Elective Care

Elective Care2018-09-20T09:14:53+00:00

Project Description

The overall purpose of the Right Referral Right care elective collaboration is to:

Work with partners, including Local Authorities as joint commissioners, in developing joint commissioning intentions and subsequent delivery plans that promote parity of esteem and support the ambitions of the Clinical Services Review.

Develop joint commissioning intentions and delivery plans collaboratively with partners to feed into the ‘in acute’ and ‘out of acute’ transformation boards to inform the CCG and Local Authorities’ commissioning strategies to deliver the models of care emanating from the Clinical Services Review.

Key areas of work:

Dermatology

  • Development of a Dorset Dermatology clinical network

  • Integrating acute and community models

  • Move appropriate dermatology outpatients into the community

  • Teledermatology – piloting an image transfer app which will enable GPs to send photos to colleagues in dermatology for advice and guidance

Ophthalmology

  • A low vision aid eye care strategy is being developed through workshops and engagement events

  • Implementation plans for cataract referral refinement are in place

  • Pilots are being run in the community for diagnostic ocular hypertension and stable glaucoma

Diabetes

  • Implementation of the national Diabetes Prevention Programme throughout Dorset

  • Transformation programme to improve diabetes care by focusing on setting up Multi-Disciplinary Teams across Dorset and improving the control of blood pressure, cholesterol and HbA1c

  • Redesigning patient education for people diagnosed with diabetes

  • Promoting self-management and the dissemination of accurate information via the My Diabetes app

  • Ensuring all our staff have the education and training they need to deliver excellent diabetes services

  • Promoting foot care and foot assessment across Dorset in order to prevent amputations

  • Ensuring people who are frail and / or vulnerable have access to the same standards of treatment and care as everybody else

  • Involving people living with diabetes in all our improvement and redesign work

Musculoskeletal (MSK)

  • Peer reviews are being undertaken for physiotherapy and referral refinement

  • Implementation of the spinal pathway

  • Patient decision aid tool cards are available in GP practices

  • Pain review

Cardiology

  • Direct access to echo in community hospital pilot plans developed being tested with GPs

  • Development of Pan-Dorset pathway and policy

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