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
Enhancing the scope and spread of services in the community to ensure service users can access the right care, in the right place, at the right time.
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Development of new integrated pathways and processes within high-volume eye care services- particularly emergency care, glaucoma, macula and cataract (you can find out more about what we’re doing and how we are involving service users and carers in this work by visiting the Your Vision page <a href=”https://www.dorsetccg.nhs.uk/eyeservices/”>here</a>)
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</div> - <div>Expanding on our work for cataract referral refinement (see download section below)</div>
- <div>Developing more tools and information for service users to help them know when and how to access care, and what to expect when they do</div>
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