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The journey -

The aim of this programme was to implement an integrated plan for the care of the frail and elderly with the aim of reducing hospital admissions.  Many older people were finding it difficult to access the right services, so part of the aim was to simplify and co-ordinate care for this group of patients. The first steps were informal conversations among interested parties.  This led to the formation of a local strategic partnership spanning health and social care specialists.  The programme looked at all areas relevant to patients aged over 65, learning disabled and other vulnerable people.  These included dementia, end-of-life care, balance classes to reduce falls and ‘living well at home.’  

Outcomes

The programme is still ongoing, but there is some evidence of fewer hospital admissions in this age group.  Another benefit has been improved relationships between strategic partners and considerable learning in areas such as aligning finances, outcome measurements, assessment processes and the politics of organisational relationships.  

Patient setting

In-patient Out-patient Community based   X
Mental health   X Chronic illness   X Cross-systems   X
 

Clinical area

Staying healthy   X Maternity and newborn Children and young people Acute care
Planned care Mental health    X Long-term conditions    X End of life   X
 

Information, tools and techniques used

The programme started with informal networking among interested parties and progressed to a more formal local strategic partnership.  Specific change management tools were not used.  

Geography

Crawley area including Crawley Borough Council; Crawley CCG; West Sussex County Council; Sussex Partnership Foundation Trust and voluntary groups.  

Timescale

The programme is still ongoing.  

Contact details and further information

Dr Amit Bhargava, GP Principal, Southgate Medical Group, Crawley: amit.bhargava@btopenworld.com [post_title] => Integrated care of the frail and elderly [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => integrated-care-of-the-frail-and-elderly [to_ping] => [pinged] => [post_modified] => 2013-01-16 14:37:39 [post_modified_gmt] => 2013-01-16 14:37:39 [post_content_filtered] => [post_parent] => 0 [guid] => http://clients.electricstudio.co.uk/tvhiec/wpcms/?post_type=improvement-science&p=3393 [menu_order] => 0 [post_type] => improvement-science [post_mime_type] => [comment_count] => 0 [filter] => raw ) [1] => WP_Post Object ( [ID] => 3320 [post_author] => 8 [post_date] => 2012-12-28 13:08:17 [post_date_gmt] => 2012-12-28 13:08:17 [post_content] =>

The journey -

Enhancing Quality and Recovery is a clinically-led rapid quality improvement programme which triangulates clinically robust data to drive quality improvements in clinical interventions, patient reported outcomes and patient experience.  The programme uses accurate benchmarking of clinical practice to identify variation and then supports clinicians to innovate and improve patient outcomes. It recognises best practice and promotes a collaborative approach whereby learning is shared within and between different trusts. The EQ programme aims to streamline care and improve accountability through reliable and directly comparable information on clinical quality; and to rapidly spread and adopt evidence-based improvements to multiple settings.  

Outcomes

In the first year over 25,000 patients were tracked by the programme. Quality improvement scores show a 15 per cent improvement for heart failure and pneumonia patients, eight per cent for hip & knee and five per cent for heart attack. More granular improvements were demonstrated such as a 20 per cent increase in the number of patients with pneumonia receiving their antibiotics within six hours of arriving in the hospital. Individual trusts are able to compare their quality performance within their trust (at ward and clinician level), against other trusts across this region, with trusts in the North West and with hospitals in the United States in order to improve their quality of care.  

Patient setting

In-patient   X Out-patient   X Community based
Mental health   X Chronic illness   X Cross-systems   X
 

Clinical area

Staying healthy

Maternity and newborn   X

Children and young people   X

Acute care   X

Planned care   X

Mental health   X

Long-term conditions   X

End of life   X

 

Information, tools and techniques used

The EQ programme uses the PDSA (Plan Do Study Act) rapid quality improvement methodology, recommended by the IHI (Institute for Healthcare Improvement) and the NHS Institute for Innovation and Improvement.  The team has also used some of the principles of the MSP and Prince 2 programme management tools, adapted to suit their own purposes.  

Geography

The programme involves all acute trusts, community trusts and mental health trusts across Kent, Surrey and Sussex.  

Timescale

The EQ programme was initiated in 2009. The first data collection went live in July 2010, and the programme has continued to develop since then.  

