on behalf of the steering group dr. jonathan serjeant clinical director of bics march 2015 proactive...
TRANSCRIPT
Proactive Care
On behalf of the Steering GroupDr. Jonathan SerjeantClinical Director of BICSMarch 2015ProActive Care
Contents2
Where do you find more information? ProActive Care pathway I statements Cluster ProActive Care team Highlighted issues and challenges Still to do prior to completion of the service specification What is coming up over the next four weeks? Questions for clusters to discuss How to find out more informationLinks to ProActive Care documents Where do you find more information?3
You can also stay in touch with us on the following email address: [email protected] ProActive Care website has lots of information and we will be key coding papers and highlighting the most important information. www.proactivecare.org
Proactive Care Pathway4
PharmacistCommunity NavigatorSocial Care ProviderGPIPCT TeamOthersExtended MDTPatient CohortWhole Person AssessmentRisk StratificationCluster PrioritisationClusterProactive CareTeamCare Coordination Decision I Statements5Who I amWhat I understand about my health & wellbeing nowWhat I fearWhat I want to happen / my goals areWhat I dont want to happenWhat I do when things go wrong My main friend(s) / supporter(s) / carer(s) areMy named key contact isMy social / personal needs areMy medicines areMy advanced care wishes are
5Cluster Proactive Care Team6
Highlighted issues and challenges7
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Still to do prior to completion of the service specification..What is coming over the next 4 weeks? 9
Questions for clusters to discuss10Proposed governance arrangements
Where do you find more information?11
You can also stay in touch with us on the following email address: [email protected] ProActive Care website has lots of information and we will be key coding papers and highlighting the most important information. www.proactivecare.org
Links to documents12Vision- http://www.proactivecare.org/wp-content/uploads/2015/02/ProActive-Care-vision.pdf
Service Specification- http://www.proactivecare.org/wp-content/uploads/2015/03/ProActive-Care-Service-Specification-final-draft.doc
Patient Pathway- http://www.proactivecare.org/?page_id=122
Cluster Development Plan- http://www.proactivecare.org/wp-content/uploads/2015/03/Cluster-Development-Plan-Template-DRAFT-v01.docx
Cluster Development Plan Tracker- http://www.proactivecare.org/wp-content/uploads/2015/03/Cluster-Development-Plan-Template.xls
Job Descriptions- http://www.proactivecare.org/?page_id=131