North West update Preeti Sud Project Manager 1

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North West update - Preeti Sud, Project Manager 1 Working together to improve respiratory

North West update - Preeti Sud, Project Manager 1 Working together to improve respiratory care in the North West

Respiratory Clinical Pathway Team Aims of NW Respiratory Clinical Pathway Team: 1. Uniform High

Respiratory Clinical Pathway Team Aims of NW Respiratory Clinical Pathway Team: 1. Uniform High Level Standards of Care 2. Positive Patient Experience 3. Confident Commissioning of Effective Services 2 Working together to improve respiratory care in the North West

Page Title here • Acute Care Respiratory Clinical Pathway Team • HOS-AR • Medicines

Page Title here • Acute Care Respiratory Clinical Pathway Team • HOS-AR • Medicines Management 3 Working together to improve respiratory care in the North West

 • Regional Board Respiratory Clinical Pathway Team • Regional Representation • Patient &

• Regional Board Respiratory Clinical Pathway Team • Regional Representation • Patient & Public Representation • Local Representation • Asthma Steering Group • Regional Representation • Patient & Public Representation • Local Representation • Kite Marking Expert Group • Medicines Management Sub Group • HOS Sub group Respiratory Clinical Pathway Team 4

Governance structure • Board and various sub groups • Yearly audit • Specific questionnaires

Governance structure • Board and various sub groups • Yearly audit • Specific questionnaires and reports e. g. PR • Linking into CQUINs, contracts, LES/DES • Follow up on action plans after events Respiratory Clinical Pathway Team 5

What’s happening • National agenda • Regional work • Clinical Best Practice • Good

What’s happening • National agenda • Regional work • Clinical Best Practice • Good practice awareness • Adoption of work e. g. SLOS, Discharge Bundle • Website, Facebook, Twitter, • Reports, Toptips, guidelines Respiratory Clinical Pathway Team • AQu. A • Data aligned to 13 NICE standards • Good practice aligned to the standards • Support for local initiatives 6 Working together to improve respiratory care in the North West

What’s happening • Joint working with BLF, Inspiration NW • Patient change champions •

What’s happening • Joint working with BLF, Inspiration NW • Patient change champions • Expert Patient in each CCG • Integrated teams • GP/PN lead from each CCG Respiratory Clinical Pathway Team • Pulmonary Rehab • Meds Management • HOS • PN/Education leads • Website • Regional End of Life Care initiative, Tobacco Free futures, NHS Improvement, SDM, Advancing Quality, Regional Comms • Regional initiatives delivered by NWRCPT & Kite Marking 7 Working together to improve respiratory care in the North West

1. Key Lessons to Date • Circulation list is never complete Respiratory Clinical Pathway

1. Key Lessons to Date • Circulation list is never complete Respiratory Clinical Pathway Team • Connections are important • Someone has already done or is thinking about what you want to do 2. Issues and Challenges • Engagement and commitment from Senior Management – but we have been lucky • Ensuring quorum for regional board meeting • Lots to do but only 4 members to work • Working with CCGs • Who is thinking about the region in the new system 3. Support needed and current gaps • Teams need support – measuring outcomes, audit – can Lung Improvement help (How do you know you are making a difference) • Train programme managers/project managers to answer change questions Respiratory Clinical Pathway Team • Clinical network like Cancer and Stroke 8

Thanks to the engaged NW teams & patients. We tweet @skimmingstones 1, 2, 3,

Thanks to the engaged NW teams & patients. We tweet @skimmingstones 1, 2, 3, 4 9 Working together to improve respiratory care in the North West

Coalitions is essential, he believes, because change needs to come at a systemic level,

Coalitions is essential, he believes, because change needs to come at a systemic level, which needs all major players in society to commit to change – Unilever CEO 10