Transcript What clinical and treatment services does STAHCOM offer

STAHCOM
St. Albans and Harpenden
Commissioning Limited
CARDIOLOGY CLINICAL
ASSESSMENT AND TREATMENT
SERVICES (CATS)
Dr Richard Pile, GPSI in Cardiology
OUR SERVICE
STAHCOM
St. Albans and Harpenden
Commissioning Limited

What is our service?


Who has commissioned the service?


St Albans & Harpenden Practice Based
Commissioning group (STAHCOM)
Who is providing the service?


Cardiology CATS (Clinical Assessment &
Treatment Service)
Parkbury House Surgery, working in partnership
with West Herts Hospitals Trust, and Physiological
Measurements Ltd
When does it start?

September 2010
OUR OBJECTIVES
STAHCOM
St. Albans and Harpenden
Commissioning Limited
•
•
•
•
To establish and continue to develop a patient
pathway which is high quality, timely, efficient
local and patient centred.
To help manage patients within their practices
using specialist advice, feedback and support.
Ensure excellent communication with referring
doctor, patient and the CATS.
To maintaining good relationships with our
colleagues working within the health economy.
WHAT WILL THE SERVICE PROVIDE? (1)
STAHCOM





Routine cardiology CATS for our locality.
St. Albans and Harpenden
Commissioning Limited
Referrals triaged by consultant and GPwSI and
then seen as appropriate by the cardiology CATS
team
Diagnostics as required, available locally
A paperless, secure, online patient management
centre for receiving referrals, arranging and storing
the results of tests, and booking clinic
appointments
A high quality, secure electronic patient record,
coded and auditable
WHAT WILL THE SERVICE PROVIDE? (2)
STAHCOM
St. Albans and Harpenden
Commissioning Limited
An email based advice service, accessed from
the Cardiology CATS website
(http://sites.google.com/site/primarycarecardiolog
y/)
 Patients will be seen locally 3 sessions a week
in Consultant and GPSI clinics, for
(predominantly) new patients and (some)
follow ups
 Primary care educational programme &
feedback, developing resources and knowledge
in each GP practice (including support in
training, attending meetings etc)
 Secondary care referral (if required), through
Choose and Book.

DIAGNOSTICS
STAHCOM
St. Albans and Harpenden
Commissioning Limited
•
•
•
•
24 hour ECG (with a view to eventually offering a
specialist nurse-led arrhythmia clinic)
24 hour blood pressure monitoring
Echocardiography (now available for general
referrals as well as the heart failure diagnostic
clinic)
ECG interpretation service (for non-routine
ECG’s for which a GP requires a specialist
opinion/advice
TEAM MEMBERS
 Dr
STAHCOM
St. Albans and Harpenden
Commissioning Limited
Richard Pile, GP with a special
interest in Cardiology and
Echocardiography
 Dr John Bayliss, Consultant
Cardiologist
 Cardiac physiologists and Health Care
assistants provided by PML
 Additional administrative support from
PML and Parkbury House
FACTS AND FIGURES
STAHCOM
St. Albans and Harpenden
Commissioning Limited
We aim to retain at least 80% of all new
cardiology outpatient referrals within the CATS
 This is anticipated to be at least 1200 per year
(based on historical WHHT and SACH echo clinic
data)
 Waiting times will be cut considerably
 The CATS follow up rates will be extremely low
(est 10%, based on similar services elsewhere)
 Yearly savings are estimated to be 18% compared
to current outpatient costs, for new patients
alone

SO WHY SHOULD I REFER TO THE CATS ?
STAHCOM
St. Albans and Harpenden
Commissioning Limited
…because the service will be:
 primary care-based
 local & convenient
 good quality
 offering more than before, with a strong
emphasis on education and avoiding de-skilling
 preserving relationships with local hospital
trust
 saving your practice (& STAHCOM) money!
HOW DO I USE THE SERVICE?
STAHCOM
St. Albans and Harpenden
Commissioning Limited




Referrals can be made by letter, fax or email –
contact details will be announced shortly
Web-based electronic templates will be made
available to facilitate this
Email advice service available from Cardiology
CATS website
Please continue to refer urgent cases to WHHT,
using the RACPC for Chest Pain
What lessons have I learnt?
STAHCOM
ST. ALBANS AND HARPENDEN
COMMISSIONING LIMITED
The importance of appropriate protected and
remunerated time to develop new skills and a
new service
 Essential to have the support and knowledge of
your colleagues in primary care, commissioning,
and the PCT.
 Face to face meetings can save a lot of time and
clear up confusion or misunderstandings
 Don’t wait for others to make things happen, or
get slowed down by politics and organisational
change
 Don’t give up!

PATIENT FILE

Virtual EPR

Audit trail, who did what and when.

Complete listing of all investigations and results. Accessible by all
authenticated users from within N3 network and outside of N3 by secure
token.
EMBEDDED ECHO LOOP PLAYER
Authenticated
users can log on to
view patient
echocardiograms
in full with no loss
of image quality.