SlideShare a Scribd company logo
Jude Smith Respiratory Nurse Consultant & Long Term Condition Lead 24 th  March 2011 Transforming Community Services LONG TERM CONDITIONS personalised     responsive    effective     innovative
Background ,[object Object],[object Object],personalised     responsive    effective     innovative
What is a Long-Term Condition Hub? ,[object Object],[object Object],[object Object],[object Object]
Current Situation personalised     responsive    effective     innovative Administration ,[object Object],[object Object],[object Object],[object Object],GPs Hospitals Patients Community Teams Consultants Social/ Voluntary Care LTC Clinicians / Community Matrons
Future Plan personalised     responsive    effective     innovative LTC Hub ,[object Object],[object Object],Triage GPs Hospitals Patients Community Teams Consultants Social/ Voluntary Care LTC Clinicians / Community Matrons
  Key Features  (current thinking) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],personalised     responsive    effective     innovative
Key Benefits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],personalised     responsive    effective     innovative
Steps we took ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],personalised     responsive    effective     innovative
Screen,  Diagnose  Optimize Care Case manage Acute response  Care co-ordination Specialist interventions  End Of Life General Practice Community Teams Secondary Care Social Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],COPD HF Diabetes Neuro Complex Elderly EOL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],= MDT Review
Implementation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Implementation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Implementation- KPI’s ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Communication ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Staff rota   NWD NWD NWD X   NWD NWD X     Heart Failure NWD   NWD H   NWD   NWD   X NWD Heart Failure     HA X UNI   AL AL AL AL AL Heart Failure   X   X X   X   X X X Heart Failure   NWD NWD   H   NWD NWD X SL   Heart Failure NWD     NWD NWD NWD NWD NWD NWD   X Heart Failure   X X     HA X X X X X Heart Failure           H           Diabetes             HA         Diabetes NWD NWD       NWD NWD H     NWD Diabetes H                 HA   Diabetes   NWD H       NWD       HA Diabetes     X         HA   X   COPD AL NWD NWD NWD     NWD NWD NWD     COPD X X X X AL AL H X X X AL COPD   H X   X X X X HA X X COPD   X X X X   X   H     CM       X HA           H CM HA     X           H AL CM
Clinician capacity plan
The Launch
The Launch
The Launch
Where we are now ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Future? ,[object Object],[object Object],[object Object]

More Related Content

Similar to Long term conditions

Health Works: Supporting Health in the Working Age
Health Works: Supporting Health in the Working AgeHealth Works: Supporting Health in the Working Age
Health Works: Supporting Health in the Working Age
NHSScotlandEvent
 
A systems approach to improving patient flow
A systems approach to improving patient flowA systems approach to improving patient flow
A systems approach to improving patient flow
Saskatchewan Health Care Quality Summit
 
Nr 650.kickoff powerpoint
Nr 650.kickoff powerpointNr 650.kickoff powerpoint
Nr 650.kickoff powerpoint
nnorris1
 
Castaneda, C - 072616 CV
Castaneda, C - 072616 CVCastaneda, C - 072616 CV
Castaneda, C - 072616 CV
Cristina Castaneda
 
Telehealth In Southampton - C Webb
Telehealth In Southampton - C WebbTelehealth In Southampton - C Webb
Telehealth In Southampton - C Webb
healthcareisi
 
How therapy teams can work differently to improve patient flow
How therapy teams can work differently to improve patient flowHow therapy teams can work differently to improve patient flow
How therapy teams can work differently to improve patient flow
NHS England
 
Saude
SaudeSaude
Task Type Individual Project   Deliverable Length 8–10 pag.docx
Task Type  Individual Project   Deliverable Length  8–10 pag.docxTask Type  Individual Project   Deliverable Length  8–10 pag.docx
Task Type Individual Project   Deliverable Length 8–10 pag.docx
SANSKAR20
 
Leadership support requirements during a significant system implementation. D...
Leadership support requirements during a significant system implementation. D...Leadership support requirements during a significant system implementation. D...
Leadership support requirements during a significant system implementation. D...
mfolkard
 
clinic flow poster
clinic flow posterclinic flow poster
clinic flow poster
Mollie Mullaney
 
