NHS Pathways & CMS DOS

Report
[email protected]
NHS Pathways & CMS DOS
Vision
Delivering the right patient care, in the right place, at the right time,
through a skilled and committed workforce, in partnership
with local health economies
Values
Strategic Objectives
•World Class Service
Achieve Quality
and Excellence
Accurately assess
patient
need and
direct resources
appropriately
Establish market
position
as an
Emergency
Healthcare
Provider
•Patient Centred
Work in
Partnership
•Dignity and Respect for All
•Skilled Workforce
•Teamwork
Service Delivery Objectives
Deliver Service
Improvement
Increase Efficiency
Develop our
Workforce
•Effective Communication
Transform our
Technology
Infrastructure
NHS Pathways & CMS DOS
WMAS Ambulance Responses - Projected 5 Year Activity
2010/2011
NHS Pathways & CMS DOS
The Previous Position Within WMAS 999
Triage Process
R1,R2
G1,G2
G3,G4
96% Response
68% To Hospital
CSD NHSD
4%
NHS Pathways & CMS DOS
How Did We Change This?....NHS Pathways & CMS DOS
NHS Pathways & CMS DOS
CMS DOS (Multiple Presentations Shown)
https://nww.pathwaysdos.nhs.uk
DOS via NHS Pathways (999)
NHS Pathways & CMS DOS
The Pathways Solution Within WMAS 999
Pathways
Red Flag
Further
Assessment
CSD
DOS
HCRT/REFS
A&E
MIU
GP
in hrs
GP
OOH
WiC
DN
Midwife
Pharmacy
NHS Direct
Other services
Immediate
72 Hours
NHS Pathways & CMS DOS
Pathways Modules
CMS Directory of Services (DOS)
Module collects Clinical markers
(Algorithms) based on ‘ruling out’
Location
DOS
Clinical
Need
CSD
Time
Capacity
NHS Pathways & CMS DOS
The Importance of an Integrated NHS Pathways & CMS DOS
Key System Benefits:
• Patients go to the ‘Right Place, First Time,
All of the Time’
• Improved patient journey and experience
• Better use of available services
• Cost base for assessment and referral to
care much reduced
• Inappropriate ambulance journeys avoided
• Reduction in 999 conveyances and A&E
attendances
• Gives commissioners world class data on
what services are needed
NHS Pathways & CMS DOS
Clinical Safety & Clinical Support
• Extensive piloting – over 1.3 million patient calls safely assessed
across 4 different sites– No adverse incidents
• Academic evaluation by 3 universities – ‘safe and appropriate’
• Ministerial license for use granted February 2009
• BMA and Royal Colleges – overt support
• National Clinical Governance Group chaired by RCGP
NHS Pathways & CMS DOS
NHS Pathways & CMS DOS
NHS Pathways & CMS DOS
NHS Pathways & CMS DOS
NHS Pathways & CMS DOS
NHS Pathways & CMS DOS
NHS Pathways & CMS DOS
NHS Pathways & CMS DOS
NHS Pathways & CMS DOS
NHS Pathways & CMS DOS
WMAS CMS DOS User Guide
NHS Pathways & CMS DOS
WMAS CMS DOS Health Economy Leaflet
NHS Pathways & CMS DOS
Staffordshire, Coventry & Warwickshire Experience –
July 2011 (11 weeks)
Emergency
Calls
57634
Ambulance Response
Community Healthcare Service
Dentist
Early Exit
Emergency
Incidents
51579
ED Referral
Health Information service
Home Management
No Value (attend Inc)
Hear &
Treat Alt
Pathways
Other Emergency Services
2.9%
PARA Triage
Referred to GP
Specialist Healthcare Service
Hear &
Treat
Count CSD
Vehicle Arrived Before Coding Complete
3.5%
43325
56
14
306
942
11
268
1639
30
324
1586
13
3063
NHS Pathways & CMS DOS
Birmingham, Black Country & West Mercia Experience –
September 2011 (1 week)
Emergency
Calls
11894
Ambulance Response
Community Healthcare Service
Dentist
Early Exit
Emergency
Incidents
10553
ED Referral
Health Information service
Home Management
No Value (attend Inc)
Other Emergency Services
Hear &
Treat Alt
Pathways
3.3%
PARA Triage
Referred to GP
Specialist Healthcare Service
Hear &
Treat
Count CSD
Vehicle Arrived Before Coding Complete
3.3%
8856
2
6
98
211
1
45
119
7
100
376
5
727
NHS Pathways & CMS DOS
Any Questions

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