Better Sooner More Convenient Demonstration site Phase 1 : Taranaki Dr Heble Executive Clinical Director Ronél Marais ADON. TDHB November 2010.

Slides:

Advertisements

Similar presentations

Best Practice Communication with Doctors. * T EN TIPS to improve communication between Doctors and other health providers. * G OLDEN RULES for accompanying.

Advertisements

Early Intervention Memory Service Norfolk and Suffolk Foundation Trust (NSFT) has been commissioned by Ipswich and East Suffolk CCG to establish and run.

Strengthening Community Mental Health Services – Acute Care Pathway Redesign Consultation Briefing for Bolton Health, Care and Wellbeing Forum 10 th February.

Tudor Centre Services Partner Notification Health Advisor Service Dawn Hall Senior Health Advisor October 2010.

Specifying clinical IT requirements for pathways: a national perspective Dr Mark Dancy Consultant Cardiologist National Clinical Lead CHD Collaborative.

Partners in Mind Workshop 17 November 2009

Complexities of Co-occurring Disorders STATE AGENCY PERSPECTIVE June 24, 2004 Renata J. Henry, M.Ed.

1 Developments and progress Dr Martin Freeman GP Clinical Lead for Dementia Services.

Baseline Model of care for proposed community wards Appendix 1.

Fylde Coast Integrated Diabetes Care

JSNA Schizophrenia progress report Martina Pickin Locum Consultant in Public Health.

Acute Medicine Programme A clinician-led initiative of the Royal College of Physicians of Ireland (RCPI), the Irish Association of Directors of Nursing.

Outreach Partner Notification 5 years on Linda Lewis Senior Health Adviser Carlton Street Clinic 27 – 29 Carlton Street Blyth Northumberland NE24 2DT.

Shaping a service Colin Hughes Consultant Nurse - Older People (Mental Health) Chesterfield Primary Care Trust.

“ GP/Consultant Pairings Bridging the gap” Presented by Dr Paul Williams Wyre Forest GP.

Diabetes Programme Progress Report Dr Charles Gostling, Joint Diabetes Clinical Director October 2013.

Breast cancer patient pathway

Overview of the hospital’s computer systems

Satbinder Sanghera, Director of Partnerships and Governance

Sunderland Neutropenic Sepsis Audit Melanie Robertson – Nurse Consultant Oncology.

Strategic Framework for GP Out-of-Hours Public Meeting 13th August 2012 Dr E.G.J. O’Neill Consultant Medical Adviser Directorate of Integrated Care Health.

The Acute Oncology Project

IAPT is coming to a town near you! Jan Bagnall Senior Therapist/Professional Manager – Gloucestershire.

Request for tender Primary mental health services RFT101 ATAPS & MHSRRA Goulburn Valley and North East September 2015.

Making the referral and booking the appointment with the patient The GP does it all (Release 2) 16 May 2005.

M H information : improving practice - progress with electronic care cards Dr C Bruce Low Consultant Psychiatrist Lead Clinician Clinical Governance.

Presenter: Jenny Doultree Aged Care Team Leader, Department of Health Gippsland.

Welcome to February’s ETAG Su Long, Chief Officer.

Transforming Community Services AHP Referral to Treatment Data Collection Debbie Wolfe - AHP RTT Clinical Lead.

Understanding general practice Edzell patient group presentation 11 th June 2013.

Heart Failure: a community-based diagnostic clinic & service

Royal College of Obstetricians and Gynaecologists Setting standards to improve women’s health Risk Management and Medico-Legal Issues In Women’s Health.

Community Dementia Service Herefordshire Tim Wallin, Operational Manager Diane Topham, Community Service Manager Mark Hemming, Service Director.

Nothampton – A vision for Urgent Care. Overview Set a strategic service vision which seek to maximise the potential for primary care to do more to keep.

Discharge Pathway Project Girish Kunigiri Fabida Noushad Mohammed Abbas Colin Gell Sarah Cassie Ayesha Ahmed Terri Eynon.

Holistic Assessment Rapid Investigation

Pacific Grant Fund Pacific Perspectives Dr Debbie Ryan.

Enhanced Primary Care Mental Health Service. External Drivers MH identified as a priority in the strategic commissioning plans for the 3 Worcestershire.

Interface Geriatric Service Description: Rapid access weekday acute comprehensive geriatric assessment (CGA) Monday to Friday 9-5 access to senior geriatric.

Overview of VCS Interfaces Amanda Wright Community First.

Planned Care RSCH Planned care referrals on plan for first three months Referral support service Generic Referrals Totally Health Integrated Respiratory.

Telehealth & Telecare – Helping Access PC SCIMP, NOVEMBER 2013 Anne Reoch Clinical lead CVD SCTT/NHS24 Hardip Devsi eHealth Strategy SGHD.

Population: 148,190 Geography: 2,400 square miles from Langholm in East to Drummore in West Mixture of urban and rural. D&G.