Benefits and Lessons Learned - An e-Referrals Pilot in the Waikato
Benefits and Lessons Learned - An e-Referrals Pilot in the WaikatoBenefits and Lessons Learned - An e-Referrals Pilot in the Waikato
Benefits and Lessons Learned - An e-Referrals Pilot in the Waikato
Health Informatics New Zealand
 
Practical Guide to Benefits Driven Change
Practical Guide to Benefits Driven ChangePractical Guide to Benefits Driven Change
Practical Guide to Benefits Driven Change
Minney org Ltd
 
Joanna Smith, Chief Information Officer, The Royal Brompton & Harefield NHS F...
Joanna Smith, Chief Information Officer, The Royal Brompton & Harefield NHS F...Joanna Smith, Chief Information Officer, The Royal Brompton & Harefield NHS F...
Joanna Smith, Chief Information Officer, The Royal Brompton & Harefield NHS F...
Investnet
 
Pleasing Patients through Coordination of Services
Pleasing Patients through Coordination of ServicesPleasing Patients through Coordination of Services
Pleasing Patients through Coordination of Services
William Buddy Gillespie ITIL Certified
 
BCM QI Session 2: SMART Aims
BCM QI Session 2:  SMART AimsBCM QI Session 2:  SMART Aims
BCM QI Session 2: SMART Aims
bcmfellows
 
Workshop 3: Overview
Workshop 3: OverviewWorkshop 3: Overview
Workshop 3: Overview
aaltunalboro
 
22 oct15 fast followers workshop ltc
22 oct15 fast followers workshop ltc22 oct15 fast followers workshop ltc
22 oct15 fast followers workshop ltc
NHS Improving Quality
 
Tips to engage stakeholders in 7 day services
Tips to engage stakeholders in 7 day servicesTips to engage stakeholders in 7 day services
Tips to engage stakeholders in 7 day services
NHS England
 
SE LHIN Cardiovascular Roadmap Information Presentation - CHC EDs March 2011
SE LHIN Cardiovascular Roadmap Information Presentation - CHC EDs March 2011SE LHIN Cardiovascular Roadmap Information Presentation - CHC EDs March 2011
SE LHIN Cardiovascular Roadmap Information Presentation - CHC EDs March 2011
Cynthia Johnston
 
Healthcare Project Management-Healthcare Project Management
Healthcare Project Management-Healthcare Project ManagementHealthcare Project Management-Healthcare Project Management
Healthcare Project Management-Healthcare Project Management
MUKESH SUNDARARAJAN
 

Similar to Long term conditions (20)

Health Works: Supporting Health in the Working Age
Health Works: Supporting Health in the Working AgeHealth Works: Supporting Health in the Working Age
Health Works: Supporting Health in the Working Age
 
A systems approach to improving patient flow
A systems approach to improving patient flowA systems approach to improving patient flow
A systems approach to improving patient flow
 
Nr 650.kickoff powerpoint
Nr 650.kickoff powerpointNr 650.kickoff powerpoint
Nr 650.kickoff powerpoint
 
Castaneda, C - 072616 CV
Castaneda, C - 072616 CVCastaneda, C - 072616 CV
Castaneda, C - 072616 CV
 
Telehealth In Southampton - C Webb
Telehealth In Southampton - C WebbTelehealth In Southampton - C Webb
Telehealth In Southampton - C Webb
 
How therapy teams can work differently to improve patient flow
How therapy teams can work differently to improve patient flowHow therapy teams can work differently to improve patient flow
How therapy teams can work differently to improve patient flow
 
Saude
SaudeSaude
Saude
 
Task Type Individual Project   Deliverable Length 8–10 pag.docx
Task Type  Individual Project   Deliverable Length  8–10 pag.docxTask Type  Individual Project   Deliverable Length  8–10 pag.docx
Task Type Individual Project   Deliverable Length 8–10 pag.docx
 
