This chapter discusses crisis communication in the health sector. It defines a health crisis as a significant disruption that receives extensive media coverage and impacts normal operations. A health crisis can be caused by natural disasters, criminal acts, or competition. The chapter outlines how to prepare for a crisis through developing a response plan, preventing crises, understanding organizational culture, and designating media spokespeople. During a crisis, communicators must be involved in decision making. Effective crisis communication focuses on solving problems, using effective spokespeople, controlling the media narrative, being transparent, and communicating internally and externally.
The document discusses a public awareness campaign called The Heart Truth/Red Dress campaign launched by the National Heart, Lung, and Blood Institute in 2001 to educate women about heart disease risks. It summarizes how the campaign was born out of collaboration between government health experts and nonprofit advocacy groups like WomenHeart. The campaign featured women champions in red dresses to raise awareness that heart disease impacts all women. The document argues that the public-private partnership between government agencies, nonprofits, and corporations maximized the campaign's impact on increasing awareness about women's heart health risks.
This document discusses health professional associations and how they balance professional and business objectives through strategic communication. It identifies the main functions of medical associations, which include advocating for members, communicating scientific knowledge, and marketing services to members. The document also stresses the importance of strategic communication planning and using various communication tools and channels to achieve organizational goals.
Porterville Developmental Center (PDC) is a facility in California that provides services to individuals with developmental disabilities. PDC is overseen by various governing bodies and divided into programs that each client is assigned to. Within each program are units where clients live. The interdisciplinary team for each unit, which includes medical, social work, and other staff, creates a individualized plan for each client and makes decisions about their treatment and services. PDC aims to empower clients to become independent through personalized support programs and services.
Wellbeing Teams - a fresh approach to home careWellbeing Teams
Inspired by Buurtzorg, Wellbeing Teams are a new approach to providing care and support at home in partnership with Community Circles. They are small, neighbourhood-based self-managed teams.
The Irish Hospice Foundation has developed a series of guidance documents on dementia palliative care to help healthcare professionals provide better end-of-life care for people with dementia. The documents address key issues like communication, advance care planning, managing loss and grief, hydration and nutrition, pain assessment, ethical decision making, and medication management. They were created based on a review of the literature and input from an expert advisory group. Each document provides background, considerations for good practice, guidance, and resources. The goal is to improve recognition and management of palliative care needs in people with dementia.
This chapter discusses crisis communication in the health sector. It defines a health crisis as a significant disruption that receives extensive media coverage and impacts normal operations. A health crisis can be caused by natural disasters, criminal acts, or competition. The chapter outlines how to prepare for a crisis through developing a response plan, preventing crises, understanding organizational culture, and designating media spokespeople. During a crisis, communicators must be involved in decision making. Effective crisis communication focuses on solving problems, using effective spokespeople, controlling the media narrative, being transparent, and communicating internally and externally.
The document discusses a public awareness campaign called The Heart Truth/Red Dress campaign launched by the National Heart, Lung, and Blood Institute in 2001 to educate women about heart disease risks. It summarizes how the campaign was born out of collaboration between government health experts and nonprofit advocacy groups like WomenHeart. The campaign featured women champions in red dresses to raise awareness that heart disease impacts all women. The document argues that the public-private partnership between government agencies, nonprofits, and corporations maximized the campaign's impact on increasing awareness about women's heart health risks.
This document discusses health professional associations and how they balance professional and business objectives through strategic communication. It identifies the main functions of medical associations, which include advocating for members, communicating scientific knowledge, and marketing services to members. The document also stresses the importance of strategic communication planning and using various communication tools and channels to achieve organizational goals.
Porterville Developmental Center (PDC) is a facility in California that provides services to individuals with developmental disabilities. PDC is overseen by various governing bodies and divided into programs that each client is assigned to. Within each program are units where clients live. The interdisciplinary team for each unit, which includes medical, social work, and other staff, creates a individualized plan for each client and makes decisions about their treatment and services. PDC aims to empower clients to become independent through personalized support programs and services.
