Newsletter - August 2016 - Early wins for 100 day Rapid Testing programme

Three teams of front-line staff trialling innovative approaches to elective care as part of the 100 Day Rapid Testing programme are already making an impact for patients as the teams hit the 50 day mid-point.

Dr Graham Parker (GP Archwood Practice), Karen Moran (Head Of Service Reform, CCG) and Andrew Tunnicliffe (Deputy Director and Business Manager T&O SNHSFT)

In March, Stockport Together, the partnership between health and social care organisations across Stockport, was selected as one of three sites in the country to work with NHS England and Nesta on the pioneering new programme.

A team including frontline staff was brought together to identify three intensive 100 Day projects to speed up patient access to services and reduce elective care hospital admissions by better managing demand.

The projects focus on Gastroenterology, Trauma and Orthopaedics and Cardiology and Respiratory, with teams of front-line staff from primary and secondary care given additional freedom and capacity to test their new ideas and approaches.

Notable successes so far include deflecting four referrals to hospital based Trauma and Orthopaedics services in one day through the triage of referrals by an extended scope physio therapist. This is helping to ensure patients receive the most appropriate and effective treatment for them with a focus on educating patients to help them make decisions about what care is right for them.

After little more than a fortnight, the Gastro team launched a rapid access IBS ‘flare up’ clinic and direct email access during week two. One of the team leaders, Rachel Campbell, IBD Specialist Nurse at Stockport NHS FT, joined Twitter as @ibdnurse, responding to tweets about IBD management from patients and professionals and hosting joint online Q&As with a consultant.

A joint Cardiology and Respiratory clinic has been created in the community at Kingsgate for people experiencing breathlessness who are on the waiting list for a hospital outpatient appointment. Clinicians and diagnostics services will jointly run the ‘one stop’ clinic, with a focus on designing a management plan around all the patient’s needs.

The management plan will be developed to include both clinical information and lifestyle advice and guidance specific to a persons’ condition. Taking information from health and social care, the plans will provide practical tips and signpost services that will ensure people are better able to manage their own condition and needs within the community.

The three projects have been identified to reduce referral times, and unnecessary follow up appointments. They will aim to improve patient experience by securing quicker diagnoses and better managing demand in elective care for people:

  • with IBS and IBD who are currently on the outpatient waiting list by rethinking referrals models and transforming outpatient appointments.
  • aged 55+ with painful osteoarthritis of the hip and knee by exploring the potential of shared decision making and rethinking referrals models, and
  • with multiple long term health conditions (cardiology and respiratory) and better manage demand in elective care, by rethinking referrals models and exploring the potential of shared decision making.

The teams include Nurses, Pharmacists, GPs, Occupational Therapists, Consultants, Dieticians, Advanced Nurse Practitioners, Physiotherapists, and Service Managers.

A series of regular review sessions have been held, including one held last Friday (12 August to mark the 40 day review), during which the teams have kept an eye on progress and their objectives. They also discussed planning to ensure the improvements taking place continue following the 100 Day programme.

The programme is one of a number of initiatives underway as part of Stockport Together to improve the relationship between primary and secondary care.The learning from the challenges will be shared nationwide, enabling other NHS commissioners and providers to adopt any outcomes and lessons from these initial sites.

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