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Enhancing Health and Social Care: East Lothian's PASC Initiative

Join Dr. Jo Smail and Elouise Johnstone on the journey to Workflow Optimization, Care Navigation, and QI Skills Development. Learn about local resources, staff empowerment, and patient-centered care improvements.

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Enhancing Health and Social Care: East Lothian's PASC Initiative

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  1. East Lothian H&SCP Dr Jo Smail, GP & CQL Elouise Johnstone, Primary Care QI Manager Improvement Hub Enabling health and social care improvement

  2. Welcome

  3. East Lothian

  4. In the beginning…

  5. Our journey to PASC

  6. Why PASC ?

  7. Our Approach

  8. Aim – Workflow Optimisation To improve processes and develop protocols for seamless documentation management and reduce GP workload/involvement in correspondence management Staff Training Data Collection & Analysis IT expertise

  9. Aim – Care Navigation To improve care navigation to guide service users to appropriate resources and services, both inside and outside the practice Staff Confidence Patient perception & expectation Identification of local resources Information Management

  10. Aim - QI Skills & Confidence To develop QI capacity and capability, and leadership, facilitation and influencing skills Team Working, Team Learning Learning Culture Empowering Staff Motivation, Values & Behaviour

  11. Our Change Ideas

  12. QI Tools

  13. Driver Diagram

  14. Workflow Baseline – overall numbers

  15. % documents sent to GP for review

  16. Staff Experience

  17. Vision Guideline & Training

  18. To-do list…

  19. Care Navigation “It is a shame that this couldn't be tailored to specific GP surgeries during a PLT as we are all so different & while the essence of signposting is the same each surgeries will be providing it on different levels it would have been great if whole team could participate including GPs” “The true life scenarios & input on signposting as although we have started doing it the extra information and understanding of it was brilliant and very useful”

  20. Wider Benefits • “Admin team have benefited greatly from training provided and enjoyed networking with other practices.” • “I feel admin team enjoyed the inclusion and being part of decisions being made on taking the practice forward; contributing to quality improvement.”

  21. Challenges • “We’re all fired up as Practices to signpost and have been, but we signpost to services that often send them back to us as they have no capacity to deal with an “urgent” issue. • Also, why can’t we have a bit of general patient education from Central Scottish Government?  Making it clear to the general public what is and isn’t acceptable for your Pharmacist or Optician to deal with. (Just a thought!) Get the word out there more.”

  22. What is required?

  23. Local Infrastructure

  24. Critical Success Factors

  25. What Matters To Us? “The greatest waste... is failure to use the abilities of people... to learn about their frustrations and about the contributions that they are eager to make.”

  26. #TheSpreadChallenge

  27. Our top tip…

  28. Keep in touch Elouise.Johnstone@nhslothian.scot.nhs.uk @PeeblesEllie @SmailJo

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