5 Projects that are changing the face of health services in Salford
The Long Term Conditions Steering Group is focused on improving the experience of patients with one or more long-term conditions and that there risk of deterioration is reduced. Self-care is crucial to reducing this risk and this retains the focus of ‘self-care’, which equally applies to unscheduled care.
A further aspiration is to ensure care is provided in the most appropriate setting by the most appropriate clinician. This will result in the de-hospitalisation of long-term conditions, and result in a system, which is more empowering and responsive to the needs of the patients and carers. Only those patients with complex needs will need care by hospital-based clinicians.
A proactive approach to optimise the care of patients by identifying those with complex health needs and using a predictive risk system. The model anticipates predictable risk, advocates self/carer management and promotes independence. It also aims to reduce hospitalisation and early discharge from hospital. Central to the concept is the role of the Case Manager/Community Matrons in whom accountability and responsibility is vested.
Establishment of a consultant physician (60:40 Acute: Primary Care) and a Nurse Consultant (60:40 Primary Care: Acute) to improve the management of Chronic Obstructive Pulmonary Disease and Asthma. The focus is placed on primary care management and supporting primary care practitioners to manage cases to prevent exacerbation. A range of supporting enablers includes: supported self management; register, recall, review; Clinical Decision Support; case and care management; guidelines, protocols and pathways.
Development of patient educational materials and training for both patients and staff in self-management of Inflammatory Bowel Disease.
A project aimed at supporting patients with alcohol related problems admitted to Secondary Care. To include those attending the A/E Dept, those with alcohol liver disease and those who have an underlying condition identified whilst in hospital. Extended nurse provision linked to the Salford Drug and Alcohol Team will support and direct patients to specialist support.
Development of a model to support a reduction in obesity rates, based mainly in primary care and leisure services, this project will provide a new care regime for healthcare professionals to offer to patients.