Wellbeing Teams - a fresh approach to home careWellbeing Teams
Inspired by Buurtzorg, Wellbeing Teams are a new approach to providing care and support at home in partnership with Community Circles. They are small, neighbourhood-based self-managed teams.
The Irish Hospice Foundation has developed a series of guidance documents on dementia palliative care to help healthcare professionals provide better end-of-life care for people with dementia. The documents address key issues like communication, advance care planning, managing loss and grief, hydration and nutrition, pain assessment, ethical decision making, and medication management. They were created based on a review of the literature and input from an expert advisory group. Each document provides background, considerations for good practice, guidance, and resources. The goal is to improve recognition and management of palliative care needs in people with dementia.
5. psychological assessment in pediatric rehabilitationTehreem Anis
Psychological assessment in pediatric rehabilitation is important for establishing current functioning levels, setting goals, and tracking progress over time. It involves standardized testing as well as interviews, observations, and informal assessments. Norm-referenced tests quantify a child's skills in areas like intelligence, academics, behavior, and motor abilities. Scores are interpreted in comparison to peers. Interviews provide a broad developmental history from multiple contexts. Observations offer insight into presentation, communication, and affect. Informal assessments continuously evaluate treatment effectiveness. Psychological assessment thus uses clinical and testing methods to understand a child's needs and develop appropriate rehabilitation plans.
This document discusses the role of psychiatric social workers in providing intervention for people with disabilities and victims of accidents. It outlines that social workers aim to strengthen human functioning and support resources for clients. Their interventions for the disabled include preventative, curative, and rehabilitative services like vocational training, counseling, assessments, and helping patients prepare to return home after medical care. For accident victims, social workers are involved in admission decisions, ensure ongoing support, and provide legal assistance. The overall goal is for social workers to help both groups improve their social functioning through various services.
Slides accompanying a presentation to participants in the NHS Leadership Academy's executive fast track programme. I did this in tandem with patient leader Lynne Craven.
"putting patients at the heart": the workforce implicationsJeremy Taylor
Slides I presented at the NHS Employers autumn workforce summit on 13 October 2015. They set out National Voices' perspective on what good person centred, community-focussed care looks like, and the implications for the healthcare workforce of making it real.
This document discusses counselling, including its definition, concepts, principles, need, members involved, functions of a counsellor, characteristics of a good counsellor, types of counselling services, common problems that need counselling, the counselling process, and approaches to counselling. Counselling is defined as assisting a client to interpret facts relating to choices or adjustments. It involves a trusting relationship between counsellor and client, with the goal of helping the client develop goals and make decisions. The counselling process typically involves establishing a relationship, assessment, setting goals, interventions, and termination with follow-up. Approaches can be non-directive, directive, or eclectic.
The concept of advance care planning outlined. The Assisted Decision Making (Capacity) Act 2015. Using Think Ahead as a tool to engage with advance care planning and with advance healthcare directives
Presentation by Katie Curo of Befriend Inc. - Activities Aren't Relationships: Supporting relationship outcomes using social identity approaches. Presented at the Western Australian Mental Health Conference 2019.
This document discusses supporting people with dementia to die at home in Ireland. It identifies key factors that enable home death, including availability of family/friend care, decision making between the person and family, and access to GP and homecare supports. While home death remains rare for those with dementia, the document recommends increased palliative care, support for home care, and nationally recognized tools to plan for end of life care needs.
Ijeoma achara 08162013_san antonio community rosc forum august 2013SACADA
This document discusses developing recovery-oriented systems of care (ROSC) at the community level. It begins by defining recovery and discussing the need for a community approach. It then explores challenges in current addiction and mental health systems and what recovery means to different people and communities. Key elements of a ROSC are described, including treatment services aligned with recovery, integration of peer support, advocacy, family support, and cross-system collaboration. The implications for different stakeholders like treatment providers, families, and community members are discussed. Strategies are provided for issues like outreach and engagement, culturally responsive services, continuing care and community integration.
