1 / 31

Implementing Collins at Frimley

Implementing Collins at Frimley. Mrs. Geeta Menon Director of Medical Education Frimley Park Hospital NHS Foundation Trust. Collins report. Stakeholder Discussion Groups. Chief Executive Officer and Medical Director

lara
Download Presentation

Implementing Collins at Frimley

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Implementing Collins at Frimley Mrs. Geeta Menon Director of Medical Education Frimley Park Hospital NHS Foundation Trust

  2. Collins report

  3. Stakeholder Discussion Groups • Chief Executive Officer and Medical Director • Clinical Directors, Heads of service, FTPDs and Consultants in charge of rota • Trainees

  4. Initial response • Changing the mind set of colleagues • Discussion around training and service provision

  5. Key themes and challenges • Options of integrating community placements • Service delivery and effects on rota • Links within the community • Opportunities

  6. Trauma & Orthopaedics • Fracture neck of femur pathway • Working with physiotherapist and occupational therapist

  7. Surgeons • Upper GI and Breast surgery • Phyllis Tuckwell Hospice

  8. Urology • Community urology clinic with specialist nurse • Incontinence clinic

  9. Obstetrics &Gynaecology • Community midwife

  10. Paediatrics • Community paediatrics

  11. Ophthalmology • Diabetic screening programme

  12. Pilot • Urology • Trauma and Orthopaedics • Surgery

  13. Results of Pilot • Pilot in T&O and Urology • Trainees views

  14. NOF Fracture Pathway Dr. Serjevan Kalsi, Dr. Leila Mohamed, Dr. Thorrmela Vijayaseelan F1 Doctors Orthopaedics, Frimley Park Hospital

  15. Pathway Outcomes • Reduce variation in length of stay, reduce mortality and re-admissions • Surgery within 24 hours at FPH • Early mobilisation • Multi disciplinary team • Discharge • Farnham/Fleet • Home +/- Care package

  16. Farnham/Fleet • Rehabilitation Centres • Small Wards • Consultant Led Beds • F1 Review Daily • 1-1 Consultant Contact • Daily Physio/OT input • Experienced Nursing Staff

  17. Home • No Orthopaedic follow up • No further OT input • Extra facilities in place • Physiotherapy Outpatients

  18. Intermediate Care Team • ‘Promotion of independence & Safety first’ • Aims to build confidence in the home • Initial Interview • Mobility • Transfers • Domestic activities and Activity tolerance

  19. Advantages of Project • Realistic process of discharge • Highlighted gaps in holistic care • Not just a simple social history • Are patients coping? • Recognising potential follow up

  20. Disadvantages of Project • Difficult to get time off • Trauma, Post Trauma, Oncall Dedications • Difficult to co-ordinate visits

  21. Recommendations • Incorporated into Rota/Taster Weeks • MDT Attendance • Presentation at Trauma Meetings

  22. Thank you

  23. Community Experience Dr Emma Humphreys FY2 Urology Frimley Park Hospital

  24. 1 day at Fleet Community Hospital • Bladder Cancer CNS • Haematuria Clinic • Flexible Cystoscopy • Intravesical BCG • Consultant OP clinic

  25. Advantages • Off-site so free from ward jobs • Enthusiastic nurse willing to teach • More time for learning • Able to carry out procedures • Observation of other OP Ix • OP clerking new pts • 1 to 1 with Consultant • DOPS/CEX

  26. Difficulties • Rota challenges • Liaising with DNs • Incontinence clinic proved impossible • Relevance to job • Mostly observation

  27. Recommendations • Build into rota • 5 days in 4 month placement sufficient • Placements to be organised • Utilise experience of Nurse Specialists

  28. Thank you

  29. Results of Pilot • Trainers and service provision • Community • Roll out to all posts in August 2012

  30. Take home message • No easy answers • Engagement from - Leadership i.e CEO Medical Director - Middle management i.e Clinical Directors, Heads of Service, FTPDs, Consultants in charge of rotas - Trainees • Feedback

More Related