Leadership support requirements during a significant system implementation. D...
Leadership support requirements during a significant system implementation. D...Leadership support requirements during a significant system implementation. D...
Leadership support requirements during a significant system implementation. D...
 
clinic flow poster
clinic flow posterclinic flow poster
clinic flow poster
 
Benefits and Lessons Learned - An e-Referrals Pilot in the Waikato
Benefits and Lessons Learned - An e-Referrals Pilot in the WaikatoBenefits and Lessons Learned - An e-Referrals Pilot in the Waikato
Benefits and Lessons Learned - An e-Referrals Pilot in the Waikato
 
Practical Guide to Benefits Driven Change
Practical Guide to Benefits Driven ChangePractical Guide to Benefits Driven Change
Practical Guide to Benefits Driven Change
 
Joanna Smith, Chief Information Officer, The Royal Brompton & Harefield NHS F...
Joanna Smith, Chief Information Officer, The Royal Brompton & Harefield NHS F...Joanna Smith, Chief Information Officer, The Royal Brompton & Harefield NHS F...
Joanna Smith, Chief Information Officer, The Royal Brompton & Harefield NHS F...
 
Pleasing Patients through Coordination of Services
Pleasing Patients through Coordination of ServicesPleasing Patients through Coordination of Services
Pleasing Patients through Coordination of Services
 
BCM QI Session 2: SMART Aims
BCM QI Session 2:  SMART AimsBCM QI Session 2:  SMART Aims
BCM QI Session 2: SMART Aims
 
Workshop 3: Overview
Workshop 3: OverviewWorkshop 3: Overview
Workshop 3: Overview
 
22 oct15 fast followers workshop ltc
22 oct15 fast followers workshop ltc22 oct15 fast followers workshop ltc
22 oct15 fast followers workshop ltc
 
Tips to engage stakeholders in 7 day services
Tips to engage stakeholders in 7 day servicesTips to engage stakeholders in 7 day services
Tips to engage stakeholders in 7 day services
 
SE LHIN Cardiovascular Roadmap Information Presentation - CHC EDs March 2011
SE LHIN Cardiovascular Roadmap Information Presentation - CHC EDs March 2011SE LHIN Cardiovascular Roadmap Information Presentation - CHC EDs March 2011
SE LHIN Cardiovascular Roadmap Information Presentation - CHC EDs March 2011
 
Healthcare Project Management-Healthcare Project Management
Healthcare Project Management-Healthcare Project ManagementHealthcare Project Management-Healthcare Project Management
Healthcare Project Management-Healthcare Project Management
 

More from Department of Health

No voice unheard, no right ignored: consultation for people with learning dis...
No voice unheard, no right ignored: consultation for people with learning dis...No voice unheard, no right ignored: consultation for people with learning dis...
No voice unheard, no right ignored: consultation for people with learning dis...
Department of Health
 
Creating digital tools for mental health and employment support: the discover...
Creating digital tools for mental health and employment support: the discover...Creating digital tools for mental health and employment support: the discover...
Creating digital tools for mental health and employment support: the discover...
Department of Health
 
Creating digital tools for mental wellbeing and employment support: pre-alpha...
Creating digital tools for mental wellbeing and employment support: pre-alpha...Creating digital tools for mental wellbeing and employment support: pre-alpha...
Creating digital tools for mental wellbeing and employment support: pre-alpha...
Department of Health
 
Pre-Alpha appendix
Pre-Alpha appendixPre-Alpha appendix
Pre-Alpha appendix
Department of Health
 
Global Dementia Legacy Event: Canada & France: Dr Etienne Hirsch & Dr Yves Jo...
Global Dementia Legacy Event: Canada & France: Dr Etienne Hirsch & Dr Yves Jo...Global Dementia Legacy Event: Canada & France: Dr Etienne Hirsch & Dr Yves Jo...
Global Dementia Legacy Event: Canada & France: Dr Etienne Hirsch & Dr Yves Jo...
Department of Health
 
Global Dementia Legacy Event: Professor Martin Knapp
Global Dementia Legacy Event: Professor Martin KnappGlobal Dementia Legacy Event: Professor Martin Knapp
Global Dementia Legacy Event: Professor Martin Knapp
Department of Health
 