The document discusses several aspects of mental health services in India including advantages of general hospital psychiatric units, innovative community mental health programs, the National Mental Health Program, institutionalization vs. deinstitutionalization, models of prevention, and the roles of different professionals and agencies in providing mental health services. Key points addressed are shorter hospital stays, greater family involvement, and reduced stigma associated with general hospital psychiatric units compared to standalone mental health facilities.
This document summarizes a presentation about end of life care for people with dementia. It discusses what people with dementia say about end of life care, including challenges around communication and acknowledging loss. It also examines the palliative care needs of people with dementia, noting issues around symptoms, care transitions and multidisciplinary support. Further, it outlines how incorporating a palliative approach into routine dementia care can help with advance care planning, loss and grief, and staff education. Finally, it analyzes how supporting people with dementia to die at home requires individualized care, future planning, symptom management and access to family and community support services.
We are Worth the Investment. NSW Council for Intellectual Disability Conference 16-17 July 2015. Children, Young People and the NDIS Mary Hawkins, Branch Manager Nepean Blue Mountains Early Transition Site NDIA
Facilitating Discussions on Future and End of Life Care With People who have ...Irish Hospice Foundation
Workshop presentation on Irish Hospice Foundation Dementia guidance document 1 "Facilitating Discussions on Future and end of life care with a person with dementia"
Home visiting involves establishing relationships with families and developing and implementing a family-centered care plan while evaluating health outcomes and satisfaction. The process includes pre-planning visits, conducting interventions in the home, evaluating visits with families, and coordinating with other services. Home visits aim to promote family well-being, support systems, appropriate care for illnesses/disabilities, growth and education through a family-focused approach in their own environment.
Presentation by Kathryn Falloon, Dr Serene Teh and Tracy Coward - A positive behavior support approach for mental health consumers. Presented at the Western Australian Mental Health Conference 2019.
The Preferred Priorities for Care (PPC) is a tool that:
1. Facilitates discussions about end of life care wishes and preferences which can then be recorded.
2. Enables communication across care providers for care planning and decisions.
3. Acts as an advance statement if the person loses capacity, allowing their previously expressed wishes to inform best interest decisions about their care.
The PPC records an individual's end of life care preferences but these may change, so current views should take precedence. It is a voluntary and non-binding document but informs best interest decisions if capacity is lost.
Capacity, care planning and advance care planning in life limiting illness - executive summary
15 August 2008 - National End of Life Care Programme
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
5. psychological assessment in pediatric rehabilitationTehreem Anis
Psychological assessment in pediatric rehabilitation is important for establishing current functioning levels, setting goals, and tracking progress over time. It involves standardized testing as well as interviews, observations, and informal assessments. Norm-referenced tests quantify a child's skills in areas like intelligence, academics, behavior, and motor abilities. Scores are interpreted in comparison to peers. Interviews provide a broad developmental history from multiple contexts. Observations offer insight into presentation, communication, and affect. Informal assessments continuously evaluate treatment effectiveness. Psychological assessment thus uses clinical and testing methods to understand a child's needs and develop appropriate rehabilitation plans.
This document discusses the role of psychiatric social workers in providing intervention for people with disabilities and victims of accidents. It outlines that social workers aim to strengthen human functioning and support resources for clients. Their interventions for the disabled include preventative, curative, and rehabilitative services like vocational training, counseling, assessments, and helping patients prepare to return home after medical care. For accident victims, social workers are involved in admission decisions, ensure ongoing support, and provide legal assistance. The overall goal is for social workers to help both groups improve their social functioning through various services.
Slides accompanying a presentation to participants in the NHS Leadership Academy's executive fast track programme. I did this in tandem with patient leader Lynne Craven.
"putting patients at the heart": the workforce implicationsJeremy Taylor
Slides I presented at the NHS Employers autumn workforce summit on 13 October 2015. They set out National Voices' perspective on what good person centred, community-focussed care looks like, and the implications for the healthcare workforce of making it real.
