Integration and Collaboration: Clinically-Led Initiatives in South Devon and Torbay
The journey –
This programme aims to build on an already strong local history of collaboration and engagement to drive forward some ambitious integrative changes to the local healthcare system across a range of identified pathways. It involves a long-term, systematic culture change.
The programme has concentrated initially onthree care pathways (cardiology, diabetes and rheumatology) to showcase and test cases for change in order to be able to create much greater integrated systems of care in the future.
Outcomes are not yet fully identified, as this is both a large-scale and a long-term change programme. However, there are already demonstrable improvements to patient experience and outcomes within the defined pathways.
|Mental health||Chronic illness x||Cross-systems x|
|Staying healthy||Maternity and newborn||Children and young people||Acute care|
|Planned care||Mental health||Long-term conditions x||End of life|
Information, tools and techniques used
This is a clinically led programme. The formation of Clinical Pathway Groups enables focused change management and redesign to be led by a multi-disciplinary focus group, using up to date dashboards to inform quality and financial improvements across a range of workstreams within each defined pathway
South Devon Healthcare NHS Foundation Trust, South Devon and Torbay Clinical Commissioning Group, Torbay Council, Devon County Council, NHS Devon plus a range of voluntary, charitable and not-for-profit organisations and patient participation groups.
The programme started in 2011 and is still ongoing, although each pathway consists of multiple workstreams, some of which receive in-year focus over others.
Contact details and further information
Louise Hardy, Louise.firstname.lastname@example.org