EoE Respiratory Strategic Clinical Network Progress so far…. Lianne Jongepier RSCN Manager 17 th July 2014

Overview Background – National Respiratory Programme What are Strategic Clinical Networks (SCNs)? Respiratory SCN Regional progress & activity Work Plan Your input

National Respiratory Programme: what was it aiming for? Reactive services treating moderate and severe disease Proactive services, prevention, prompt and accurate diagnosis, across pathway management to… From… Professor Sue Hill and Dr Robert Winter. Improving outcomes for people with respiratory disease: keeping up the momentum. Presented at: NHS Improvement event: Better value, better outcomes. 21 February 2013, London.

National Respiratory Programme: what was it aiming for? Better patient involvement and engagement Better partnership working (charities, industry, professional bodies etc) Better multi-disciplinary working Better data to drive change Determining and sharing good practice Better uptake of the interventions that matter More respiratory clinician involvement/leadership Focus on clinical assessment and home oxygen re-procurement A national strategy and inclusion in NHS-wide national plans Professor Sue Hill and Dr Robert Winter. Improving outcomes for people with respiratory disease: keeping up the momentum. Presented at: NHS Improvement event: Better value, better outcomes. 21 February 2013, London.

National Respiratory Programme: what was achieved? Since 2009….. Supported NHS Improvement (LUNG) Supported regional clinical leads programme

National Respiratory Programme: what was achieved? Since 2009….. Supported publication of Atlas of Respiratory Variation Supported launch of INHALE

National Respiratory Programme: what was achieved? Since 2009…..

‘The Way Forward’: Strategic Clinical Networks (July 12) NHS England is the host for Strategic Clinical Networks from 1 st April 2013 Four initial areas operating throughout the country:  Cancer  Cardiovascular ( stroke, diabetes,cardiac, renal)  Maternity, Newborn Children and YP  Mental health, LD, Autism, Dementia and Neurological conditions.  Plus Respiratory Conditions ( EoE)

Why Clinical Networks? Networks are positive ways for all partners, along a broad continuum, to be involved in planning & improving care & service delivery Networks have been shown to be an effective mechanism to ensure collaboration, joint decision-making and shared learning Networks are a proven model to promote the use/uptake of clinical experience, knowledge and evidence-based clinical pathways to reduce clinical variation & improve care

SCNs in England 12 SCN areas, broadly based around major patient flows to tertiary providers

Purpose of the SCN is: 11 To identify innovation, encourage early adoption of evidence and best practice that can produce a substantial improvement in health outcomes across all 5 domains

Benefits to Commissioners Offer clinical leadership and expertise Help with systematic, methodological pathway review Interpretation of national guidance based on local needs/plans and priorities Facilitate collective effort & engagement to bring about the changes that are needed Advice and suggest what actions & models of care may be needed to improve outcomes Signpost to people, tools & documents Increased opportunities for education, learning, sharing best practice etc

SCN Work Programme Five Specific Objectives to focus on : 1.Reduction in mortality 2.LTCs 3.Integration of care to support early and timely discharge; Supporting the frail and vulnerable to remain in their communities 4.Pathway Reviews supporting commissioners 5.Parity of Esteem

Respiratory SCN Team From March wte until April 2016 Lianne Jongepier (RSC Manager) 1.0 wte Dr Thida Win (RSCN Clinical Director) 0.2 wte Dr Linda Pearce (RSCN Clinical Director) 0.2 wte Dr Daryl Freeman (RSCN Clinical Director) 0.2 wte Work Plan to be defined Role From Aug 14

Supporting Respiratory Communities 1.Patients a)Local Network Representatives b)Local Patient Support Groups 2.CCGs a)Local Network Support b)Integrated Commissioning Support c)Regional Project Support 3.Clinicians a)Pulmonary Rehabilitation b)Home Oxygen Services c)EATS

Respiratory communities in EoE

Work Plan (so far) Development & Support Local Networks & CCGs Smoking Cessation in Mental Health Supporting early accurate COPD diagnosis Community Pharmacy (Asthma & COPD) Pulmonary Rehabilitation Supporting Paediatric Asthma Workstream

Proposed Structure TOR? Membership? Will this work? Respiratory Steering Group Respiratory Steering Group Geographical Oversight Group CCGs Local Respiratory Networks Local Respiratory Networks Local Respiratory Networks Local Respiratory Networks Respiratory SCN HOSAR Group PR Group

Next Steps… 1.Form Regional Respiratory Steering Group …local representation …Area Team representation …Clinicians & commissioners 2.Task-and-Finish groups …to tackle priorities effectively 3.Agree on measurable outcomes …How? What?

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