This document discusses counselling, including its definition, concepts, principles, need, members involved, functions of a counsellor, characteristics of a good counsellor, types of counselling services, common problems that need counselling, the counselling process, and approaches to counselling. Counselling is defined as assisting a client to interpret facts relating to choices or adjustments. It involves a trusting relationship between counsellor and client, with the goal of helping the client develop goals and make decisions. The counselling process typically involves establishing a relationship, assessment, setting goals, interventions, and termination with follow-up. Approaches can be non-directive, directive, or eclectic.
The concept of advance care planning outlined. The Assisted Decision Making (Capacity) Act 2015. Using Think Ahead as a tool to engage with advance care planning and with advance healthcare directives
Presentation by Katie Curo of Befriend Inc. - Activities Aren't Relationships: Supporting relationship outcomes using social identity approaches. Presented at the Western Australian Mental Health Conference 2019.
This document discusses supporting people with dementia to die at home in Ireland. It identifies key factors that enable home death, including availability of family/friend care, decision making between the person and family, and access to GP and homecare supports. While home death remains rare for those with dementia, the document recommends increased palliative care, support for home care, and nationally recognized tools to plan for end of life care needs.
Ijeoma achara 08162013_san antonio community rosc forum august 2013SACADA
This document discusses developing recovery-oriented systems of care (ROSC) at the community level. It begins by defining recovery and discussing the need for a community approach. It then explores challenges in current addiction and mental health systems and what recovery means to different people and communities. Key elements of a ROSC are described, including treatment services aligned with recovery, integration of peer support, advocacy, family support, and cross-system collaboration. The implications for different stakeholders like treatment providers, families, and community members are discussed. Strategies are provided for issues like outreach and engagement, culturally responsive services, continuing care and community integration.
The document discusses several aspects of mental health services in India including advantages of general hospital psychiatric units, innovative community mental health programs, the National Mental Health Program, institutionalization vs. deinstitutionalization, models of prevention, and the roles of different professionals and agencies in providing mental health services. Key points addressed are shorter hospital stays, greater family involvement, and reduced stigma associated with general hospital psychiatric units compared to standalone mental health facilities.
This document summarizes a presentation about end of life care for people with dementia. It discusses what people with dementia say about end of life care, including challenges around communication and acknowledging loss. It also examines the palliative care needs of people with dementia, noting issues around symptoms, care transitions and multidisciplinary support. Further, it outlines how incorporating a palliative approach into routine dementia care can help with advance care planning, loss and grief, and staff education. Finally, it analyzes how supporting people with dementia to die at home requires individualized care, future planning, symptom management and access to family and community support services.
We are Worth the Investment. NSW Council for Intellectual Disability Conference 16-17 July 2015. Children, Young People and the NDIS Mary Hawkins, Branch Manager Nepean Blue Mountains Early Transition Site NDIA
Facilitating Discussions on Future and End of Life Care With People who have ...Irish Hospice Foundation
Workshop presentation on Irish Hospice Foundation Dementia guidance document 1 "Facilitating Discussions on Future and end of life care with a person with dementia"
Home visiting involves establishing relationships with families and developing and implementing a family-centered care plan while evaluating health outcomes and satisfaction. The process includes pre-planning visits, conducting interventions in the home, evaluating visits with families, and coordinating with other services. Home visits aim to promote family well-being, support systems, appropriate care for illnesses/disabilities, growth and education through a family-focused approach in their own environment.
Presentation by Kathryn Falloon, Dr Serene Teh and Tracy Coward - A positive behavior support approach for mental health consumers. Presented at the Western Australian Mental Health Conference 2019.
The Preferred Priorities for Care (PPC) is a tool that:
1. Facilitates discussions about end of life care wishes and preferences which can then be recorded.
2. Enables communication across care providers for care planning and decisions.
3. Acts as an advance statement if the person loses capacity, allowing their previously expressed wishes to inform best interest decisions about their care.
The PPC records an individual's end of life care preferences but these may change, so current views should take precedence. It is a voluntary and non-binding document but informs best interest decisions if capacity is lost.
