220 likes | 567 Views
Ms Maureen Carroll Heart Disease Action Plan Co-ordinator. HEART DISEASE ACTION PLAN. HEART DISEASE in SCOTLAND Coronary Heart Disease and Stroke: STRATEGY FOR SCOTLAND (2002) Strategy Update 2004: Coronary Heart Disease and Stroke in Scotland
E N D
Ms Maureen CarrollHeart Disease Action Plan Co-ordinator HEART DISEASE ACTION PLAN
HEART DISEASE in SCOTLAND • Coronary Heart Disease and Stroke: STRATEGY FOR SCOTLAND (2002) • Strategy Update 2004: Coronary Heart Disease and Stroke in Scotland • BETTER CORONARY HEART DISEASE AND STROKE CARE: A CONSULTATION DOCUMENT (2008) • BETTER HEART DISEASE AND STROKE CARE ACTION PLAN (2009) • BRAGB Report (March 2011) • Heart Disease Action Plan: CHD MCN Workshop (May 2011) • HDAP Monitoring Report (May 2012)
The Tide is Turning:ISD Heart Disease Statistics Update ~ November 2011
Heart Disease Action Plan Prioritisation Workshop: • 42 HD Actions • 27 HD Actions for MCNs • 6 not for MCNs • 7 HD Priority Areas from 21 Individual HD Actions • 1 HD Priority Area proposed by Lead Clinician • Promoting Healthy Lifestyle • Improving Mental Health • New Definition of AMI / ACS • Improving Access & Patient Experience of Cardiac Rehabilitation • Improving Heart Failure Services • Improving Management of Patients with Atrial Fibrillation • Improving Patient Information • Improving HD Data Collation
1. Promoting Healthy Lifestyle: Monitoring • Increasing trend towards implementation of structured Heart Disease Education & Training Strategy • HEART-E • Risk Factors • Motivational Interviewing / Behavioural Change / Brief Intervention • Self-management skills for HCP • Community Pharmacy Involvement (National Level)
2. Improving Mental Health: Implementing • Mixed Picture • Assessment Tool • HEART-E • Brief Psychological Assessment & Interventional Module (NHS A&A) • Self-care Toolkit & Support Plan (NHS FV)
3. New Definition of AMI / ACS: Monitoring • Well established • HEART-E Module required • Consistency of Patient Pathways across Regions
4. Cardiac Rehabilitation: Monitoring • Well developed – However, Issues of Capacity & Inequality • ↑Telehealthcare Solutions • Home Exercise DVD (NHS A&A) • Service Redesign • Introduction of Wellbeing Techniques (Mindfulness / Tai Chi)
5. Improving Heart Failure Services: Implementing • Mixed picture re Capacity • HEART-E • ↑Telehealthcare Solutions
6. Atrial Fibrillation:Implementing • Mixed picture • Resuscitation – Arrhythmias • Emergency Life Support – Rural & Island Communities
7. Improving Patient Information Monitoring • Well Established • In place across Scotland
8. Improving HD Data Collation: Implementing • Awaiting notification of HD KQIs • Variety of solutions across Scotland • Healthcare Improvement Scotland & HD MCN Sub discussions required • PROMS
National Developments: • Heart Disease Learning Forum • HEART-E • Heart Disease Action Plan Implementation Fund • Joint Mental Health Project • Heart Disease CoP Website • Emergency Life Support Framework • LTC Physical Activity Scoping Project
Next Steps: • Visits • November Update • Patient Engagement Survey (Nov 2012) • HD Data Survey (Nov 2012) • HD Monitoring Report ~ May 2013 • New Priorities / Measurement of Success ~ May to Nov 2013 • HD Learning Forum ~ Nov 2013