Published on July 13, 2016
1. CLINCICAL LEADERSHIP IN PRACTICE CLINCICAL LEADERSHIP IN PRACTICE AHP Innovation DeliveringAHP Innovation Delivering #FutureNHS#FutureNHS IPOPSIPOPS AN INNOVATIVE MSK SERVICEAN INNOVATIVE MSK SERVICE Paula Deacon & Denise Softley ~ Clinical Lead Physiotherapists Integrated Physiotherapy, Orthopaedic and Pain Service (SES) @paulawoods5 @DkneesDelbows #CAHPO16
2. CLINCICAL LEADERSHIP IN PRACTICE CLINCICAL LEADERSHIP IN PRACTICE @paulawoods5@paulawoods5 @DkneesDelbows #CAHPO16@DkneesDelbows #CAHPO16 Our JourneyOur Journey
3. Lets turn back the clock to 2003-2009 • 3 Community Hospitals • 3 MSK referral pathways • GP’s gatekeepers • Staff working across services #CAHPO16
4. Challenges #CAHPO16
5. 2008 Lord Darzi Next Stage Review POMS #CAHPO16 2010 Physiotherapy and Orthopaedic Medicine Service
6. POMS 2010-2014 • 2 Community Hospitals • 1 MSK referral pathway excluding Red Flags • POMS gatekeepers • Staff working across 1 service • Streamlined patient care • Clinically Led/Operationally Managed #CAHPO16
7. Clinical Leadership key roles and responsibilities • Ensure the provision of high quality, innovative, evidence based practice • Through a network of key relationships provide clinical leadership for major changes in clinical practice within POMS • Set and improve standards and respond to best practice guidelines • Participate in the development and implementation of business development and marketing strategies for the service, and innovate POMS in line with the Quality, Innovation, Productivity and Prevention (QIPP). • Develop, implement and evaluate strategies that support and influence governance, service delivery and quality improvements, education and training and workforce development #CAHPO16
8. ‘Great things done by a series of small things brought together…’ Vincent Van Gough
9. Quality • Care that is clinically effective– not just in the eyes of clinicians but in the eyes of patients themselves. • Care that is safe • Care that provides as positive an experience for patients as possible • Ensuring we have the right staff, with the right skills in the right place….’ NHS England #CAHPO16
10. Governance • Standardised assessment proformas per body area • Validated PROM’s implemented and recently Patient Care Plans • Clinical pathways and guidelines developed and implemented • Competency framework developed and implemented • Training and implementation of EBP • Mentoring/clinical supervision/ supporting staff performance process in place • Protected weekly non clinical time for CPD/meetings/mentoring etc.. #CAHPO16
11. Efficiency and Effectiveness #CAHPO16 • Job plans & templates • Communication ABC • Effective triage • One stop shop • Weekly clinical discussion • PROMs • KPIs • Cost effectiveness snapshots • Research/ National publication • 6Cs & SSOTP excellence awards
12. Evaluation Users •Patient experience •Comments box •You said, we did board Staff •TNA •Reflections •Competencies •Clinical forum •MOB •Celebrations Service •Databases •Audits •Annual reports •CQUIN reports #CAHPO16
13. Service and Staff Development #CAHPO16
14. 2014-2015 MIS + CPMS #CAHPO16
15. IPOPS #CAHPO16 We believe in delivering individualised, high quality care. We believe in doing what is right, for the right reasons. We develop and support our staff so they can care, listen to and empower each patient and each other. We work collaboratively with our stakeholders We deliver MSK community care which continues to evolve #CAHPO16
16. Thank You #CAHPO16
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