Capacity, care planning and advance care planning in life limiting illness - executive summary
15 August 2008 - National End of Life Care Programme
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
The route to success in end of life care - achieving quality in care homes
16 June 2010 - National End of Life Care Programme
This guide follows the six steps of the pathway laid out in the national End of Life Care Strategy.
It includes questions staff and managers should ask about end of life care provided in their care home and the employees' role in that care.
The guide is linked to the End of Life Care Strategy Quality Markers.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
CCher Nicholson Supported decision-making – the South Australian experience legislation
The document summarizes the Supported Decision Making (SDM) trial conducted in South Australia. The trial involved 26 participants who created agreements with supporters and monitors to make decisions with support instead of having a guardian appointed. Feedback found establishing supported decision making agreements improved participants' lives and decision making abilities. The trial demonstrated how supported decision making can uphold rights and provide choice rather than seeking incapacity. Some aspects that worked well included the recruitment process and providing information individually. Areas for improvement include expanding supporter training and continuing the project's work.
Here is a good practice example of a contingency plan for someone whose carer is frail and in poor health:
If Mary's husband John is unwell and unable to provide his usual level of care and support, the following contingency plan will be enacted:
- Mary's daughter Sarah will stay with Mary to provide daily support such as preparing meals, helping with personal care, and keeping Mary company. Sarah can be contacted on 01234 567890.
- Home care services will increase their visits to provide additional assistance with tasks like cleaning, laundry, and shopping. The home care coordinator is Jill Brown and she can be reached at the local home care agency on 09876 543210.
- Mary's social worker
This document discusses counselling. It defines counselling as a relationship where one person gives specific help to another. It outlines the steps and techniques of counselling, including establishing rapport, cultivating self-understanding, advising and planning, using explanatory methods, and referring clients to other counsellors when needed. The document also discusses the principles of counselling, qualities of a good counsellor, and the role of nurses in providing counselling. It distinguishes between health education and counselling, noting that counselling is more curative and involves a two-way communication process between counsellor and client.
Ethical principles of Counselling slides.pptxyakemichael
This document discusses key ethical principles and standards in counseling, including beneficence, nonmaleficence, fidelity, integrity, justice, and respecting client rights and dignity. It outlines general ethical guidelines from the APA and ACA codes of ethics regarding informed consent, confidentiality, competence, and handling referrals. The document provides details on how counselors should apply these principles when making ethical decisions and resolving dilemmas in practice.
Advance Care Planning & Advance Healthcare Directives with People with DementiaIrish Hospice Foundation
1. The document provides guidance on advance care planning and advance healthcare directives for people with dementia, their families, and healthcare professionals.
2. It outlines four key considerations for good practice: understanding dementia, recognizing patient rights, understanding advance care planning, and being familiar with the Assisted Decision Making Act regarding capacity and advance directives.
3. The guidance stresses the presumption of capacity, engaging the patient, and considering previously expressed preferences when making decisions for those lacking capacity. It also describes what can be included in an advance healthcare directive.
This document discusses ethical issues in scientific research involving human subjects. It outlines several key principles of research ethics including informed consent, minimizing harm, protecting privacy and confidentiality, ensuring justice and beneficence, and maintaining integrity. International codes like the Nuremberg Code, Helsinki Declaration, and Belmont Report established foundational ethical standards. Indian guidelines also adhere to strict ethical protocols for research involving human participants. Institutional ethics committees play an important role in reviewing research proposals and protocols to ensure compliance with ethical standards.
The document discusses the key pillars of medical ethics including consent, confidentiality, autonomy, beneficence, nonmaleficence, and justice. It emphasizes that medical practice requires trust between doctors and patients, and that patients have a right to be informed about treatment options and outcomes. Doctors must seek consent for medical interventions and respect the confidentiality of medical information, except in certain legally mandated cases. The autonomy of the patient to make their own medical decisions is paramount.
This guide is designed to help health and social care professionals understand and implement the law relating to advance decisions to refuse treatment (ADRT) contained in the Mental Capacity Act (2005).
