Service Information Directory

Allan Bridges

Chris Wright

Background

• Cardiology in 1994

• 1 Consultant ,1 secretary

• GP/practice on call

• 2 phone nos for clinic,ECG dept 2.5WTE

2008

• 5 consultants,10 clinics,6 secretaries• >20 phone nos for • Open access ECGs,echoes,24 hr

tapes,BP machines• Rapid access chest pain clinics,AF clinic• Nurse led clinics heart failure (4),palliative

care,exercise heart failure service,post MI,post PCI,pre angio

• Cardiology dept >30 WTEs

RACPC

• Meet with GPs

• Protocol for RACPC

service had a “launch”

• No overall co ordination

Hospital Services

• Transitional arrangements

• -new protocols

• -new communication pathways

• -new ways of working

• -CAU ,MIU , A/E

• -approx 50% of GPs didn’t know consultants and vice versa

Primary Care

• In hours GP service

• OOH and NHS 24

• 4 hour A and E wait

• Turnover of GPs ,out of Area GPs

• SAS

Summary

• Departments redesigned and expanded

• Each individual service component excellent

• Hospitals radically altered working arrangements

• Primary care changed

• LACK OF CLARITY and ORGANISATION

Service Information Directory

• Aims

-improve access for patient to right service

-improve communication between primary and secondary care

-reduce number of admissions

SID

• Primarily a directory,collation of current information-hospital based- focussed on medical model

• Addition of clinical effectiveness and referral system

• Potential primary care services,nurse /AHP led services

• Community/LA services/crisis services• Patient information