Service Information Directory

1. Service Information Directory Allan Bridges Chris Wright

2. Background • Cardiology in 1994 • 1 Consultant ,1 secretary • GP/practice on call • 2 phone nos for clinic,ECG dept 2.5WTE

3. 2008 • 5 consultants,10 clinics,6 secretaries • >20 phone nos for • Open access ECGs,echoes,24 hr tapes,BP machines • Rapid access chest pain clinics,AF clinic • Nurse led clinics heart failure (4),palliative care,exercise heart failure service,post MI,post PCI,pre angio • Cardiology dept >30 WTEs

4. RACPC • Meet with GPs • Protocol for RACPC service had a “launch” • No overall co ordination

5. Hospital Services • Transitional arrangements • -new protocols • -new communication pathways • -new ways of working • -CAU ,MIU , A/E • -approx 50% of GPs didn’t know consultants and vice versa

6. Primary Care • In hours GP service • OOH and NHS 24 • 4 hour A and E wait • Turnover of GPs ,out of Area GPs • SAS

7. Summary • Departments redesigned and expanded • Each individual service component excellent • Hospitals radically altered working arrangements • Primary care changed • LACK OF CLARITY and ORGANISATION

8. Service Information Directory • Aims -improve access for patient to right service -improve communication between primary and secondary care -reduce number of admissions

9. SID • Primarily a directory,collation of current information-hospital based- focussed on medical model • Addition of clinical effectiveness and referral system • Potential primary care services,nurse /AHP led services • Community/LA services/crisis services • Patient information