This 2013 version replaces that published in September 2008 and covers:
How to make an advance decision to refuse treatment, who can make an advance decision, when a decision should be reviewed and how it can changed or withdrawn
What should be included
Rules applying to advance decisions to refuse life sustaining treatment and how they relate to other rules about decision-making
How to decide on the existence, validity and applicability of advance decisions and what healthcare professionals should do if an advance decision is not valid or applicable
The implications for healthcare professionals of advance care decisions, including situations where a healthcare professional has a conscientious objection to stopping or providing life-sustaining treatment
What happens if there is a disagreement about an advance decision.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
Recognition of the needs of people seeking to improve their health. Professional and personal skills to meet these needs: competence in promoting health, communication, mutual collaboration and respect, empathy, responsiveness, sensitivity, Commitment and adherence to quality, evidence-based and ethical practice.
This document discusses advance healthcare directives (AHDs) in Ireland. It notes that only 6% of people in Ireland have written an AHD. It defines AHDs as documents where a person can write down medical treatments they do not want if they lose decision-making capacity. For an AHD to be legally binding, the person must have had capacity when writing it and it must apply to their current medical situation. The document outlines the requirements for making a valid AHD in Ireland and implications for healthcare professionals, including that they have no liability for complying with a valid AHD or not complying if there are doubts about its validity.
Psychosocial oncology is a specialty concerned with understanding and treating the social, psychological, emotional, spiritual, and quality-of-life aspects of cancer care from prevention through bereavement. It focuses on assessing and treating distress as well as managing complex issues. The principles of psychosocial oncology emphasize person-centered care, access, ethical practice, respect for diversity, inter-professional collaboration, and evidence-based and quality care. Ethics involves evaluating actions as right or wrong according to moral principles, and professionals have duties including maintaining boundaries, ensuring confidentiality with clients, obtaining informed consent, and handling ethical dilemmas through a process of identifying issues, considering solutions, selecting the best option, and defending that decision.
Emergency medicine, psychiatry and the lawSCGH ED CME
The document discusses laws related to emergency psychiatry and involuntary treatment orders. It covers the criteria needed for a referral, including that a medical practitioner or authorized mental health practitioner must reasonably suspect the person needs involuntary treatment or their community treatment order needs changing. It explains the forms and process used for referrals, including providing rights to family members and allowing referrals to be extended or revoked.
Informed consent is required before any medical treatment and involves explaining the risks and benefits to help patients understand their treatment options. There are three main types of consent - implied, verbal, and written. Informed consent includes describing the clinical issue, proposed treatment and alternatives, discussing risks and benefits, assessing patient understanding, and obtaining their preference. Key principles are that consent must be given voluntarily without pressure, the patient must have capacity, and consent is ongoing. Informed consent is important for trust between doctors and patients and protects patient autonomy and rights. It is generally required for medical procedures but not in emergencies when immediate treatment is necessary.
Presentation on Advance Healthcare Directives (From Acute Hospital Network, J...Irish Hospice Foundation
The document discusses proposed legislation in Ireland to establish a legal framework for advance healthcare directives (AHDs). Key points:
- AHDs would allow people to make healthcare decisions in advance if they lose capacity in the future, promoting autonomy and respecting personal values and choices.
- To be valid, an AHD must be in writing, made voluntarily by those with capacity, and witnessed. People can also appoint a healthcare representative.
- AHDs can refuse treatments but not basic care. Refusals must clearly specify treatments and circumstances. Life-sustaining refusals require additional verification.
- The legislation aims to comply with international standards while not affecting laws on euthanasia or
Similar to Support Sheet 3: Advance Care Planning (20)
This Guide for Executives is aimed at senior healthcare leaders. It provides 31 practical tips for leaders
who want to contribute positively to the culture for innovation in their organisations and systems.
A more in-depth practitioners guide, Creating the Culture for Innovation, provides much more
detailed advice and guidance, a host of additional examples, and information about an online staff
survey that can be used to assess, benchmark and understand the culture for innovation.
