The Royal Liverpool University Teaching Hospital NHS Trust
Project name: Royal Liverpool University Teaching Hospital NHS Trust Asthma Patient Access Data Report Joint Working Project
Project period: 31st October 2016 – 31st July 2017
The Royal Liverpool University Teaching Hospital NHS Trust (the “Trust”) covers the Liverpool area (the “Region”), serving a population of 496,221. It is estimated that 27,946 people are affected by asthma. However, the Trust is currently lacking data on patients with acute asthma exacerbation in the Region who access healthcare services via Walk in Centres and the North West Ambulance Service, Liverpool Clinical Commissioning Group, Aintree and Royal Liverpool University Teaching Hospital NHS Trust’s Emergency Departments, Medicine and Critical Care, North West Severe Asthma Network and LivAsthma (together “the Providers”). Specifically, there is insufficient knowledge regarding this patient population resulting in inconsistent care and failure to properly utilise available specialist treatment for asthma care.
The joint working project (JWP) aims to collate and analyse anonymised and aggregated data relating to patients with acute asthma exacerbation from Providers and produce a report on current activity, barriers and opportunities in improving care for asthma patients with acute asthma exacerbation in the Region. The data will be used to drive collaboration between the Providers in improving asthma pathways and ensuring patients with poorly controlled asthma get early access for review or specialist treatment.
The JWP’s success will be measured as follows:
providers to make available anonymised and aggregated data for independent NHS Management Consultant;
robust data accessed by independent NHS Management Consultant;
preparation of report by independent NHS Management Consultant to: (i) gain a better understanding of asthma patient flow and current healthcare professional intervention to identify gaps in best practice; and (ii) highlight areas of the service that can be improved in order to benefit asthma patients with acute asthma exacerbation; draft report findings meeting, review of data collation and initial analysis by independent NHS
analysis of data complete;
report completed by independent NHS Management Consultant;
final report presented by independent NHS Management to Trust and Novartis; and
dissemination of final report (including sharing outcomes and best practice), review of publication opportunities and provision of training.
Job bag: RES16-C010a
East Lancashire Hospitals NHS Trust.
Project name: Royal Blackburn Hospital Paediatric Haemoglobinopathy Service Development Project. Project period: 12 months
Joint working project summary:
This Joint Working Project (“JWP”) aims at establishing certain paediatric haemoglobinopathy clinics (a multidisciplinary clinic, a telephone clinic and a transition clinic). The provision of the clinics at the Royal Blackburn Hospital means that patients do not have to be seen at Manchester Royal Infirmary in central Manchester after their initial assessment. This reduction in travel time and provision of local care aligns with NHS guidance focusing on improving care for the patient.
In addition patients will be able to benefit from a service more tailored to their needs. Currently there is a shortage of haemoglobinopathy specialist after care nursing knowledge and skills. Due to this such after care is provided mainly by the consultant. This can result in insufficient time allocated to each patient, both at initial consultation and after treatment care.
The NHS team and Novartis will pool resources and expertise to work on a JWP for the development and implementation of a new specialised Haemoglobinopathy Link Nurse led clinic service within the HB clinics to improve haemoglobinopathy patient support, experience, adherence and compliance.
Expected patient outcomes for this project: it is expected that the new established haemoglobinopathy paediatric clinics will provide consistent care to the relevant patient population and improve patients’ outcomes.
Specifically, the following outcomes are expected:
overall improvement in care for patients from the implementation of the HB clinics, as compared to baseline by end of month 12;
increase in trained resources, according to completion of assigned training within the timeframe of the project;
increase of 25% of patients’ satisfaction with care received, compared to baseline;
collection of all data relating to the impact of the HB clinics on the care provided to the relevant patient population to support the generation of a business case to obtain funding of the service form the local commissioners.
Start Date and Duration: October 2016 – December 2017