Global Dementia Legacy Event: Professor Andrew Lo
Global Dementia Legacy Event: Professor Andrew LoGlobal Dementia Legacy Event: Professor Andrew Lo
Global Dementia Legacy Event: Professor Andrew Lo
Department of Health
 
Global Dementia Legacy Event: Mr. George Vradenburg
Global Dementia Legacy Event: Mr. George VradenburgGlobal Dementia Legacy Event: Mr. George Vradenburg
Global Dementia Legacy Event: Mr. George Vradenburg
Department of Health
 
Marc Wortman, Executive Director, Alzheimer’s Disease International (ADI)
Marc Wortman, Executive Director, Alzheimer’s Disease International (ADI) Marc Wortman, Executive Director, Alzheimer’s Disease International (ADI)
Marc Wortman, Executive Director, Alzheimer’s Disease International (ADI)
Department of Health
 
Global Dementia Legacy Event: DY Suharya
Global Dementia Legacy Event: DY SuharyaGlobal Dementia Legacy Event: DY Suharya
Global Dementia Legacy Event: DY Suharya
Department of Health
 
Global Dementia Legacy Event: Dr. Maria C. Carrillo
Global Dementia Legacy Event: Dr. Maria C. CarrilloGlobal Dementia Legacy Event: Dr. Maria C. Carrillo
Global Dementia Legacy Event: Dr. Maria C. Carrillo
Department of Health
 
Global Dementia Legacy Event: Mr. Stephen Johnston
Global Dementia Legacy Event: Mr. Stephen JohnstonGlobal Dementia Legacy Event: Mr. Stephen Johnston
Global Dementia Legacy Event: Mr. Stephen Johnston
Department of Health
 
Global Dementia Legacy Event: Mr. Tom Wright CBE
Global Dementia Legacy Event: Mr. Tom Wright CBEGlobal Dementia Legacy Event: Mr. Tom Wright CBE
Global Dementia Legacy Event: Mr. Tom Wright CBE
Department of Health
 
Global Dementia Legacy Event: Dr Neil Buckholtz
Global Dementia Legacy Event: Dr Neil Buckholtz Global Dementia Legacy Event: Dr Neil Buckholtz
Global Dementia Legacy Event: Dr Neil Buckholtz
Department of Health
 
Global Dementia Legacy Event: Ms Inez Jabalpurwala, President and CEO, Brain ...
Global Dementia Legacy Event: Ms Inez Jabalpurwala, President and CEO, Brain ...Global Dementia Legacy Event: Ms Inez Jabalpurwala, President and CEO, Brain ...
Global Dementia Legacy Event: Ms Inez Jabalpurwala, President and CEO, Brain ...
Department of Health
 
Global Dementia Legacy Event: Raj Long, Senior Regulatory Officer
Global Dementia Legacy Event: Raj Long, Senior Regulatory OfficerGlobal Dementia Legacy Event: Raj Long, Senior Regulatory Officer
Global Dementia Legacy Event: Raj Long, Senior Regulatory Officer
Department of Health
 
Global Dementia Legacy Event: Dr. Luc Truyen, MD, PhD
Global Dementia Legacy Event: Dr. Luc Truyen, MD, PhDGlobal Dementia Legacy Event: Dr. Luc Truyen, MD, PhD
Global Dementia Legacy Event: Dr. Luc Truyen, MD, PhD
Department of Health
 
Global Dementia Legacy Event: Elisabetta Vaudano DVM PhD
Global Dementia Legacy Event: Elisabetta Vaudano DVM PhDGlobal Dementia Legacy Event: Elisabetta Vaudano DVM PhD
Global Dementia Legacy Event: Elisabetta Vaudano DVM PhD
Department of Health
 
Global Dementia Legacy Event: John Ryan
Global Dementia Legacy Event: John RyanGlobal Dementia Legacy Event: John Ryan
Global Dementia Legacy Event: John Ryan
Department of Health
 
Global Dementia Legacy Event: Professor Lefkos Middleton
Global Dementia Legacy Event: Professor Lefkos MiddletonGlobal Dementia Legacy Event: Professor Lefkos Middleton
Global Dementia Legacy Event: Professor Lefkos Middleton
Department of Health
 

More from Department of Health (20)

No voice unheard, no right ignored: consultation for people with learning dis...
No voice unheard, no right ignored: consultation for people with learning dis...No voice unheard, no right ignored: consultation for people with learning dis...
No voice unheard, no right ignored: consultation for people with learning dis...
 
