Task and Finish Group: COPD integrated service model Thursday 26th November 2015 9-11am Present: Berry Stuart (GP Lead for Respiratory Care, East Lancashire Clinical Commissioning Groups) Fleming Elizabeth (Head of Urgent Care, Pennine Lancashire Clinical Commissioning Groups) Foster Emma (Adult Community Services, Lancashire Care Foundation Trust) Hood Janine (Advanced Practitioner Respiratory Care, East Lancashire Hospital Trust) Lubomski Barbara (Clinical Lead Integrated Respiratory Service, East Lancashire Hospital Trust) Nicholson Christopher (Clinical Lead for Cardio-Respiratory Service, Lancashire Care Foundation Trust) Robertson Georgina (Emergency Medicine Consultant, East Lancashire Hospital Trust) Wilson Stephen (Respiratory Physician, East Lancashire Hospital Trust) Wood Natalie (Intensive Home Support Service, East Lancashire Hospital Trust) Apologies: Logan Catriona (General Manager – ICG Community East Lancashire Hospital Trust) Rogers David (Service Partner – Communication and Engagement, NHS Midlands and Lancashire CSU) Stuttard Elaine (Community Services Commissioning Manager, East Lancashire Clinical Commissioning Group) Sullivan Will (Team Leader Pulmonary Rehabilitation and Oxygen Service, Lancashire Care Foundation Trust) Actions Number Description Owner Date 1.1 Pulmonary Rehabilitation East Lancashire (EL) model – Barbara Lubomski to present on the EL model including service model, capacity, demand and service outcomes (including clinical outcomes and drop- out rates) Barbara Lubomski 26/11 1.2 Pulmonary Rehabilitation BwD model – Elizabeth Fleming to contact Will Sullivan to ask that he presents on the BwD model including service model, capacity, demand and service outcomes (including clinical outcomes and drop-out rates) Elizabeth Fleming 26/11 1.3 Barbara Lubomski to share details of East Lancashire Integrated Respiratory team scope of work and staffing model and Elizabeth Fleming to circulate to the group Barbara 26/11 Lubomski and Elizabeth Fleming 1.4 AQ – Barbara to send through current AQ proforma and Elizabeth Fleming to circulate to the group Barbara Lubomski 26/11 and Elizabeth Fleming 1.5 Engagement – Elizabeth Fleming to contact the lay chair for East Elizabeth Lancashire CCG regarding engagement opportunities to inform Fleming this work 26/11 Terms of Reference – to be updated to include Pharmacy, Public Health and Respiratory Physician with a Specialist interest in Non-Invasive Ventilation (Dr Ian Crowther) 1.6 Communication with the group – Dr Stuart Berry to send through details of virtual information sharing system for the group to consider Dr Stuart Berry 26/11 Decisions Number Description Date 1.1 Sub-acute model – there should be one Pennine Lancashire model for COPD sub-acute model with uniform opening hours, response time etc 26/11 1.2 Sub-acute model - the service should have a single point of referral 26/11 1.3 Scope agreed as outlined in draft TofR 26/11 1.4 Hospital marker – marker for COPD would be useful and there is already a cancer hospital marker on the ELHT system 26/11 1.5 Pulmonary Rehabilitation – onward referral options to be considered, such as to Breathe Easy Groups 26/11 1.6 Spirometry – agreed this is a longer term opportunity and outside of current scope 26/11 1.7 Self-management – a key enabler for the project 26/11 1.8 Communications – a key enabler for the project 26/11 1.9 Evidence-based care processes - a key enabler for the project and BTS admissions and discharge bundle, NICE Guideline, Advancing Quality are some examples 26/11 1.10 Ambulatory Care Pathway – the example document from Central Lancashire could be sued as a starting point for a local pathway 26/11