Mackay HealthPathways. Common problems within our local health service Long wait lists Poor communication between Specialist and GPs Inadequate information.

CAMHS Emergency care pathway Alison Hemphill Acting Clinical Lead Nurse, CAMHS Urgent & Unplanned Care Dr Nina Champaneri Consultant Child & Adolescent.

South Worcestershire Clinical Commissioning Group Redesigning Mental Health Services July 18 th 2012.

Cancer Nurse Coordinator Taranaki District Health Board.

Referral Support Service- Update and Training By Natalie Fuller and Amy Mitchell.

Urgent Care in Hawke’s Bay Workshop Welcome to…. STAGE 1 Stakeholder Engagement Recommendations to Board December 2013 Integrated Urgent Care Project.

London’s Crisis Care Programme Marilyn Plant, Crisis Care Subgroup Co-chair, GP - Richmond. Emma Whicher, Crisis Care Subgroup Co-chair, London Strategic.

Urgent Care Winter Planning Peter Crutchfield BME Health Forum Wednesday 27 th November 2013.

Enhancing the Victorian Community Based Pharmacotherapy System: Future Directions Thomas Roszkowski Operations, Mental Health Drugs & Regions Department.

Urgent Care Birmingham Health Overview and Scrutiny Committee

Mental Health & Learning Disabilities

Emotional Wellbeing & Mental Health Service (EWMHS) November 2016

Occupational Health Management Referral Guide

Managing Headache.

Welcome to Wessex Strategic Clinical Networks Transformation Project Workshop 20/09/2018.

PRISM – PRImary Service for Mental health

Managing Headache.

Overarching Transformation narrative – progress so far and next steps

Contribution to closing the financial gap:

Warfarin Prescribing.

Developing Reactive and Proactive Care Models 2016/17

The Nelson Medical Practice Privacy Notice

Transforming Primary Care through Specialist Paramedic Involvement Scottish Ambulance Service & Teviot Medical Practice Collaborative Project

Rhode Island Psychiatry Resource Networks (PRN)

Enhanced Crisis Resolution and Home Treatment

Rhode Island Psychiatry Resource Networks (PRN)

CCDHB – Tu Ora Compass Health – Cosine – Ora Toa

Presentation transcript:

Better Sooner More Convenient Demonstration site Phase 1 : Taranaki Dr Heble Executive Clinical Director Ronél Marais ADON. TDHB November 2010

Towards partnerships and collaborations...

Key players: Taranaki DHB, Provider Arm (MH and AOD) Pathways Health (NGO) Tui Ora (NGO) MidlandsHealthNetwork (PHO)

Phases Phase 1 : Current – started Oct 2010 : Taranaki is a ‘Demonstration site’ for Phase 1. Initiatives will be showcased. Phase 2 : IT integration. Discussions in progress. Phase 3 : Actual integration : primary and secondary. Potential ideas being explored.

Phase 1 : Specialist telephone advice to GPs.

Phase 1 : Specialist phone/ advice from Psychiatrists to GPs within Taranaki Inclusions: Supporting a treatment plan. Supporting training, diagnosis and treatment. Exclusions: Acutely suicidal clients. Acute crisis. Note: A telephone discussion between a GP and a Psychiatrist is not to be considered as a referral into the provider arm service.

Tel advice, continued... Clinical Responsibility: Duty of care, within this telephone/ service, rests with the GP. Specialist is responsible for the quality of clinical advice given via /phone. The patient remains in the care of the GP who may act on the specialist advice as they see fit. Service Coverage: GP’s only. Monday to Friday 9am to 4pm. Service start date Monday 11 October Target response time -within 24 hours.

Tel advice, continued... Method of Contact:Telephone or GPs provided with “one pager” outlining scope and contact detail for TDHB Psychiatrists GP responsible for documenting specialist advice given in patient notes Psychiatrists responsible for completing TDHB Spread sheet

TDHB Excel spreadsheet includes: Time / Date Name of consulting psychiatrist GP name Patient name / NHI Reason – tick all that apply from a. Discuss complex case to clarify diagnosis, management b. Simple medication advice request c. Request for info re appropriate referral/community resources d. Other (please specify - free text field) Duration of phone consult Other notes

Phase 2 IT Integration – The sharing of basic electronic notes will enhance – ‘any door is the right door philosophy’ Shared electronic notes would enhance the collaboration and partnership to move forward Discussions commenced

Phase 3 ideas: Integration of Primary and secondary Services: ideas... Clozapine clinics for stable Clozapine clients Stable methadone clients- shared care between PHO & TDHB Uncomplicated dementias Maternal MH support Still needs further exploration and discussion across the sector

Discussion points/questions: Do GPs have enough time slotted in to see pts with MH and AOD issues? Co payments? Who will pay when the pts go to see their GPs through the BSMC process?