Creating digital tools for mental health and employment support: the discover...
Creating digital tools for mental health and employment support: the discover...Creating digital tools for mental health and employment support: the discover...
Creating digital tools for mental health and employment support: the discover...
 
Creating digital tools for mental wellbeing and employment support: pre-alpha...
Creating digital tools for mental wellbeing and employment support: pre-alpha...Creating digital tools for mental wellbeing and employment support: pre-alpha...
Creating digital tools for mental wellbeing and employment support: pre-alpha...
 
Pre-Alpha appendix
Pre-Alpha appendixPre-Alpha appendix
Pre-Alpha appendix
 
Global Dementia Legacy Event: Canada & France: Dr Etienne Hirsch & Dr Yves Jo...
Global Dementia Legacy Event: Canada & France: Dr Etienne Hirsch & Dr Yves Jo...Global Dementia Legacy Event: Canada & France: Dr Etienne Hirsch & Dr Yves Jo...
Global Dementia Legacy Event: Canada & France: Dr Etienne Hirsch & Dr Yves Jo...
 
Global Dementia Legacy Event: Professor Martin Knapp
Global Dementia Legacy Event: Professor Martin KnappGlobal Dementia Legacy Event: Professor Martin Knapp
Global Dementia Legacy Event: Professor Martin Knapp
 
Global Dementia Legacy Event: Professor Andrew Lo
Global Dementia Legacy Event: Professor Andrew LoGlobal Dementia Legacy Event: Professor Andrew Lo
Global Dementia Legacy Event: Professor Andrew Lo
 
Global Dementia Legacy Event: Mr. George Vradenburg
Global Dementia Legacy Event: Mr. George VradenburgGlobal Dementia Legacy Event: Mr. George Vradenburg
Global Dementia Legacy Event: Mr. George Vradenburg
 
Marc Wortman, Executive Director, Alzheimer’s Disease International (ADI)
Marc Wortman, Executive Director, Alzheimer’s Disease International (ADI) Marc Wortman, Executive Director, Alzheimer’s Disease International (ADI)
Marc Wortman, Executive Director, Alzheimer’s Disease International (ADI)
 
Global Dementia Legacy Event: DY Suharya
Global Dementia Legacy Event: DY SuharyaGlobal Dementia Legacy Event: DY Suharya
Global Dementia Legacy Event: DY Suharya
 
Global Dementia Legacy Event: Dr. Maria C. Carrillo
Global Dementia Legacy Event: Dr. Maria C. CarrilloGlobal Dementia Legacy Event: Dr. Maria C. Carrillo
Global Dementia Legacy Event: Dr. Maria C. Carrillo
 
Global Dementia Legacy Event: Mr. Stephen Johnston
Global Dementia Legacy Event: Mr. Stephen JohnstonGlobal Dementia Legacy Event: Mr. Stephen Johnston
Global Dementia Legacy Event: Mr. Stephen Johnston
 
Global Dementia Legacy Event: Mr. Tom Wright CBE
Global Dementia Legacy Event: Mr. Tom Wright CBEGlobal Dementia Legacy Event: Mr. Tom Wright CBE
Global Dementia Legacy Event: Mr. Tom Wright CBE
 
Global Dementia Legacy Event: Dr Neil Buckholtz
Global Dementia Legacy Event: Dr Neil Buckholtz Global Dementia Legacy Event: Dr Neil Buckholtz
Global Dementia Legacy Event: Dr Neil Buckholtz
 
Global Dementia Legacy Event: Ms Inez Jabalpurwala, President and CEO, Brain ...
Global Dementia Legacy Event: Ms Inez Jabalpurwala, President and CEO, Brain ...Global Dementia Legacy Event: Ms Inez Jabalpurwala, President and CEO, Brain ...
Global Dementia Legacy Event: Ms Inez Jabalpurwala, President and CEO, Brain ...
 
