Transcript Document
Commissioning for Value Respiratory Pathway Clive Newman, Director of Transformation Hardwick 2012/13 position based upon C4V indicative data, GEM deep dive evidential data and Right Care analysis: • Higher than average prevalence of COPD (coal mining legacy) • Higher than average smokers, especially during pregnancy • Lower than average correct diagnosis of COPD. • Lower than average using a self management plan. • Higher than average non elective admissions: respiratory main cause and rising. Four fundamental elements for successful change: • Supportive senior executive team willing to take risk based on sound evidence. • Focused project manager to deliver in systematic methodical manner fully inclusive of all stakeholders. • All clinicians accepting and understanding its priority for improved patient outcomes. • Solid and consistent patient engagement and representation at all levels, supported by the British Lung Foundation. What has NHS Hardwick achieved to date? • • • • • • • • • • • • Respiratory delivery group; all stakeholders Spirometry competency assurance COPD self care diaries with bespoke welcome section & DVD Regular programme of educational events 3 active Breathe Easy Groups Smoking cessation programme ; CFC & Derbyshire Tobacco Alliance Improved pulmonary rehab provision; excellent patient outcomes. Designated respiratory medicines management lead Increased nebuliser access; direct reduction in NE admission Production of annual report to detail objective progress BLF to perform next evaluation Targeting of undiagnosed Hardwick 2014/15 respiratory position • Reduction in activity and spend 2013/14 - £170,000 • Predicted reduction in activity and spend for 2014/15 - £410,000 Patient story: the most important evidence! www.hardwickccg.nhs.uk/news/2015/breathe-easy/