Transcript INDEPENDENT REVIEW OF ARRANGEMENTS FOR …

Unscheduled Care Taskforce
- NIAS Transformation Programme
Sarah Williamson – Transformation and
Organisational Change Programme Manager
Ciaran McKenna – Clinical Service Improvement
Lead
Acute hospital
pressures
TYC
ICP led projects
Acute hospital redesign
NIAS
Transformation &
Modernisation
Programme
TRADITIONAL MODEL
See
Assess
See
Assess
Treat
Assess
Refer/
Convey
NEW PATHWAYS
Hear
Convey
ED
Convey
ED
GP/OOH
MIU
Community Nursing
See
Assess
Refer/
Convey
Frail/Elderly Service
Specialist Services
ED
See
Assess
Treat
Leave
NIAS Alternative Care Pathways
Alternative Care Pathways
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Diabetes
Cardiac
Minor Injuries
Community Nursing Referrals (eg
for Blocked Catheters)
Falls
Epilepsy
Mental Health
COPD
Palliative Care
Frequent Callers
Clinical Support Desk
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Asthma
Nursing home patient
pathways
Alcohol-related episodes
Next steps for Cardiac
& Stroke
See and Treat and Refer
or Hear and Refer
Potential Alternate Care
Pathways
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Minor Injuries
Blocked Catheters
Palliative Care
Falls
Epilepsy
Mental Health
COPD/Asthma
Frail/Elderly
In order to implement…we
need access to:
 Primary Care (in hours &
OOH)
 Minor Injuries Units
 District Nursing Services/
Rapid Response/Palliative
Care
 Falls Teams
 Crisis Response
 Rapid Response from
Respiratory Teams
 Acute Care at Home teams
Clinical Support Desk
• - Plans for pilot have been approved
• - Paramedic-Led for six months
Decision Support Software
Enhanced secondary triage
Signposting to appropriate services
Support to crews
Directory of Services
• - Procurement underway
• - Hosted by NIAS relating to NIAS referral
pathways and ACPs
• - Pivotal to success of this is access to services
Appropriate
Care
Pathway
NIAS
Readiness
RAG
Status Belfast
- NI
South
South North West
East
Diabetes
Cardiac
Minor
Injuries
N/A
Falls
Frail/Elderly
District
Nursing
Palliative
Care
Seizures
Respiratory
15/16
15/16
15/16
15/16 15/16
Mental
Health
15/16
15/16
15/16
15/16 15/16
Appropriate
Care
Pathway
NIAS
Readiness
RAG
South
Status - Belfast
East
NI
South North West
Falls
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Biggest reason for calls
3 different models being proposed for Rapid
assessment with pros and cons to each.
SET – Band 4 Falls Assessors – home visit
Southern – Band 7 Physiotherapist - phone
assessment
Northern Band 6 Nurse - phone assessment
We need consistency and services asap in
West and Belfast.
Appropriate NIAS RAG
Care
Read- Statu Belfast
Pathway
iness s - NI
Palliative
Care
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South
East
South
North
West
’Go live’ ’Go live’ ’Go live’
20/04/15 20/04/15 20/04/15
Working with HSCB & Marie Curie
Discussions underway in Belfast and SET
Referrals via OOH
Contingency/support from OOH crucial
Appropriate
Care Pathway
Community
Nursing
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NIAS
Readiness
RAG
South
Status - Belfast
East
NI
South
North
West
Go-live
is TBC
Go-live
is TBC
Discussions underway in all Trusts (some
more productive than others)
Significant variation (eg management of IVs)
Variety of referral pathways and phone
numbers within each Trust
Encouragement from top teams needed…
Thank you!