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RESPIRATORY SERVICES & RESPRIATORY SERVICE FRAMEWORK

This paper addresses the importance of quality in respiratory services and the role of the revised respiratory service framework. It discusses respiratory diseases, examples of standards for asthma, implementation strategies, and the way forward. The focus is on quality, patient and client satisfaction, and bringing clarity to the quality of service.

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RESPIRATORY SERVICES & RESPRIATORY SERVICE FRAMEWORK

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  1. RESPIRATORY SERVICES&RESPRIATORY SERVICE FRAMEWORK Dr Muhammad Sartaj Consultant Public Health, Public Health Agency

  2. Content • Quality of Respiratory Services • Role of Revised Respiratory Framework • Respiratory Diseases &Examples of standards for Asthma • Implementation and Way forward

  3. Focus on Quality not Performance

  4. Bring clarity to quality

  5. Quality of Service SAFETY EFFECTIVENESS PATIENT AND CLIENT FOCUS

  6. Quality Chain Leadership Internal Quality Staffsatisfaction Productivityandvalue PatientSatisfaction Adaptation of the service-profit chain at Sears, Harvard Business School, January-February 1998, pp83-97

  7. Where to begin? “If I had to reduce my message for management to just few words. I would say it all to do with reducing variation” W Edward Deming.

  8. What is a Respiratory ServiceFramework • ‘Respiratory service framework sets standards in relation to the prevention, diagnosis, treatment, care, rehabilitation and palliative care of individuals and communities at a greater risk of developing respiratory diseases’ • DHSSPS 2014 Framework is subject to review and refinement in the light of new evidence. Each standard is supported by levels of KPI to be achieved over 3 years

  9. AIM OF THE FRAMWORK • Improve health and wellbeing; • Reduce inequalities in health; • Promote social inclusion; • Transparent standards of care, on behalf of public; • Reduce variation in treatment and care; • Link public health with quality and safety of care; • Safeguard vulnerable individuals and groups; and, • Improve partnership working with other agencies/sectors.

  10. KeyStakeholders • The public; • HSC organisations and other providers; • Commissioners – HSCB/PHA and LCGs; • Voluntary, community and independent sector; • RQIA; and, • DHSSPS/Minister.

  11. Patient/client Pathway Prevention / Promotion Protection /Lifestyle Assessment & Diagnosis Discharge/Completion of Care Treatment • Ongoing Care / Chronic Disease • Management • End of Life Care / • Palliative Care

  12. Structure of Framework • Overarching Health Promotion and Patient and Public Participation standards • Disease specific standards • Standards relating to all conditions

  13. Health Development • Smoking • Weight • Physical activity • Immunisation

  14. Specific diseases • COPD • Asthma • Community acquired pneumonia • Obstructive Sleep Apnoea • Long Term Ventilation • Cystic Fibrosis • Bronchiectasis • Interstitial Lung Disease

  15. Standards relating to a number of diseases 21-Sections 46-Standards, 168-KPI's • Pulmonary rehabilitation • Acute Oxygen therapy • Transitional services • Social and emotional support • Training • Medicine Management • Information

  16. Standards for Asthma 2-Sections 8-Standards, 38-KPI's • Cover Adult and Paeds Asthma • Eight Overarching standards • Diagnosis • Self-management • Ongoing management • Management of acute sever asthma • Difficult asthma

  17. Implementation Structures Regional Respiratory Forum Patient Reference Group Project Groups 5 Trust Respiratory Forums Regional Paediatric Asthma, Allergy & Anaphylaxis Group

  18. Next Step • a phased approach to implementation. • To fully implement all standards for which there is already a data source in year 1 • For the remaining standards, appropriate steps to be taken to establish data sources and baselines. • Performance levels for these standards are to be determined once baselines had been established.

  19. www.asthma.org.uk

  20. Service Frameworks Joan O’Hagan 22 April 2015

  21. Asthma: The Problem • 182,000 people in Northern Ireland have asthma • 146,000 adults and 36,000 children • 30 deaths adults(2012) • 972 emergency hospital admissions for adults (2012/13) • 680 emergency hospital admissions for children and young people (2012/13) • Inconsistent care across Northern Ireland

  22. Role of Asthma UK Northern Ireland • Member of Regional Respiratory Forum and all sub-groups to influence as appropriate • Commissioned by DHSS/PS to obtain user/carer views to inform development of standards for the first framework (in partnership with NICHS) • Contributed to development of Easy Access version • Commissioned to independently monitor certain standards in first framework • Continue to seek and champion user views to identify gaps in revised framework

  23. Future role of Asthma UK Northern Ireland • More of the same • Target service specifically/implementation • Focus on NRAD recommendations • Hopefully commissioned by PHA to independently monitor standards in the course of this revised framework

  24. Any questions?

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