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Delivering for Remote and Rural Healthcare - One Year On Sharing and Learning Event Care Pathways Workstream Prof A

Care Pathways. Recommendation:

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Delivering for Remote and Rural Healthcare - One Year On Sharing and Learning Event Care Pathways Workstream Prof A

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    2. Care Pathways Recommendation: “Patients should receive the same standards of care for common conditions irrespective of where they live” Delivering for Remote and Rural Healthcare (2007) Implementation: “The North of Scotland Planning Group should take a lead role……. to facilitate Rural General Hospitals to develop care pathways for common conditions………”

    3. Who are the Acute Hospital Care Pathways for ? Scottish Government Health Department Health Service Managers Trainee Doctors starting new posts Other Healthcare Workers starting new posts Patients Members of the Public Do they have a role in helping Community Hospitals define what conditions they are able to treat locally?

    4. The Acute Hospital Care Pathways Work in Progress High Level Underpinned by Local Protocols 3 Referral Pathway Groups Urgent or Non urgent (7 pathways) Emergency ( 4 pathways) Malignant ( 6 pathways)

    5. High Level Acute Hospital Care Pathway Elements used in the design of High Level Care Pathways Presenting condition – Urgent/Non urgent, Emergency and Malignant First point of access to healthcare services – primary care practitioner, NHS 24, 999, A&E Initial specialist referral – Rural General Hospital specialist, visiting specialist, another specialist Subsequent advice/referral – visiting specialist, another specialist Investigation – Rural General Hospital or Another hospital Management – Rural General Hospital or Another Hospital

    6. High Level Pathway

    8. Care Pathway for the Management of the Unwell Child

    9. Local detailed clinical protocols Purpose: With regular reviews by specialist consultants in the relevant fields they ensure that treatment remains up to date with current evidence Aide memoir Teaching and service delivery by juniors Provide guidance and degree of protection to clinicians providing care outside the normal remit of their speciality Clarity of care pathway between rural hospital and tertiary (obligate) centre To help provide the same standard of care irrespective of where patients live Protocols modified to reflect local situations Do we want to develop a central repository of protocols available for adoption and adaptation by rural hospitals?

    10. Acute Coronary Syndrome (NSTEMI)

    11. Acute Coronary Syndrome (NSTEMI)

    12. Acute Coronary Syndrome (NSTEMI)

    13. Discussion………………………….

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