1. Specialised Services: harm and mortality reduction
Tuesday 11 May 2010
Specialised Services: harm and mortality reduction
Insert name of presentation on Master Slide

2. Specialised Services Aim Drivers Interventions Specialised Services
Reduce Harm
Improve Quality of Life and Survival
Reduce Mortality
Partnership with:
All LHBs, GPs, LAs, Schools, Fire Service
Sarcomas
Burn Injuries
Cystic Fibrosis
Head Injuries: neurosurgery
Pulmonary hypertension
Blood and marrow Transplants
Prevention and Delayed Referrals
Clinical and Public awareness
Pathways
Networks that work
Access to timely interventions and treatment
Avoidable Mortality and Harm
Prevention and Care
Communication / Feedback
Designation of Services
Standards
National databases QA
Data Quality
Applied Research
Epidemiology / Outcomes
Specialised Services

3. Potential 10 to 20 lives saved pa and 100 harm avoidance
Soft Tissue Sarcomas
Aim
Drivers
Interventions
Tests of Change
Reduced delays / Improved Services
Sarcoma Standards Implementation
Late investigation of soft tissue lumps and swellings
Designation /funding of Specialist sarcoma teams
Soft Tissue Sarcomas
Potential 10 to 20 lives saved pa and 100 harm avoidance
Avoidance of local surgery
Local surgery biopsy/cutting into sarcoma
Early referral for investigation
Outcome monitoring: standards and audit via database
Pathway to specialised pathology imaging and surgical assessment
Unclear referral pathways
Specialised Services

4. Burn Injury Prevention and Management
Aim
Drivers
Interventions
Tests of Change
Prevention Strategy LHBs, LAs, Fire Service, Schools
Reduction in severity and numbers
Accidents with scalds and burns needing surgery
Burn Standards :prevention and clinical management
Burn Injury database to target at risk groups
BURN INJURIES
Potential 5 to 10 Lives saved pa and harm avoidance
Trauma Outcome research link to Public Education and Home/Industrial Safety
Children, Elderly, Mentally Ill
Injury Care bundles : wound management and Critical Care
Delayed transfers
Post Burn reconstruction and rehabilitation
Specialised Services

5. Potential 5 Lives extended pa and 50-100 harm avoidance
Cystic Fibrosis
Aim
Drivers
Interventions
Tests of Change
Cystic Fibrosis National Standards:
Implementation
Increased length / QOL
Maintaining lung function- preventing decline
Identification via newborn screening: early planned specialised care
CYSTIC FIBROSIS
Potential 5 Lives extended pa and harm avoidance
Care bundles: active surveillance: growth, infections, nutrition, chest,DM,Osteoporosis
Specialist care/complic ations
Network of outreach specialist services to deliver care close to home
CF Trust :use Registry to target/ track clinical progress and effective interventions in Wales
Differences in outcomes of care
Continuous patient led Quality assessment of CF management / QOL
Specialised Services