Global Dementia Legacy Event: Raj Long, Senior Regulatory Officer
Global Dementia Legacy Event: Raj Long, Senior Regulatory OfficerGlobal Dementia Legacy Event: Raj Long, Senior Regulatory Officer
Global Dementia Legacy Event: Raj Long, Senior Regulatory Officer
 
Global Dementia Legacy Event: Dr. Luc Truyen, MD, PhD
Global Dementia Legacy Event: Dr. Luc Truyen, MD, PhDGlobal Dementia Legacy Event: Dr. Luc Truyen, MD, PhD
Global Dementia Legacy Event: Dr. Luc Truyen, MD, PhD
 
Global Dementia Legacy Event: Elisabetta Vaudano DVM PhD
Global Dementia Legacy Event: Elisabetta Vaudano DVM PhDGlobal Dementia Legacy Event: Elisabetta Vaudano DVM PhD
Global Dementia Legacy Event: Elisabetta Vaudano DVM PhD
 
Global Dementia Legacy Event: John Ryan
Global Dementia Legacy Event: John RyanGlobal Dementia Legacy Event: John Ryan
Global Dementia Legacy Event: John Ryan
 
Global Dementia Legacy Event: Professor Lefkos Middleton
Global Dementia Legacy Event: Professor Lefkos MiddletonGlobal Dementia Legacy Event: Professor Lefkos Middleton
Global Dementia Legacy Event: Professor Lefkos Middleton
 

Recently uploaded

Cervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptxCervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptx
LEFLOT Jean-Louis
 
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
Call Girls In Mumbai +91-7426014248 High Profile Call Girl MumbaiCall Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
Mobile Problem
 
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
Université de Montréal
 
NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
NARCOTICS- POLICY AND PROCEDURES FOR ITS USENARCOTICS- POLICY AND PROCEDURES FOR ITS USE
NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
Dr. Ahana Haroon
 
Ageing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public HealthAgeing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public Health
phuakl
 
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdf
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdfOphthalmic drugs latest. Xxxxxxzxxxxxx.pdf
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdf
MuhammadMuneer49
 
Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.
Kunj Vihari
 
Breast cancer: Post menopausal endocrine therapy
Breast cancer: Post menopausal endocrine therapyBreast cancer: Post menopausal endocrine therapy
Breast cancer: Post menopausal endocrine therapy
Dr. Sumit KUMAR
 
How to choose the best dermatologists in Indore.
How to choose the best dermatologists in Indore.How to choose the best dermatologists in Indore.
How to choose the best dermatologists in Indore.
Gokuldas Hospital
 
District Residency Programme (DRP) for PGs in India.pptx
District Residency Programme (DRP) for PGs in India.pptxDistrict Residency Programme (DRP) for PGs in India.pptx
District Residency Programme (DRP) for PGs in India.pptx
CommunityMedicine46
 
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.GawadHemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
NephroTube - Dr.Gawad
 
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
shruti jagirdar
 
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOWPune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
Get New Sim
 
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)
MuskanShingari
 
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan PatroJune 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Kanhu Charan
 
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and AntagonistPharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
Dr. Nikhilkumar Sakle
 
Full Handwritten notes of RA by Ayush Kumar M pharm - Al ameen college of pha...
Full Handwritten notes of RA by Ayush Kumar M pharm - Al ameen college of pha...Full Handwritten notes of RA by Ayush Kumar M pharm - Al ameen college of pha...
Full Handwritten notes of RA by Ayush Kumar M pharm - Al ameen college of pha...
ayushrajshrivastava7
 
