2008-2011 nhs fife keep well the journey so far keep well margaret bell, keep well manager
TRANSCRIPT
2008-2011NHS FIFE KEEP WELLTHE JOURNEY SO FAR
Keep Well
Margaret Bell, Keep Well Manager
Countdown
6 100 1 100
9759
TIME UP 40
Countdown
100 x 100 = 10000
6 x 40 = 240
10000 – 240 – 1 = 9759
NHS Fife Timeline
Wave 2 of National Pilot Programme 2007
First Health Checks June 2008
Phase 1 – Mixed Model of Delivery from June 2008-December 2009
Phase 2 – Central Team delivery from January 2010-to date
Pharmacy Programme 2010-to date
Cohort
Age 40 – 64 living in SIMD 20% most deprived areas
Other Vulnerable populations
Scottish Index of Multiple Deprivation
Original cohort 17,272
Extension to age group, cohort today 25,836
NHS Fife Delivery Model
Central team of Keep Well staff employed by NHS Fife oversee, identify, engage and deliver health checks to the identified cohort and vulnerable populations.
Work from one centralised base
Peripatetic model of delivery in community venues
Service operates 8am-8pm over 7 days
Partnership with local GPs and a range of partner agencies
GP Partnership
Keep Well DB
SCI-DC Gatewa
y
GP SystemKeep Well
Information System (KWIS)
KW Health Check ‘Out and About’ form
KW Health Check ‘Out and About’ form
CHI Periodic spreadsheet
ISD and Local reporting
SIMD Periodic spreadsheet
KW Health Check
EXISTING KEEPWELL INFORMATION PATHWAY
Keep Well DB
SCI-DC Gatewa
y
GP SystemKeep Well
Information System (KWIS)
KW Health Check ‘Out and About’ form
KW Health Check ‘Out and About’ form
CHI Periodic spreadsheet
ISD and Local reporting
SIMD Periodic spreadsheet
KW Health Check
EXISTING KEEPWELL INFORMATION PATHWAYMAINSTREAM KEEPWELL INFORMATION PATHWAYCHI24
Nightly Update
Electronic Data
Capture on laptop
Cohort Reached
Since June 2008 :
Keep Well has attempted to contact 22,631 patients
Via 47,498 contacts
29% (n=13,579) successful reach
22% (n=10,556) appointed
21% (n=9,759) attended (includes 444 patients without tracking data)
Successful Contacts
Clinical Measurements
Mean Assign score = 16% Assign score 20 or greater = 28%Mean Cholesterol measurement = 5.2 mmol/l% Cholesterol over 5 mmol/l = 54%Mean BMI = 29% BMI in obese categories 37%Mean systolic blood pressure (BP) = 135
mm/hg% systolic BP greater than 140 mm/hg = 33%
Clinical Outcomes
Referral to services (excl. General Practice) = 14%
Clinical Outcomes
12% of (n=770/6438) patients added to one or more disease registers post health check
Lipid Regulating Drugs
Evaluation Overview
Summary
Full evaluation report is available
A 12 month follow up evaluation is currently underway. Report will be available December 2011
Contact:Clare Robinson [email protected] Department of PsychologyStratheden HospitalCupar Fife KY15 5RRTel :01334 696336
Countdown
I R A N T R P S E P HP A R T N E R S H I P
Contact Details
Margaret Bell Keep Well ManagerLynebank HospitalDunfermlineFife KY11 4UW
Tel: 01383 565136Email: [email protected]