North East Respiratory Programme

Vikki BaileyRespiratory Programme Manager

Progress to Date

• Appointment of team – 2 Clinical Leads: February 2010– Programme Manager March 2011

• Regional Fast Focus Event for Clinicians & NHS Managers

Implementation plan6 months 12 months 24 months 36 months

Care

clo

ser t

o ho

me

Redu

cing

initi

al

pres

crip

tions

Designated lead for respiratory

care in each locality

Creating the voice of the network

Dedicated local delivery teams integrated with

existing resp teams/services

Community polmonary

rehabilitation

Publicity: raise profile network

resp disease/services

Standard setting committee

Educating the workforce

Training needs assessment

(6-12 months)

Sharing best practice

Improving respiratory care in the North East

24/7 service

Data on variation already gathered –

breakdown by practice then the rest

Common COPD pathway & assessment

template/minimum assessment & training (self –management)

Spirometry – training & making

a correct diagnosis

Self management

Fully commissioned HOAS service from a standardised service

specification co-ordinated by a regional

team leadCare planning;

appropriate Rx inc rehab & O2, self management, patient hello, OL-CAT?

Variation in COPD care

Establish a commissions & local

authority engagement forum

Review structure & role of clinical advisory group

Establish a patient

engagement event

Develop a communication

website

Respiratory Clinical Advisory

Group

Respiratory Patient & Carer

Group

Respiratory Pharmaceutical Alliance Group

Respiratory Interest Group

For Nurses & AHPs

Respiratory Executive

Steering Group

Locality GroupsBreathe Easy

Groups

Joint Respiratory Clinical Lead

Professor Paul Corris

Joint Respiratory Clinical Lead

Sharon Haggerty

Respiratory Programme Manager

Vikki Bailey

RESPIRATORY

NETWORK

HOS-AR

Development of Oxygen Procurement Commissioning GroupBusiness case for HOS-AR in 3 localities

– Go live October 2012HOS-AR service specificationReview of existing HOS-AR

Transition of new Oxygen ProviderTransition GroupTraining & educationClinical meeting with BOCPlans: Oxygen Workshop Event

Respiratory Dashboard

• Identify variance in COPD– Per PCT– Per GP practice– Develop respiratory pathways

• Respiratory Prescribing variance– Per PCT– Per GP practice– Develop prescribing pathway

Transforming Acute Care

• CQUIN application approved 2012 /2013– COPD Discharge Bundle

• Working in partnership with ambulance services– Oxygen & COPD– Oxygen alert cards– Alerts on ambulance database– Training to ambulance personnel

Education & Training

• Training Needs Analysis– Initially primary care– Specialist teams– Other teams

• Training to be based on TNA evaluation

Smoking Cessation & COPD Awareness

Future Activities 2012/2013

• Innovation Awards• Asthma – high dose steroid prescription• Sleep Apnoea• Pneumonia

Governance Arrangements

• Defined roles?• Respiratory Network – having the ‘right’ people• Policy -National & local• Structure

– Organisational– Work plans – Progress reports – Meetings

– 1:1 & performance review

Key Lessons to date

• Creating a Community of Practice and support for programme

• Being out there…making contact…being contactable– Respiratory teams– Patients & Carers (Breathe Easy groups)

• A resource of information

Issues & Challenges

• Rome wasn’t built in a day!– Building network to gain support for programme– Communication

• Clinical Leads ‘day job’– Different backgrounds– Other commitments can take priority

• Understanding each others role• SHA engagement & support• People are busy!

Support Needed & Current Gaps

• Mentorship

• Administrative support

• SHA engagement & support

• Leaders & experts