Post on 03-Jan-2016
description
Hampshire STEP program
An evolving pathway
The Team
• Co-directors– Howard Simpson
– Bruce Armstrong
– Jason Somerville
– Helen Rush
• Clinical Directors– Charles Deakin
– John Kitching
• Organisations– Hampshire Ambulance
– North Hants Hospital
– Queen Alexandra Hospital
– Royal Haslar Naval Hospital
– Shirley Walk-in Centre
STEP
• 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
NHHT
HAST
Primary Care
The Geography
No Sh!t Sherlock
HAST / NHHT / ‘PRIMARY CARE’
Emergency Care
Practitioner
“Rucksack” model
Unscheduled CareLife-threatening injury/illness
Normal
Significant injury/illness
Minor injury/illness
Emergency Spectrum
Pre-hospital In-hospital
Patient journey
See & Treat: 999 Axis
Synergy & signposting
Home?
Hospital?
GP?
P A D I L
Problem Link
Assessment
Diagnosis
Interventions
Safe Decision-Making
DO NOT PASS GO
PHONE A FRIEND
CARRY ON COPING
P A D I L
Problem Link
Assessment
Diagnosis
Interventions
•Rotation
•Skill retention
•Team works
•Recruitment
•Remuneration
•Sustainability
•24/7 service