Contact details and further information

Kay MacKay, Director, Enhancing Quality and Recovery Programme: kay.mackay1@nhs.net Further information at: http://www.enhancingqualitycollaborative.nhs.uk   [post_title] => Enhancing Quality and Recovery Programme [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => enhancing-quality-and-recovery-programme [to_ping] => [pinged] => [post_modified] => 2013-01-16 14:23:41 [post_modified_gmt] => 2013-01-16 14:23:41 [post_content_filtered] => [post_parent] => 0 [guid] => http://clients.electricstudio.co.uk/tvhiec/wpcms/?post_type=improvement-science&p=3320 [menu_order] => 0 [post_type] => improvement-science [post_mime_type] => [comment_count] => 0 [filter] => raw ) ) [post_count] => 2 [current_post] => -1 [in_the_loop] => [post] => WP_Post Object ( [ID] => 3393 [post_author] => 8 [post_date] => 2013-01-16 14:35:00 [post_date_gmt] => 2013-01-16 14:35:00 [post_content] =>

The journey -

The aim of this programme was to implement an integrated plan for the care of the frail and elderly with the aim of reducing hospital admissions.  Many older people were finding it difficult to access the right services, so part of the aim was to simplify and co-ordinate care for this group of patients. The first steps were informal conversations among interested parties.  This led to the formation of a local strategic partnership spanning health and social care specialists.  The programme looked at all areas relevant to patients aged over 65, learning disabled and other vulnerable people.  These included dementia, end-of-life care, balance classes to reduce falls and ‘living well at home.’  

Outcomes

The programme is still ongoing, but there is some evidence of fewer hospital admissions in this age group.  Another benefit has been improved relationships between strategic partners and considerable learning in areas such as aligning finances, outcome measurements, assessment processes and the politics of organisational relationships.  

Patient setting

In-patient Out-patient Community based   X
Mental health   X Chronic illness   X Cross-systems   X
 

Clinical area

Staying healthy   X Maternity and newborn Children and young people Acute care
Planned care Mental health    X Long-term conditions    X End of life   X
 

Information, tools and techniques used

The programme started with informal networking among interested parties and progressed to a more formal local strategic partnership.  Specific change management tools were not used.  

Geography

Crawley area including Crawley Borough Council; Crawley CCG; West Sussex County Council; Sussex Partnership Foundation Trust and voluntary groups.  

Timescale

The programme is still ongoing.  

Contact details and further information

Dr Amit Bhargava, GP Principal, Southgate Medical Group, Crawley: amit.bhargava@btopenworld.com [post_title] => Integrated care of the frail and elderly [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => integrated-care-of-the-frail-and-elderly [to_ping] => [pinged] => [post_modified] => 2013-01-16 14:37:39 [post_modified_gmt] => 2013-01-16 14:37:39 [post_content_filtered] => [post_parent] => 0 [guid] => http://clients.electricstudio.co.uk/tvhiec/wpcms/?post_type=improvement-science&p=3393 [menu_order] => 0 [post_type] => improvement-science [post_mime_type] => [comment_count] => 0 [filter] => raw ) [comment_count] => 0 [current_comment] => -1 [found_posts] => 2 [max_num_pages] => 1 [max_num_comment_pages] => 0 [is_single] => [is_preview] => [is_page] => [is_archive] => 1 [is_date] => [is_year] => [is_month] => [is_day] => [is_time] => [is_author] => [is_category] => [is_tag] => [is_tax] => 1 [is_search] => [is_feed] => [is_comment_feed] => [is_trackback] => [is_home] => [is_privacy_policy] => [is_404] => [is_embed] => [is_paged] => [is_admin] => [is_attachment] => [is_singular] => [is_robots] => [is_favicon] => [is_posts_page] => [is_post_type_archive] => [query_vars_hash:WP_Query:private] => 779edc4ad0cb4592fb57fba124794020 [query_vars_changed:WP_Query:private] => [thumbnails_cached] => [stopwords:WP_Query:private] => [compat_fields:WP_Query:private] => Array ( [0] => query_vars_hash [1] => query_vars_changed ) [compat_methods:WP_Query:private] => Array ( [0] => init_query_flags [1] => parse_tax_query ) ) [1] => derp )

Tag: Sussex

Integrated care of the frail and elderly

The journey – The aim of this programme was to implement an integrated plan for the care of the frail and elderly with the aim of reducing hospital admissions.  Many older people were finding it difficult to access the right services, so part of the aim was to simplify and co-ordinate care for this group […]

Posted on Jan 16th Cat: , , , , , , , , Tags: Comments: Comments are off for this post

Enhancing Quality and Recovery Programme

The journey – Enhancing Quality and Recovery is a clinically-led rapid quality improvement programme which triangulates clinically robust data to drive quality improvements in clinical interventions, patient reported outcomes and patient experience.  The programme uses accurate benchmarking of clinical practice to identify variation and then supports clinicians to innovate and improve patient outcomes. It recognises […]

Posted on Dec 28th Cat: , , , , , , , , , , , , , , , Tags: , , , , Comments: Comments are off for this post