The Sustainability Model is a diagnostic tool that will identify strengths and
weaknesses in your implementation plan and predict the likelihood of sustainability
for your improvement initiative.
The Sustainability Guide provides practical advice on how you might increase the
likelihood of sustainability for your improvement initiative.
The document provides information and guidance for patients on how to take an active role in their recovery process before and after a hospital operation or procedure. It emphasizes the importance of staying physically and mentally active before surgery, eating healthy foods, and making plans for support and transportation at home after being discharged from the hospital. Taking small, achievable steps each day toward recovery goals like walking, showering, and eating can help patients leave the hospital sooner and feel better faster.
This document discusses bringing social movement thinking to healthcare improvement by incorporating principles from successful social movements. It outlines five key principles for creating social movement dynamics within healthcare organizations: see change as a personal mission; frame issues to connect with core values; energize and mobilize individuals; organize for impact; and maintain forward momentum. The document argues that while traditional improvement approaches have had some success, social movement thinking can help deliver deeper, more sustainable changes to better serve patients. It provides several case studies of teams that have applied social movement ideas to spur healthcare improvements.
The 15 Steps Challenge provides a toolkit to help healthcare teams evaluate the quality of patient care from the patient's perspective. A 15 Steps Challenge team conducts ward walkarounds using the toolkit to assess four areas: Welcoming, Safe, Caring and Involving, and Well Organised and Calm. The team then provides feedback to the ward and trust sponsor to identify good practices and areas for improvement. Repeating the Challenge ensures continuous quality improvement by regularly incorporating the patient voice.
This document provides an overview of a toolkit aimed at helping NHS trusts reduce their Caesarean section rates. The toolkit was developed by the NHS Institute for Innovation and Improvement based on visits to maternity services with low C-section rates. It includes self-assessment tools covering key areas like first pregnancies, VBAC, and organizational characteristics. The goal is to help services evaluate their practices and develop action plans to promote normal birth and reduce C-section rates in a safe and sustainable way.
This document provides an introduction to thinking differently and why it is important, especially within the healthcare system. It discusses how thinking differently has led to innovations that have transformed various industries. Within healthcare, thinking differently created the NHS and has led to improvements like keyhole surgery. The document encourages readers to challenge traditional ways of doing things and consider new possibilities, like using interactive TV to book appointments. It argues that thinking differently is needed to achieve reforms and make significant gains in effectiveness and efficiency. Examples are given of projects that emerged from rethinking traditional models of service delivery.
If you are involved in treating patients, managing and/or improving health services or
managing or training those that do, you will understand the importance of providing the
best care possible for all our patients.
Great progress has been made in improving service standards and access and in reducing
waiting times, but there is still some way to go to ensure consistently high standards of
patient care across the NHS.
It is clear that we need to ensure we are getting it right first time, which means better care
and better value through the reduction of waste and errors and the prioritisation of effective
treatments. Quality, innovation, productivity and prevention (QIPP) is the mechanism through
which we can achieve this.
QIPP is about creating an environment in which change and improvement can flourish; it
is about leading differently and in a way that fosters a culture of innovation; and it is
about providing staff with the tools, techniques and support that will enable them to take
ownership of improving quality of care.
The Handbook of Quality and Service Improvement Tools from the NHS Institute brings
together a collection of proven tools, theories and techniques to help NHS staff design and
implement quality improvement projects that do not compromise on the quality and safety of
patient care but rather enhance the patient experience.
The ebd approach (experience based design) is a method of designing better experiences for patients, carers and staff. The approach captures the experiences of those involved in healthcare services. It involves looking at the care journey
and in addition the emotional journey people
experience when they come into contact with a particular pathway or part of the service. Staff work together with patients and carers to firstly understand these experiences and then to improve them.
This guide is an introduction to the ebd approach (experience based design).
This guide and toolkit has been produced as
a result of work that the NHS Institute for
Innovation and Improvement has undertaken in collaboration with NHS organisations and external agencies, using the experience of patients, carers and staff to design better
healthcare services.
