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Local Opportunities (summary)

Local Opportunities (summary). Reduction in admissions to secondary care – proactive case management Whole systems planning and commissioning Recognising & valuing prexisting services Workforce development – education & training New ways of working

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Local Opportunities (summary)

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  1. Local Opportunities(summary) • Reduction in admissions to secondary care – proactive case management • Whole systems planning and commissioning • Recognising & valuing prexisting services • Workforce development – education & training • New ways of working • Opportunity to develop new roles within integrated teams – complex case management • Expert patient programme

  2. HVOPPNDNNP Chronic Case Management Care Management Case Management for Population High Risk Patients High Complex Needs Level 1 Level 2 Level 3 Health Promotion

  3. Role of the Primary Care Practitioner/ Nurse Practitioner for Older People(Summary) • Focus on a target population within a geographic locality • Skilled in undertaking a comprehensive history leading to the instigation of therapeutic treatments in order to improve health outcomes • Through joint working with primary care ascertain diagnosis and treatment plans with timely follow-ups as part of caseload management

  4. Using advanced skills and expert knowledge identify subtle changes in the person’s condition • Discuss early signs of ill health • Working in partnership with GP’s and the Community Nursing Team in developing active therapeutic care plans • Manage a case load based on chronic disease management • Lead the development, implementation and evaluation of protocols, policies and integrated care pathways

  5. ‘Chronic disease represents a significant and exciting challenge for the NHS. Good chronic disease management offers real opportunities for improvements in patient care and service quality and a reduction in costs.’Department of Health 2004

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