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‘Town Planning’: can it help?

‘Town Planning’: can it help?. Sue Roberts For the Diabetes Team. ‘Then you should say what you mean’ the March Hare went on. ‘I do’ Alice replied ‘at least – I mean what I say…’. What do these mean to you? Do they all mean the same?. Integrated care pathway. Patient pathway

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‘Town Planning’: can it help?

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  1. ‘Town Planning’: can it help? Sue Roberts For the Diabetes Team

  2. ‘Then you should say what you mean’ the March Hare went on ‘I do’ Alice replied ‘at least – I mean what I say…’

  3. What do these mean to you? Do they all mean the same? • Integrated care pathway. • Patient pathway • Patient journey • Care pathway • A ‘pathway approach’

  4. Diabetes Do Once and Share

  5. Planning Levels National & generic Locally defined

  6. Diabetes NSF Level 1 : Like a map   

  7. Diagnosis Renal NSF Continuing management specialist renal advice Pre RRT treatment and choices Dialysis and transplantation End of life care Level 1 : Like a map

  8. Planning Levels National & generic Locally defined

  9. Continuing Care Quality criteria Care planning Workforce competencies NICE Guidance/ HTAs Structured education Psychological support Do Once and Share Data items for EHR Level 2: drilling down – the ‘town plan’

  10. Planning Levels :National NSFs, More definition, Quality criteria, NICE, HTAs competencies etc Locally defined

  11. ………and commissioning 3ry 2ry 1ry com Designing your town Level 3: The local diabetes / renal community: Designing and building IC Your model of care Your workforce

  12. Planning Levels NSFs, More definition, Quality criteria, NICE, HTAs competencies etc Local Model of care – matched to local need

  13. Level 4: ‘Running the show’ • How the model works in practice • Who does what / when / • In what order • Referral pathways • What the patient can expect to happen • With knowledge support • Can be presented as algorithms • Should be audited The town council Care pathways!

  14. Planning Levels NSFs, More definition, Quality criteria, NICE, HTAs competencies etc Local Model of care – matched to local need Care pathways

  15. Responsibilities at each level

  16. What local services like to do! NSFs, More definition, Quality criteria, NICE, HTAs competencies etc Local Model of care – matched to local need  Care pathways

  17. Roles for networks on behalf of Local Health Communities (LHCs)

  18. Conclusions • The NHS needs clinicians and patients to get involved • The language of levels • Explains what needs to be done • Clarifies national vs. local • Helps people see their roles • Enables discussion within /between disciplines and services • So that… • Patients experience high quality services matched to their local need

  19. Thank you!

  20. 3ry 2ry 1ry com Designing your town Level 3: The local diabetes / renal community: Designing and commissioning IC Your model of care Your skill mix

  21. Diagnosis Continuing management specialist renal advice Pre RRT treatment and choices Dialysis and transplantation End of life care

  22. Continuing Care Quality criteria Care planning Workforce competencies Knowledge Support Structured education Psychological support Do Once and Share The EHR Level 2: drilling down

  23. Continuing Care Quality criteria Care planning Workforce competencies Knowledge Support Structured education Psychological support Do Once and Share The EHR Level 2: drilling down

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