Foundation of Yoga, YCB Level-3, Unit-1
Foundation of Yoga, YCB Level-3, Unit-1 Foundation of Yoga, YCB Level-3, Unit-1
Foundation of Yoga, YCB Level-3, Unit-1
Jyoti Bhaghasra
 
biomechanics of running. Dr.dhwani.pptx
biomechanics of running.   Dr.dhwani.pptxbiomechanics of running.   Dr.dhwani.pptx
biomechanics of running. Dr.dhwani.pptx
Dr. Dhwani kawedia
 
What is Obesity? How to overcome Obesity?
What is Obesity? How to overcome Obesity?What is Obesity? How to overcome Obesity?
What is Obesity? How to overcome Obesity?
Healthmedsrx.com
 

Recently uploaded (20)

Cervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptxCervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptx
 
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
Call Girls In Mumbai +91-7426014248 High Profile Call Girl MumbaiCall Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
 
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
 
NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
NARCOTICS- POLICY AND PROCEDURES FOR ITS USENARCOTICS- POLICY AND PROCEDURES FOR ITS USE
NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
 
Ageing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public HealthAgeing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public Health
 
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdf
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdfOphthalmic drugs latest. Xxxxxxzxxxxxx.pdf
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdf
 
Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.
 
Breast cancer: Post menopausal endocrine therapy
Breast cancer: Post menopausal endocrine therapyBreast cancer: Post menopausal endocrine therapy
Breast cancer: Post menopausal endocrine therapy
 
How to choose the best dermatologists in Indore.
How to choose the best dermatologists in Indore.How to choose the best dermatologists in Indore.
How to choose the best dermatologists in Indore.
 
District Residency Programme (DRP) for PGs in India.pptx
District Residency Programme (DRP) for PGs in India.pptxDistrict Residency Programme (DRP) for PGs in India.pptx
District Residency Programme (DRP) for PGs in India.pptx
 
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.GawadHemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
 
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
 
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOWPune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
 
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)
 
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan PatroJune 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
 
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and AntagonistPharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
 
Full Handwritten notes of RA by Ayush Kumar M pharm - Al ameen college of pha...
Full Handwritten notes of RA by Ayush Kumar M pharm - Al ameen college of pha...Full Handwritten notes of RA by Ayush Kumar M pharm - Al ameen college of pha...
Full Handwritten notes of RA by Ayush Kumar M pharm - Al ameen college of pha...
 
Foundation of Yoga, YCB Level-3, Unit-1
Foundation of Yoga, YCB Level-3, Unit-1 Foundation of Yoga, YCB Level-3, Unit-1
Foundation of Yoga, YCB Level-3, Unit-1
 
biomechanics of running. Dr.dhwani.pptx
biomechanics of running.   Dr.dhwani.pptxbiomechanics of running.   Dr.dhwani.pptx
biomechanics of running. Dr.dhwani.pptx
 
What is Obesity? How to overcome Obesity?
What is Obesity? How to overcome Obesity?What is Obesity? How to overcome Obesity?
What is Obesity? How to overcome Obesity?
 

Long term conditions

  • 1. Jude Smith Respiratory Nurse Consultant & Long Term Condition Lead 24 th March 2011 Transforming Community Services LONG TERM CONDITIONS personalised  responsive  effective  innovative
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. Staff rota   NWD NWD NWD X   NWD NWD X     Heart Failure NWD   NWD H   NWD   NWD   X NWD Heart Failure     HA X UNI   AL AL AL AL AL Heart Failure   X   X X   X   X X X Heart Failure   NWD NWD   H   NWD NWD X SL   Heart Failure NWD     NWD NWD NWD NWD NWD NWD   X Heart Failure   X X     HA X X X X X Heart Failure           H           Diabetes             HA         Diabetes NWD NWD       NWD NWD H     NWD Diabetes H                 HA   Diabetes   NWD H       NWD       HA Diabetes     X         HA   X   COPD AL NWD NWD NWD     NWD NWD NWD     COPD X X X X AL AL H X X X AL COPD   H X   X X X X HA X X COPD   X X X X   X   H     CM       X HA           H CM HA     X           H AL CM
  • 19.
  • 20.