west herts cardiology herts nsf for chd study day

West Herts Cardiology

Herts NSF for CHD Study DayHerts NSF for CHD Study Day

14 Jan 2003

Happy Birthday Katie !

NSF for CHDNSF for CHD CHD CollaborativeCHD Collaborative

Improving the Improving the Patient’s Patient’s

experienceexperience


Clinical & Organisational Obstacles to the Clinical & Organisational Obstacles to the Care of the CHD PatientCare of the CHD Patient Increasing Demand Limited Capacity Patient expectation Time for better interactions (appropriate) GP referrals Staff for more interactions Clinical Governance Time & Information Information Exchange Information Systems Change Management of change Networking (clinical & planning)

Networking

National priority for CHD (NSF targets)

Local constraints to CHD developments

£££ to improve £££ to improve

West Herts CardiologyEndstage Heart DiseaseEndstage Heart Disease

Chronic Heart FailureChronic Heart FailureVentricular DilationVentricular Dilation

Arrhythmia & Loss of MuscleArrhythmia & Loss of Muscle

ACS / MIACS / MICoronary ThrombosisCoronary Thrombosis

Myocardial IschaemiaMyocardial IschaemiaCHDCHD

AtherosclerosisAtherosclerosis

Endothelial DysfunctionEndothelial Dysfunction

Risk FactorsRisk Factors

Plaque instabilityPlaque instability

Progressive Development of Cardiovascular DiseaseProgressive Development of Cardiovascular Disease

PreventionPrevention

Stable AnginaStable Angina

MIMI

Heart FailureHeart Failure

Cardiac RehabCardiac Rehab

Improving the patient’s experience

Improving the patient’s experience


National Service FrameworkNational Service FrameworkCoronary Heart DiseaseCoronary Heart Disease

www.doh.gov.uk/nsf/coronary.htm


National Service FrameworkNational Service FrameworkCoronary Heart DiseaseCoronary Heart Disease

Quality framework: “A First Class Service”

www.doh.gov.uk/newnhs/quality.htm

ProfessionalProfessional self self

regulationregulation

LifelongLifelongLearningLearning

National Performance FrameworkNational Performance FrameworkCommission for Health ImprovementCommission for Health Improvement

National Patient and User SurveyNational Patient and User Survey

NationalNationalService Frameworks (NSF)Service Frameworks (NSF)

National Institute for National Institute for Clinical Excellence (NICE)Clinical Excellence (NICE)

Clinical Clinical GovernanceGovernance

PATIENTPATIENT&&

PUBLIC PUBLIC INVOLVEMENTINVOLVEMENT

CLEAR CLEAR STANDARDS OF STANDARDS OF

SERVICE SERVICE

DEPENDABLE DEPENDABLE LOCAL LOCAL

DELIVERYDELIVERY

MONITORED MONITORED STANDARDSSTANDARDS


NSF for CHDNSF for CHD

1. Reducing heart disease in the population2. Preventing CHD in high-risk patients3. Heart attack and acute coronary

syndromes4. Stable angina5. Revascularisation6. Heart failure7. Cardiac rehabilitation

NSF for CHD : 1.28

Seven Chapters


NSF for CHD: Four Important PrinciplesNSF for CHD: Four Important Principles1. Reducing the burden of CHD is not just the responsibility of the

NHS. It requires action right across society2. Quality of care depends on:

ready access to appropriate services the calibre of the interaction between individual patients and

individual clinicians the quality of the organisation and environment in which care

takes place3. Excellence requires that important, simple things are done

right all the time4. Delivering care in a more structured and systematic way will

substantially improve the quality of care and reduce undesirable variations in its provision.

NSF for CHD : 1.18


Excellence requires that important, simple things are done right all the time …


CHD CollaborativesCHD Collaboratives

www.modern.nhs.uk/chd


To improve the experience and outcomesof patients with suspected or diagnosed CHD by optimising care and delivery systemsacross the whole integrated pathway of care

CHD Collaborative GoalCHD Collaborative Goal


Learning from the CHD CollaborativeLearning from the CHD Collaborative

Messages from patientsLack of information at the right timeNeed support for both patients and carersHigh levels of anxietyLack of involvementImpact on peoples lives


55thth Report on the Provision of Services Report on the Provision of Servicesfor Patients with CHDfor Patients with CHD

Nov 2002 www.bcs.com www.heartjnl.com

Implementation of NSF Patient involvement Staffing Information technology Reorganisation Maintaining standards & quality


Herts NSF for CHD Study DayHerts NSF for CHD Study Day

Prevention

Stable Angina & MI

Improving the patients’ experience

Heart Failure


Herts & Beds CardiologyHerts & Beds CardiologyIntegrated Network of Care

Health Health PromotionPromotion

Practice Practice NursesNurses

Tertiary Tertiary CentresCentres

GPsGPs

DGHsDGHs

Cardiac Specialty Nurses

Cardiac Specialty Nurses

Cardiac Rehabilitation

Cardiac RehabilitationPrim

ary Care

Primary Care

Secondary

Secondary

CareCare

Tertiary

Tertiary

CareCare


West Herts Cardiology Web siteWest Herts Cardiology Web site

www.westhertshospitals.nhs.uk/whc

west herts cardiology herts nsf for chd study day

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