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Development of Service Frameworks June 2007

Development of Service Frameworks June 2007. What is a Service Framework?. Explicit standards on prevention, treatment and care; “Quality requirements” supporting the standards; Specific timeframe - 3-5 years and revision process; Capable of measurement/comparative data

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Development of Service Frameworks June 2007

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  1. Development of Service FrameworksJune 2007

  2. What is a Service Framework? • Explicit standards on prevention, treatment and care; • “Quality requirements” supporting the standards; • Specific timeframe - 3-5 years and revision process; • Capable of measurement/comparative data • (minimum and stretch); • Linked to the HSC quality standards and other policy, documents and guidance; • Applicable to both adults and children; • Follow a life cycle approach; and , • Developed in collaboration with the HSC and public.

  3. AIM • Improve health and wellbeing; • Reduce inequalities in health; • Promote social inclusion; • Transparent standards of care, on behalf of public; • Reduce variation in treatment and care; • Link public health with quality and safety of care; • Safeguard vulnerable individuals and groups; and, • Improve partnership working with other agencies/sectors.

  4. Real Opportunities • Integrate health and social care; • Enhance public health and wellbeing through identification of those at risk and prevent, protect individuals / families in local populations from harm and disease; • Promote evidence-informed practice; and, • Enhance multidisciplinary / intersectoral working.

  5. Key Stakeholders • The public; • HSC organisations and other providers; • Commissioners - HSCA and LCGs; • Voluntary, community and independent sector; • RQIA; and, • DHSSPS/Minister.

  6. ORGANISATIONAL DESIGN: KEY ELEMENTS Choice/ Commissioning Service Frameworks Performance Management CVD Respiratory Cancer Mental Health Learning Disability Funding based on Outcomes

  7. Patient/client Pathway Template Prevention / Promotion Protection /Lifestyle Assessment & Diagnosis Treatment Ongoing Care / Chronic Disease Management End of Life Care / Palliative Care

  8. Phase 1- Development Cardiovascular Health and Wellbeing – January 2007 • Recognition of common risk factors; • Promotion of self-care; • Will include: • Coronary heart disease • Hypertension • Cerebrovascular disease • Peripheral Vascular disease • Diabetes ( as a significant risk factor for CVD) • Renal disease associated with CVD

  9. Respiratory Health and Wellbeing – Feb. 2007 Recognition of shared risk factors; Promotion of self care; Will include: Pneumonia Asthma Allergic Rhinitis COPD Obstructive Sleep Apnoea Pulmonary hypertension Tuberculosis Cystic Fibrosis( and other genetic diseases) Phase 2 - Development

  10. Phase 3- Development Cancer Prevention ,Treatment and Care – May 2007 • Will include: • Breast; • Colorectal; • Lung; • Gynaecological; • Upper gastro-intestinal and hepato-pancreatico biliary; • Haematological; • Children’s cancer; • Head and neck; • Sarcoma; • Central nervous system; • Endocrine cancers; • Dermatological; and • Urological system

  11. Phases 4 and 5 - Development • Mental health – from June 2007 • Learning Disability- from end June 2007 • Trawl for other areas of risk and concern – Sept. 2007

  12. Engagement • Use established HSC networks and fora; • Stipulate composition to promote multidisciplinary and intersectoral working; • Common methodology and template; • Recognition that care goes beyond traditional HSC boundaries; and, • Consultation and external quality assurance.

  13. Timeframe for Completion • CVD – April 2008 • Respiratory – July 2008 • Cancer Care – August 2008 • Mental Health – September 2008 • Learning Disability – November 2008 • Other(s) – beyond this • Review mechanism will be built in to process

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