Unscheduled Care Taskforce- NIAS Transformation Programme

Unscheduled Care Taskforce- NIAS Transformation Programme

Sarah Williamson – Transformation and Organisational Change Programme Manager

Ciaran McKenna – Clinical Service Improvement Lead

Sarah Williamson – Transformation and Organisational Change Programme Manager

Ciaran McKenna – Clinical Service Improvement Lead

NIAS Transformation &

ModernisationProgramme

TYCICP led projects

Acute hospital redesign

Acute hospital pressures

See Assess

Treat

Convey

See

See Assess Convey

TR

AD

ITIO

NA

L M

OD

EL

NE

W P

AT

HW

AY

S

Hear Assess

See Assess

Assess

ED

ED

Refer/Convey

Treat

GP/OOH

MIU

ED

Community Nursing

Frail/Elderly Service

Specialist Services

Leave

Refer/Convey

NIAS Alternative Care PathwaysNIAS Alternative Care Pathways

Alternative Care Pathways Diabetes Cardiac Minor Injuries Community Nursing Referrals (eg for

Blocked Catheters) Falls Epilepsy Mental Health COPD Palliative Care Frequent Callers Clinical Support Desk

Asthma Nursing home patient

pathways Alcohol-related episodes Next steps for Cardiac & Stroke

See and Treat and Referor Hear and ReferSee and Treat and Referor Hear and Refer

Potential Alternate Care Pathways

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 DeskClinical 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 ServicesDirectory 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 Read-iness

RAG Status

- NIBelfast

South East

South North West  

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 Read-iness

RAG Status -

NIBelfast

South East

South North West  

Falls                

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 Care

Pathway

NIAS Read-iness

RAG Status

- NIBelfast

South East

South North West  

Palliative Care

        ’Go live’ 20/04/15

’Go live’ 20/04/15

 ’Go live’ 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

NIAS Read-iness

RAG Status -

NIBelfast

South East

South North West  

Community Nursing

         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!Thank you!