching
• Organisations
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Hampshire Ambulance
North Hants Hospital
Queen Alexandra Hospital
Royal Haslar Naval Hospital
Shirley Walk-in Centre
STEP
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ECP Pilot
HAST / NHHT collaboration
Clinical focus
Skill development
Competency framework
Multiprofessional teamwork
Interprofessional education
Crossboundary operation
System (re)design
“You can’t solve a problem
with the same thinking
that caused it in the first
place.”
Albert Einstein
The Geography
NHHT
HAST
Primary Care
No Sh!t Sherlock
HAST / NHHT / ‘PRIMARY CARE’
Emergency
Care
Practitioner
“Rucksack”
model
Emergency Spectrum
Unscheduled Care
Life-threatening injury/illness
Significant injury/illness
Minor injury/illness
Normal
See & Treat: 999 Axis
Pre-hospital
In-hospital
Patient journey
Synergy & signposting
PADIL
Assessment
Problem
Diagnosis
Interventions
Link
Safe Decision-Making
DO NOT PASS GO
PHONE A FRIEND
CARRY ON COPING
PADIL
Assessment
Problem
Diagnosis
Interventions
Link
•Rotation
•Skill retention
•Team works
•Recruitment
•Remuneration
•Sustainability
•24/7 service