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Breakout 3.2 National Survey of Multi-morbidity in clinical practice with COPD as an examplar -  Dr Shoba Poduval
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Breakout 3.2 National Survey of Multi-morbidity in clinical practice with COPD as an examplar - Dr Shoba Poduval

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Breakout 3.2 National Survey of Multi-morbidity in clinical practice with COPD as an examplar - Dr Shoba Poduval …

Breakout 3.2 National Survey of Multi-morbidity in clinical practice with COPD as an examplar - Dr Shoba Poduval
Clinical Support Fellow and First5 GP
Part of a set of presentations from NHS Improvement event: Better value, better outcomes held on Thursday 21 February 2013,
Guoman Tower Hotel, London
How to deliver quality and value in chronic care:sharing the learning from the respiratory programme

Published in: Health & Medicine

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  • 1. National Survey of Multi-morbidityin clinical practice with COPD as an examplar Dr Shoba Poduval Clinical Support Fellow and First5 GP Survey• 7 point questionnaire uploaded to survey monkey – What did you do? How did you do it? Why? What prompted you? – Overall impact -how this benefits patients, staff and the organisation – Lessons learnt, what went well? What didn’t work well? Advice for others 1
  • 2. Survey• Open 29.11.12 - 8.2.13• Thirty four responses• Thirteen reviewed- themes• Five case studies• Other Practices of note- telehealth Preliminary ResultsThemes • Outcomes• Motive • Evaluation• Patient selection & • Challenges invitation• Organisation• Staff• Housebound patients 2
  • 3. Motives• QoF• PBC/CCG funding• Improving patient experience Patient selection & invitation• Disease registers• Disease severity stratification• Specific patient selection criteria 3
  • 4. Staff• Practice team: GP’s, Nurses, HCA’s, admin staff• Community team: District Nurses, Community Nurses, Social Services, Pharmacists• Secondary Care Housebound• Visits by GP’s & Community Matrons• On-going support from Community Matron & Social Services 4
  • 5. Outcomes• Patient and staff satisfaction• More appointment time available• Medication adherence• Reduced A&E attendance• Projected savings Challenges• Training• Organisation- time• Resources- templates• Funding 5
  • 6. Discussion• What is your experience of managing multimorbidity?• Challenges?• Suggestions? 6