Lothian Respiratory MCN Action Plan
2014 to 2015
Expected Outcome
Actions
Target Date
MCN Lead
Operational
Manager
N Hewitt
S McNarry
N Hewitt
A McMahon
Business plan and
acceptance by
Estates and
Facilities
Demonstrated by
Aligned to
Prioritise prevention, reduce inequalities and promote healthier lives
2.
1. Pulmonary
Rehabilitation
Core funding for
all Lothian.
Patients admitted
with an
exacerbation and
re-admissions are
offered
pulmonary
rehabilitation
exacerbations
1.1
Evaluation for pulmonary
rehabilitation
1.2
Business case to be
presented to Estates and
Facilities group
1.3
Pilot pulmonary
rehabilitation database and
rollout for use throughout
Lothian
Jun 2014
(Phase 2)
C Young/C
Sheridan
S McNarry
Data available for
performance
management
purposes making
repeat audit
possible
Invest to Save
Project - in
conjunction with
ECHP
2.1
Enhance the use of
community services in
Edinburgh
June 2015
N Hewitt
Libby Tait
Action plan
KEY:
HIS = Clinical Standards for COPD Services
CP = MCN HDL Core Principles
QS = Quality Strategy
SIGN = SIGN101 Management of Asthma
SS = Strategic Strategy
Jul 2015
Jul 2014
Complete
evaluation
demonstrating
impact
HIS
Standards
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Expected Outcome
3.
Educational
events for
Professionals
Patient event
Actions
2.2
COPD community project
Reduce repeat admissions
Reduce 48 hr discharges
Add psychological support
for selected patients
Stabilise or reduce
admissions
Front of house activity
improved
Improve working pattern
between primary /
community / secondary care
3.1
Prescribing Events
(Professionals)
3.2
Consider potential for future
respiratory health promotion
event in liaison with CHPs
(Patients)
KEY:
HIS = Clinical Standards for COPD Services
CP = MCN HDL Core Principles
QS = Quality Strategy
SIGN = SIGN101 Management of Asthma
SS = Strategic Strategy
Operational
Manager
Angela Lindsay
Target Date
MCN Lead
March 2015
Orla Prowse/
Laura Groom
August 2014 to
February 2015
N Hewitt/
C Young
A Malone
June 2015
N Hewitt/
C Young
A McMahon
Demonstrated by
Aligned to
Action plan I to S
project
KPI
Attendance and
feedback from
events
HIS
Standards
Plan for any future
events with
appropriate
engagement from
key stakeholders
Strategic
Strategy
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Expected Outcome
Actions
Target Date
MCN Lead
Operational
Manager
Demonstrated by
Put in place robust systems to deliver the best model of integrated care for our Population- across primary , secondary and social
care settings
4.1 Reorganisation OPD referrals
4.
Efficiency and
April 2013 to
N Hewitt
Gillian
Action plan
productivity
Improve patient flow in hospital
March 2015
Cunningham
Efficiency and
Front of house activity
Productivity project
analysed and resources
L MacDonald
KPI
allocated. Joined up service
between primary and
secondary care for COPD
5.
Sleep
5.1
6.
Asbestos
6.1
8.
Asthma
8.1
Redesign of sleep service in
RIE: to include
efficient referral,
patient engagement,
and efficient use of 1st line
equipment.
Ongoing
N Hewitt
A McMahon
Efficient running of
sleep services
within RIE
Aligned to
Strategic
Strategy
Strategic
Strategy
Identify issues surrounding
December 2014
N Hewitt
A McMahon
Identified key
diagnosis, referral, and
issues surrounding
treatment of asbestos related
asbestos
diseases, in association with
voluntary organisations and
Lothian respiratory services.
Ensure that health care is evidenced based , incorporates best practice, and achieves seamless and sustainable care pathways for
patients
7.
Guideline review 7.1 COPD / Oxygen/ Refhelp
March 2014
N Hewitt
Alyson Malone
New dated plans
SMP review
/Nebuliser use
agreed by core
group
Convene sub group to identify
KEY:
HIS = Clinical Standards for COPD Services
CP = MCN HDL Core Principles
QS = Quality Strategy
SIGN = SIGN101 Management of Asthma
SS = Strategic Strategy
March 2015
N Hewitt
N Hewitt
Delivery on key
SIGN 101
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Expected Outcome
Actions
Asthma priorities
MCN Lead
Operational
Manager
key priorities and to action
8.2
Develop pathway for difficult
asthma, reconvene group to
complete delayed work
8.3
Demonstrated by
Aligned to
priorities
December 2014
N Hewitt
N Hewitt
Pathway in place
Develop care pathway for
patients with difficult to
manage asthma and
implement across all three
acute hospital sites
March 2014
N Hewitt
D Noble
T Bradshaw
Nik Hirani
A Innes
Pathway agreed
and implemented.
