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The Golden Mile!. The FCMS Way!. Better patient centric, joined up servicesOOH services for 16 years on the Fylde CoastAward winning servicesAdvanced In
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1. NHS Pathways The Blackpool Experience! Helen Fogg
Director of Operations Unscheduled Care
FCMS (NW) Ltd
Helen.Fogg@fcms.nhs.uk
3. The FCMS Way! Better patient centric, joined up services
OOH services for 16 years on the Fylde Coast
Award winning services
Advanced In & OOH dental services
1st Local Pharmaceutical Service – Pharmacists & Nurse Practitioners
EA, Drug/Substance, diagnostics, call handling
4. Now We do all that and …
5. Urgent Care Centre Blackpool
7. Call Taking National Orange Book guidelines
Locally developed over 15 years, clinically based call taking protocols to prioritise and signpost
Strong Clinical Governance system
National recognition
2005 National Quality Standards
So…… what about NQR9???
8. The Urgent Care Gateway The entire Urgent Care Centre was based on the FCMS way, front ended by non-clinical Primary Care Operators and Receptionists
We were working to paper based protocols
Operators signpost and set priorities
No second triage by clinician
Priority changes from Operator to Clinician was negligible
But what about NQR9?
9. NQR9 PCT agenda
FCMS agenda
Banged on doors
NHS Pathways demo in North East
Pilot
Clinical Governance review
Stakeholder partnership
Funding
10. What happened next… Introduction to staff & clinicians
Training
Change management – resistance, changing outcomes, 6 month bed in
Recruitment
Patient perception/staff concerns
Audit
Feedback to Pathways
Ongoing updates and refreshers
11. Urgent Care Go Live Early days
Face to face trial and development
Liaison role
A&E clinician acceptance
Audits
CMS DoS
wealth of commissioning information
SPA/111
12. Helen Fogg
Director of Operations Unscheduled Care
FCMS (NW) Ltd
Helen.Fogg@fcms.nhs.uk