Yorkshire and Humber Congenital Heart Disease Network The
Yorkshire and Humber Congenital Heart Disease Network The business side of things Dr Elspeth Brown Network Lead Clinician
CHD Standards - 2017 Self Assessment Exercise • Excel spreadsheet sent to all Level 3 Centres • 16 Children’s Centres • 2 ACHD Centres • 240 standards • Local/Network/Both • RAG rate
LOTS OF GREEN
LOTS OF AMBER
MUCH LESS RED
P • IT • Education • Telemedicine • Audit • Nursing • Clinical Governance • PECs • Transition • Echocardiography • Any more ? ?
IT • A 6 ( L 3) National health records summary • A 13( L 3) Access to IT system in outreach clinics • B 6 (L 3) Local staff member to input into Network database • F 4(L 3) Local internal database linked to Surgical Centre • F 8(L 3) Each Local Cardiology Centre to provide diagnosis information for Network database
Engagement - professionals • http: //leedscongenitalhearts. com • http: //www. yorkshirehumberodn. nhs. uk • https: //www. networks. nhs. uk/nhsnetworks/yorkshire-and-humber-congenitalcardiac-network
Patient and family support • http: //leedscongenitalhearts. com • https: //chsf. org. uk • Facebook – Leedscongenitalheartunit – CHSF • http: //www. tinytickers. org • National charities
Telemedicine A 12 (L 3) Links to the surgical centre for • Echo assessment • Participation in MDT meetings • Emergency referrals • Image transfer (echo, CT, MRI)
Nursing • A 17(L 3) B 2(L 3) Designated nurses with training in paediatric cardiology/ACHD • B 4(L 3) B 3( L 3)Designated 0. 25 wte nurse with a specialist interest to participate in clinics and support inpatients • E 6(L 3) Rotations for local nurses
PECs/ACHD Doctors • B 1 (L 3) At least one PEC or Consultant Cardiologist with an interest in ACHD • PECs – 20% of job plan in paediatric cardiology – Be part of a CHD Network – Linked to a consultant paediatric cardiologist – Take responsibility for the running of a joint clinic – Hold an Honorary Contract with the Surgical Centre • A 15(L 3)To attend MDT 6 times per year
Cardiac Physiology • B 8(L 3) Each Local Cardiology Centre must have a cardiac physiologist with training in congenital echocardiography • D 5(L 3) Range of equipment and investigations to be agreed with Network -Access to range of cardiac physiological investigations -24/7 access to modern echo equipment -Facility to store and transfer echo images
Education and Research • E 4(L 3) Formal annual training plan for all healthcare professionals involved in CHD • E 5(L 3) Sufficient nurse educators to provide standardised training and competency based programmes • G 1(L 3) Each Level 3 Centre should participate in research
Clinical Governance • F 2(L 3) All clinical teams to operate within a robust clinical governance framework - network audit and quality improvement - network meetings - guidelines and protocols - review of mortality, morbidity and adverse incidents • F 3 (L 3) Local Centres must report on adverse incidents and the learning must be shared locally and nationally
Clinical Audit • F 1(L 3) Collaboration on inter-unit peer review every 5 years • F 5(L 3)Participate in audit with at least 1 audit of clinical significance every year • F 6(L 3) Audits must link with similar audits across the Network
Transition • I 1 ( L 3) Networks to minimise loss of patients to follow up during transition and transfer • Loss to follow up rates must be discussed at Network meetings • Transition must be tailored to individual circumstances
Feedback • Feedback to all the Level 3 Centres • Agree action plans • Quality Dashboard • ASK US TO DO THINGS !!
The Next 6 months • Establish the Network Board • Describe the Network’s clinical governance framework • Ensure consistency around tariffs • Agree a work programme for the next 2 years based around the standards • Keep planning to be the best
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