- Slit lamp examination (including fundus)
- Perform biometry and focimetry
- Decide appropriateness for surgery
- Perform auto-refraction
- Discuss desired post-operative refractive status
with the patient (including current type of
spectacle correction) to enable the choice of lens
implant
- Perform ECG and blood tests
- Identify 2nd eye surgery where appropriate
Benefits
- reduces duplication of tasks
- reduces waiting time for patients
- frees up nursing time for other duties
- ensures all key tasks are completed in one visit
- improves patient experience
- reduces overall time in clinic
09
The document discusses key principles for designing end-of-life care environments. It notes that the physical environment can directly impact patient experience and the memories of family and caregivers. Design should facilitate privacy, dignity, and respect. Key principles include being fit for purpose, providing comfort and connection to nature, use of natural light and materials, clarity of wayfinding, and enabling patient control and privacy. Improving environmental design can enhance patient and family experience through intuitive wayfinding, access to nature, consideration of heightened senses, provision of informal spaces, and co-located bereavement services. An environmental improvement project requires forming a multidisciplinary team to review needs, develop a plan and budget, and implement high quality design standards.
The Fast Track Tool is used to gain immediate access to funding for individuals who need urgent care packages due to rapidly deteriorating health conditions that may be terminal. It can be completed by nurses or doctors familiar with the patient's needs. The tool must be used when urgent continuing healthcare is required and replaces the regular assessment process. Patient consent is required unless they lack capacity, in which case clinicians make a best interests decision. Evidence of a completed Fast Track Tool is sufficient for eligibility and PCTs must accept and immediately action properly completed tools.
Support Sheet 13: Decisions made in a person's 'Best Interests'
This support sheet outlines the process for making decisions on behalf of someone who lacks capacity.
Support Sheet 12: Mental Capacity Act (2005)
This support sheet outlines the main provisions of the Mental Capacity Act the four tests essential for assessing capacity
Support Sheet 11: Quality Markers for Acute Hospitals
This support sheet outlines the quality markers by which acute hospitals can measure the standard of end of life care they provide.
Support Sheet 7: Models/Tools of Delivery
This support sheet outlines the key elements of
Advance Care Planning (ACP)
Gold Standards Framework (GSF)
Liverpool Care Pathway (LCP)
Dignity should be accorded to all people receiving end-of-life care, especially dying patients and their families. The Department of Health established ten principles for dignified care, including treating each person with respect, enabling independence and choice, listening to needs and wishes, and ensuring privacy. These principles involve holistic needs assessments, advance care planning, and engaging family members to plan care that maintains confidence and alleviates loneliness for those nearing the end of life.
1. Support sheet 3
Advance Care Planning
Advance Care Planning (ACP) is a process of discussion between an individual and their
care provider irrespective of discipline. The difference between ACP and more general
planning is that the process of ACP is to make clear a person’s wishes and will usually
take place in the context of an anticipated deterioration of the individual’s condition. It is
recommended that with the individual’s agreement this discussion is documented,
regularly reviewed and communicated to key persons involved in their care.
Key elements
• The ACP process is voluntary and should not be as a result of external pressure
• The result of the ACP process may be a statement of an individual’s wishes,
preferences, beliefs and values. This may include a choice for a preferred place of
care
• All health and social care staff should be open to any ACP discussion instigated by an
individual
• Staff will require the appropriate training to enable them to communicate effectively
and understand any legal or ethical issues involved
• Discussions focus on the views of the individual although they may make a request for
a carer, friend, partner or relative to be involved
• ACP requires that the individual has the capacity to discuss and understand the
options available to them and agree what is then planned
• Should an individual wish to make an advance decision to refuse treatment (ADRT)
this should be done following the appropriate guidance.
• The wishes expressed during ACP are not legally binding but should be taken into
account when professionals are required to make a decision on a person’s behalf
• If there is no record of ACP or ADRT then decisions will be made in a persons Best
Interests
Further information
Published April 2010
http://www.endoflifecareforadults.nhs.uk
http://www.e-elca.org.uk