[email protected]. NHS Pathways & CMS DOS Vision Delivering the right patient care, in the right place, at the right time, through a skilled and

[email protected]

NHS PATHWAYS & CMS DOS

WORKING IN PARTNERSHIP

NHS Pathways & CMS DOS

VisionDelivering the right patient care, in the right place, at the right time,

through a skilled and committed workforce, in partnership with local health economies

Strategic Objectives

Achieve Quality and Excellence

Accurately assess patient

need and direct resources

appropriately

Establish market position

as an Emergency Healthcare

Provider

Work inPartnership

Service Delivery Objectives

Deliver Service Improvement Increase Efficiency Develop our

Workforce

Transform our Technology

Infrastructure

Values

• World Class Service

• Patient Centred

• Dignity and Respect for All

• Skilled Workforce

• Teamwork

• Effective Communication


WMAS Ambulance Responses - Projected 5 Year Activity

2010/2011


The Previous Position Within WMAS 999

Triage Process CSD NHSD

4%

96% Response

R1,R2 G1,G2 G3,G4

68% To Hospital


How Did We Change This?....NHS Pathways & CMS DOS


CMS DOS (Multiple Presentations Shown)

https://nww.pathwaysdos.nhs.uk DOS via NHS Pathways (999)


The Pathways Solution Within WMAS 999

Pathways

Red Flag Further Assessment CSD

DOS

HCRT/REFS A&E MIU

GPin hrs

GPOOH

DN

WiC

Midwife Pharmacy

NHS Direct Other services

Immediate

72 Hours


CMS Directory of Services (DOS)

Location

Module collects Clinical markers (Algorithms) based on ‘ruling out’

DOS

CSDPath

way

s M

odul

es

Clinical Need

Time Capacity


The Importance of an Integrated NHS Pathways & CMS DOS

Key System Benefits:

• Patients go to the ‘Right Place, First Time, All of the Time’

• Improved patient journey and experience

• Better use of available services

• Cost base for assessment and referral to care much reduced

• Inappropriate ambulance journeys avoided

• Reduction in 999 conveyances and A&E attendances

• Gives commissioners world class data on what services are needed


Clinical Safety & Clinical Support

• Extensive piloting – over 1.3 million patient calls safely assessed across 4 different sites– No adverse incidents

• Academic evaluation by 3 universities – ‘safe and appropriate’

• Ministerial license for use granted February 2009

• BMA and Royal Colleges – overt support

• National Clinical Governance Group chaired by RCGP











WMAS CMS DOS User Guide


WMAS CMS DOS Health Economy Leaflet


Staffordshire, Coventry & Warwickshire Experience – July 2011 (11 weeks)

Ambulance Response 43325Community Healthcare Service 56Dentist 14Early Exit 306ED Referral 942Health Information service 11Home Management 268No Value (attend Inc) 1639Other Emergency Services 30PARA Triage 324Referred to GP 1586Specialist Healthcare Service 13

Vehicle Arrived Before Coding Complete 3063

Emergency Calls 57634

Emergency Incidents 51579

Hear & Treat Alt Pathways

2.9%

Hear & Treat Count

CSD3.5%


Birmingham, Black Country & West Mercia Experience – September 2011 (1 week)

Ambulance Response 8856Community Healthcare Service 2Dentist 6Early Exit 98ED Referral 211Health Information service 1Home Management 45No Value (attend Inc) 119Other Emergency Services 7PARA Triage 100Referred to GP 376Specialist Healthcare Service 5

Vehicle Arrived Before Coding Complete 727

Emergency Calls 11894

Emergency Incidents 10553

Hear & Treat Alt Pathways

3.3%

Hear & Treat Count

CSD3.3%


Any Questions

?

Documents

[email protected]. NHS Pathways & CMS DOS Vision Delivering the right patient care, in the right place, at the right time, through a skilled and