8.4
Agree and implement
structured checklist for
management of difficult to treat
asthma
March 2014
N Hewitt
D Noble
T Bradshaw
A Innes
Checklist
developed and in
use on all hospital
sites. Audit of
usage completed.
Asthma in
children and
young people
8.5
Review progress made against
NHSQIS standards for asthma
in children and young people
and agree action plan to take
forward outstanding actions
Amalgamate work with Asthma
Priorities set by the
Respiratory NAG
March 2014
S Cunningham
A McMurray
S Gibbs
Action plan in
place and
progressing.
External reporting
completed within
required deadlines.
Priorities to be
agreed by Core
Group
HIS
Standards
Develop and
launch e-learning
module on
performing and
9.1
Learnpro module to be
completed with all video links
assessments and text in 4
modules
June 2014
N Hewitt
M Parkhouse
Module launched
and evidence of
usage available
HIS
Standards
Difficult Asthma
Patients with
difficult to
manage asthma
have access to
high quality care
in keeping with
current clinical
guidance
9.
Target Date
KEY:
HIS = Clinical Standards for COPD Services
CP = MCN HDL Core Principles
QS = Quality Strategy
SIGN = SIGN101 Management of Asthma
SS = Strategic Strategy
SIGN 101
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Expected Outcome
Actions
Target Date
MCN Lead
Operational
Manager
Demonstrated by
Aligned to
interpreting
spirometry
Patient Focussed Public Involvement (Refs: HIS Standard 1, CP6, QS)
10.
Patients and
carers
experiences and
views are
listened to in the
development of
COPD services
in Lothian.
10.1
Support acute services to
conduct survey of inpatient
experience
11.
Patients and
carers have
access to
accurate, up-todate information
about their
condition.
11.1
March 2015
RSN
C Young
Grace Hynd
L Baxter
Survey report
available and plan
in place to address
any identified
issues
Develop and launch a patient
information website for people
with Bronchiectasis
June 2014
C Young
J Wildgoose
N Hewitt
A Hill
A McMahon
Access to live
website. Evaluation
of usage in patient
cohort.
11.2
Refresh of Respiratory MCN
June 2014
C Young
A Malone
Access to live up to
date website
11.3
Digital postcard for patients
with COPD
March 2014
L Stewart
A Lindsay
Electronic ‘cards’
available to all
patients
11.4
Advise on COPD toolkit National initiative coordinated
by CHSS
Dec 2015
N Hewitt
A Malone
Publication of tool
kit
Quality Assurance (Refs: HIS Standard 1, SIGN101, CP4, QS)
KEY:
HIS = Clinical Standards for COPD Services
CP = MCN HDL Core Principles
QS = Quality Strategy
SIGN = SIGN101 Management of Asthma
SS = Strategic Strategy
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Expected Outcome
12.
13.
NHS Lothian is
complying with
national
standards and
quality indicators
for respiratory
medicine
Review and audit
results of COPD
SESP
Actions
Target Date
MCN Lead
Operational
Manager
Demonstrated by
Aligned to
12.1
COPD: Complete selfassessment against nationally
agreed measures of success
for COPD and agree action
plan for any areas of concern
Ongoing assessment reviewed
by NAG
Dec 2014
Quality
Assurance AG
S Gibbs
Self –assessment
completed and
action plan in place
12.2
Asthma priorities: Complete
self-assessment against
nationally agreed measures of
success for asthma and agree
action plan for any areas of
concern
Asthma Prioities reviewed by
the NAG
Pending
publication
Quality
Assurance AG
S Gibbs
Self –assessment
completed and
action plan in place
13.1
Review outcomes of enhanced
service for COPD and agree
strategy to address any
identified areas of concern
March 2015
N Hewitt
R Hardie
S Faulkner
Review completed
and outcomes
circulated to key
stakeholders.
Action plan in
place and being
progressed.
KEY:
HIS = Clinical Standards for COPD Services
CP = MCN HDL Core Principles
QS = Quality Strategy
SIGN = SIGN101 Management of Asthma
SS = Strategic Strategy
Document1
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