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ALLIED HEALTH PROFESSIONALS ECG WORKSHOP 7 MAY 2010 DHSSPS OVERVIEW CROSS-CUTTING THEMES NICE Guidance, Strategic Themes, policies, Service Frameworks, Adverse Incidents, e.g. Physical Disability Strategy Safeguarding Vulnerable Adults Emotional Health and Wellbeing Strategy CROSS-CUTTING THEMES (Cont’d) Multidisciplinary training and education opportunities CPD for Non –medical Prescribers Uni-Professional requirements Inter-professional review of safety and quality in undergraduate curricula Team Working (clinical decision making) Leadership CONTEXT CSR 3 years and beyond: Reduced public services purse ie £344 million efficiency target 2008-2011 • • • • • Equivalent 9% of budget per Trust over 3 years Vacancy/workforce controls Reconfiguration of services Reform and modernisation Added focus on quality and productivity HEALTH AND SOCIAL CARE BOARD Plan and commission services across Northern Ireland With LCGs ensure services reflect local need and priorities within five localities Drive improved efficiency and performance (old SDU) PUBLIC HEALTH AGENCY Improve health in general Reduce health inequalities Health promotion, eg obesity, suicide prevention, teenage pregnancy Focus on better co-ordination of health and social care interventions Patient safety Personal and Public Involvement (PPI) PFA TARGETS To be achieved by March 2011 e.g. Elective care (9 weeks) Improving acute services, eg A&E and Stroke Supporting people at home, eg • Reducing unplanned admissions • Facilitating discharge • Delivering care in the domiciliary setting Improving Mental Health Services, eg • Preventing admissions • Resettling long-stay patients • Assessment and treatment pathways MENTAL HEALTH Bamford Action Plan and Mental Health Service Framework Key Components include: Psychological Therapies Strategy (2009) Personality Disorder Strategy (2010) Risk Assessment and Management (2009) Dementia Strategy (2010) Mental Health Promotion Strategy (2010) Patient Safety: (McCleery, O’Neill, McElhill inquiries) Prison Health Care – Patient safety, self harm/suicide, mental health awareness and learning disability awareness and long term conditions. LEARNING DISABILITY Bamford Action Plan and Learning Disability Service Framework Key components include: Focus on health improvement, health facilitation, in both Primary Care and Acute care Risk Assessment and Management Community Forensic care for people with learning disabilities Autism Strategy Impact of Ageing and Dementia Strategy Children with complex needs guidance Community based assessment and treatment OLDER PEOPLE Key components include: Stroke strategy (2008) Dementia Strategy Safeguarding Vulnerable Adults Northern Ireland Single Assessment tool Chronic and complex disease management (Respiratory and Cardiovascular Service Frameworks) Connected health and technology End of life care Patient experience standards Older people’s services framework QUALITY STRATEGY: BEST PRACTICE BEST CARE Standards, Safety, Patient Experience and PPI Understanding and applying Quality Metrics to focus on outcomes Understanding Safety methodology (prediction, Prevention, Safer Patient Initiatives) Public Health Thinking – Starting to look at Strategy eHEALTH Preparation for information age healthcare ICT skills to use systems and software Informatics skills to synthesise and analyse Understanding of application of technology in AHP practice PALLIATIVE AND END OF LIFE CARE STRATEGY End of Life Care Pathways (100% of staff who initiate/manage must be trained) Generic Skills in Symptom Management (4 commonest symptoms – pain, nausea, agitation and breathlessness) Communication skills at all levels Inter-professional learning at Specialist Palliative Care level HEALTH CARE ASSOCIATED INFECTION Review of HCAI education (NIPEC) Identify Core Knowledge/skills Identify Specialist knowledge/skills Improve skills in surveillance methodology Responsibility of all HSC staff CHILDREN AND FAMILY SERVICES AHP Ongoing Safeguarding Supervision training on new processes Reviewed Child Health Promotion Programme (CHPP) Applicable to AHPs, Health Visitors, School Nurses and Midwives, GPs, etc Ongoing updating of practice and training required E.g. new standards, WHO growth chart, new contact schedules, National Screening Committee and NICE guidance (neonatal screening, ASD Action plan recommendations, etc) CHILDREN AND FAMILY SERVICES Children and Young People with physical health care needs Transitions Specialist practice within Community