Being an Integrated Respiratory SpR April 2013- March 2014 Melissa Heightman, SpR to Dr Myra Stern.

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Presentation transcript:

Being an Integrated Respiratory SpR April March 2014 Melissa Heightman, SpR to Dr Myra Stern

The bid for the post First integrated respiratory SpR in the UK Vision of Dr Myra Stern: response to NHS and BTS policy and the 2010 respiratory curriculum – “Integrated care and the promotion of self care” Why the Whittington? ICO, 2 integrated consultants, well established integrated service Currently approved as a pilot for 12 months Aim for 6 month post, full time in NE Thames

My week 60% full time unbanded supernumerary 1 day: ambulatory care or acute medicine 1 day: “community” – CORE MDT Islington/ home visits/ GP practices 1 day: respiratory inpatients/ outpatients

Integrated projects SpR Nurse Champions Pathways in AEC ILD clinics/ integrating ILD COPD strategy/ LES Supporting self management Pulmonary rehab/ Singing! Weekly CORE MDT + audit GP/ home visits,social services Horizontal integration Champion

My impressions A privilege Final year revelation Following patients journeys Understanding their challenges Getting to know GPs and community teams Attending meetings and contributing to service improvement/ development

Conclusions This pilot will be a success Hope to springboard more posts +/- integrated blocks in conventional jobs Incorporating roles with current service provision will be challenging 75% were interested in integrated working at consultant level

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