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Delivering care through collaboration
    

Improving patient access

Scottish Access Collaborative (SAC) and Modernising Patient Pathways Programmes (MPPP)

The Modernising Patient Pathways Programme (MPPP) aims to support redesign of care to provide the maximum benefit to the patient by ensuring they have consistent access to the right care, from the right person at the right time.

By redesigning patient pathways, we can ensure that at every stage and interaction of their journey, individuals have access to services focused on providing both appropriate and sustainable care for their needs.

The Scottish Access Collaborative (SAC) supports front line clinical teams to lead the design and development of sustainable solutions. Aiming to balance capacity with demand for services, they work with specialty networks to bring together colleagues from across Scotland and share best practice. This aims to reduce potential variations and delays in the care that people receive throughout NHSScotland.

By focusing on the principles of Realistic Medicine and shared decision making, clinical agreement on new pathways can be reached quicker. This allows the processes to be put in place much sooner than would normally be possible, and ensures maximum benefit to patients, allowing them to be seen as soon as possible by the most appropriate people.

Once for Scotland Pathways:

The SAC and MPPP have developed networks of clinicians and senior leaders across multiple specialities and settings to secure clinical engagement in both design and delivery of a number of high impact changes which will support redesign and improvement.

 Active Clinical Referral Triage (ACRT)

ACRT (Active Clinical Referral Triage) i.e. enhanced vetting – A Senior Decision –maker (Consultant or Advanced Practitioner) reviews each patient’s relevant records, including imaging and lab results, and triages to the optimal, evidence-based, locally agreed pathway.

For more information contact Margaret Wood

 Discharge Patient Initiated Review (Discharge PIR)

Discharge (Patient Initiated Review): Selected patients are discharged from with a reliable secondary care self-referral process for any problems related to that specific condition.

Written guidelines are given  in secondary care of how to re-engage directly with the appropriate service (without a further referral from their GP).

For more information contact Margaret Wood

 

 Effective Quality Interventions Pathways (EQuIP) / Opt-in

EQuIP/Opt-in: This programme will involve the redesign of pathways for procedures which will benefit relatively small numbers of people, and redirect to those who are most in need and would not benefit from alternative options.

For more information contact david.mcdonald@gov.scot

 Enhanced Recovery After Surgery (ERAS)

ERAS: Evidence based pathways will be established to help people having major surgery or procedures recover quicker. This aims to ensure that people are as healthy as possible before, during and after their operation.

For more information contact david.mcdonald@gov.scot

 Intravenous Fluids

Intravenous Fluids: CfSD will support and embed best practice in prescription and management of intravenous fluids to standardise practice across NHSScotland.

For more information contact katie.aitken@gov.scot

 Bringing it Together (BiT)

BiT: (BiT) takes all of the SAC’s Endorsed Challenges and systematically implements at the same time in one specialty in one Board with the aims of achieving maximum benefit for patients, staff and services.

For more information contact rosanne.macqueen@gov.scot 

 Speciality Networks

Speciality networks working with NHS colleagues to understand and identify best practice in order to optimise current service pathways and associated primary/secondary care communication across key clinical areas was undertaken with specialties.  Previously, each speciality underwent a course of three workshops which focused on:

  • drawing together collective experiences and knowledge to map existing pathways
  • highlighting key challenge areas
  • developing ideas for change to make sustainable improvements for the future
     

This includes the following areas:

Breast Surgery

For more information contact: linda.patterson@gov.scot

Cardiology

For more information contact: scott.mcbride@gov.scot

Chronic Pain

For more information contact: carolyn.chalmers@gov.scot

Dermatology

For more information contact: jamie.cochrane@gov.scot

Dermatology Nursing Education

For more information contact: jamie.cochrane@gov.scot

ENT

For more information contact: anna.betzlbacher@gov.scot

Gastroenterology

For more information contact: denyse.aitken@gov.scot

General Surgery

For more information contact: linda.patterson@gov.scot

Gynaecology

For more information contact: katie.aitken@gov.scot

Neurology

For more information contact: jamie.cochrane@gov.scot

Paediatrics

For more information contact: denyse.aitken@gov.scot

Respiratory

For more information contact: scott.mcbride@gov.scot

Urology

For more information contact: denyse.aitken@gov.scot

Vascular Surgery

For more information contact: jamie.cochrane@gov.scot

 Waiting List Validation

Waiting List Validation: the right people on the right waiting list, waiting for the right intervention.

For more information contact: cathy.dunn@gov.scot

 Clinical Pathways Infrastructure

Clinical Pathways Infrastructure: digital platform to support patient and workforce effective use of clinical pathways.

For more information contact: justine.murray@gov.scot

 Results Plus

Results Plus: finding and scoping improvements where results pathways impact on demand and capacity. 

For more information contact: Alan.Nicholson2@nhs.scot

 Delays to Patient Reviews

Delays to Patient Reviews: reducing irreversible harm and unwarranted variation for patient groups whose conditions may unknowingly (to the patient) deteriorate.

For more information contact: justine.murray@gov.scot

 Patient Reassurance

Patient Reassurance: providing assurance for patients who need to come into hospital or any other NHS facility for appointments and procedures.

For more information contact: lindsey.mitchell@gov.scot and susan.donaldson@gov.scot

 Optimising Clinical Priorities

Optimising Clinical Priorities: supporting use of the Clinical Prioritisation Framework to reduce extended waiting times and address referrals based on patient clinical needs.

For more information contact: susan.donaldson@gov.scot

 Functional Disorders

Functional Disorders: scoping clearer pathways to help clinicians to make sure patients are appropriately directed to diagnosis, treatment and support that is right for them, thus reducing waits and unnecessary investigations.

For more information contact: justine.murray@gov.scot

 Dynamic Waiting List Communication

Dynamic Waiting List Communication: enabling interactions between clinicians and patients who are waiting for longer.

For more information contact: susan.donaldson@gov.scot

 Cancelled Planned Operations

Cancelled Planned Operations: sharing best practice and finding ways of minimising avoidable cancellation and maximising theatre utilisation.

For more information contact: susan.donaldson@gov.scot

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