northern england strategic clinical network 15th may 2015 - conference cardiovascular update dr d...

Northern England Strategic Clinical Network15th May 2015 - Conference

Cardiovascular UpdateDr D Muir & Dr JP Bourke

Top 3 achievements to celebrate and share

• Something fundamental: Stakeholder engagement & strong sub-group structure Helping deliver the National Priorities for Health

• Something winning national acclaim: Familial hyperlipidaemia service Commissioning by Evaluation (LAA-occlusion; PFO-closure)

• Something things highly practical: NOAC – patient alert card Help & advice for specialist commissioners Care pathway for heart failure & defibrillator services

Top 3 priorities Looking ahead (2015-17)

Priorities

• Focus on themes common to stroke, renal & DM

• Continue to foster clinical relations across 10, 20 & specialist care providers

• Ensure that quality of care is not compromised over time by an inappropriate focus on financial rectitude.

Expected outcome

• Stop ‘working in silos’ to facilitate greater effectiveness

• Resist adverse consequences of ‘health-care market’ mentality, eroding patient care over time

• Highlight any clinically inappropriate consequences of financial constraints

What we need & what we fear

Needed to achieve top 3 priorities

• Clear vision by clinical network leads & effective clinical team-working within the specialty

• Clinicians to remain ‘patient-focused’ at all stages of care-planning & delivery

• Manpower / recruitment & other essential resources

What might stop this happening

• Low morale & lack of stake-holder engagement, combined with competing time pressures

• Break-up of traditional work-ethos / fragmentation of care delivery arrangements …. ‘the devil take the hindmost’

• Insolvency / NHS no longer viewed as a good career