scholarly journals Innovation in integrated care: A cross sectorial interdisciplinary regional Queensland health service approach

2021 ◽  
Vol 20 (3) ◽  
pp. 113
Author(s):  
Ben Ross-Edwards ◽  
Kristen James
Keyword(s):  
Health Service ◽  
Integrated Care ◽  
Queensland Health

North central London elective orthopaedic network and health service innovation to improve the quality of NHS patient care

2021 ◽  
pp. 1-4
Author(s):  
Joshua W. Thompson ◽  
Alice O'Brien ◽  
Anna Stewart ◽  
Rob Hurd ◽  
Fares S Haddad
Keyword(s):  
Health Service ◽  
Patient Care ◽  
Integrated Care ◽  
Service Innovation ◽  
Modern Medicine ◽  
North Central ◽  
The North ◽  
Care Systems

Health service innovation is required to meet the ever-growing demands of modern medicine. This editorial discusses the transformation of the north central London elective orthopaedic network and the essential principles which future integrated care systems could incorporate.

scholarly journals New Voices, New Power, New Ways of Working: Bringing integrated care to the National Health Service in England

2019 ◽  
Vol 21 (4) ◽  
pp. 32-36 ◽  
Author(s):  
Cathy Fooks ◽  
Jodeme Goldhar ◽  
Walter Wodchis ◽  
G. Baker ◽  
Jane Coutts
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Integrated Care ◽  
National Health ◽  
New Ways Of Working

Factors affecting the embedding of integrated primary–secondary care into a health district

2020 ◽  
Vol 26 (3) ◽  
pp. 216 ◽  
Author(s):  
Geoffrey K. Mitchell ◽  
Charlotte E. Young ◽  
Tina Janamian ◽  
Kylie M. Beaver ◽  
Joanne L. K. Johnson ◽  
...  
Keyword(s):  
Health Service ◽  
Integrated Care ◽  
Process Evaluation ◽  
Information Exchange ◽  
Secondary Care ◽  
Advisory Group ◽  
Routine Practice ◽  
Care Providers ◽  
Specialist Care ◽  
Structured Interviews

With the aging population, the tide of chronic disease is rising with attendant increases in health service need. Integrated care and patient-centred approaches, which established partnerships between a regional Hospital and health service (HHS), the local primary health network and local general practitioners (GPs), were identified as exemplars of an approach needed to support growing community health needs. This paper summarises the findings from a process evaluation of four GP–specialist care integration programs with the aim of identifying recommendations for embedding integrated GP–specialist care into routine practice within the HHS. The process evaluation of the integration programs drew on input from a multidisciplinary expert advisory group and data collected through face-to-face semi-structured interviews with key stakeholders, as well as surveys of participating GPs and patients. Overarching findings were identified and grouped under six themes: interdisciplinary teamwork; communication and information exchange; the use of shared care guidelines or pathways; training and education; access and accessibility; and funding. Within each theme, key challenges and enablers emerged. The findings of this study highlight benefits and challenges associated with the establishment of integrated care between primary and secondary care providers, leading to the development of key recommendations for routine integration.

Mapping of allied health service capacity for maternity and neonatal services in the southern Queensland health service district

2013 ◽  
Vol 37 (5) ◽  
pp. 614 ◽  
Author(s):  
Shelley A. Wilkinson ◽  
Leyanne Duncan ◽  
Catherine Barrett ◽  
Robin Turnbull ◽  
Sally McCray
Keyword(s):  
Health Service ◽  
Allied Health ◽  
Models Of Care ◽  
Service Planning ◽  
Support Networks ◽  
Clinical Services ◽  
Staffing Levels ◽  
Positive Effects ◽  
Queensland Health ◽  
Specific Support

Objective Allied health professionals (AHPs) in maternity and neonatology services are essential for quality care and outcomes, reflected in the minimum service delivery requirements in the Queensland Health clinical services capability framework (CSCF). However, allied health (AH) capacity across the Southern Queensland Health Service Districts (SQHSD) is not known. The aim of this project was to redress this knowledge gap to inform ongoing service planning and delivery. Methods Maternity and neonatal AH clinicians in all birthing facilities in SQHSD were surveyed between October and December 2011 to investigate AHP staffing, practices and models of care. The professions surveyed included dietitians, occupational therapists, physiotherapists, psychologists, social workers and speech pathologists. Results were grouped per question, with stratification by CSCF and/or profession. Results Fifty-five valid surveys from the 16 facilities were received. All professions were represented. Gaps in maternity AH services were identified. Awareness and use of evidence-based practices were more likely to be reported where higher full-time equivalents (FTE) were allocated. Conclusion Very low staffing levels have been recorded in all Maternity and Neonatology Services AHPs in the SQHSD. Gaps exist between actual and recommended CSCF staffing standards across all levels and professions. The results indicate that profession-specific support networks for AHPs have positive effects in the spreading of information, and continued promotion, support and involvement in these profession-specific networks is suggested for all facilities. What is known about the topic? Maternity and neonatology service allied health (AH) professionals provide essential services for quality maternal and infant care and outcomes, reflected in their inclusion in several Queensland Health maternity and neonatal clinical guidelines. Queensland Health has also released a clinical services capability framework, which outlines minimum requirements for the provision of health services in Queensland public facilities, including minimum service and workforce structure. These include AH staff in the provision of key elements of care. What does the paper add? Staffing levels and description of models of care for AH professionals across the (former) Southern Queensland Health Service District is not known. This paper describes the outcome of a mapping process that provides a clear picture of AH staffing levels and service gaps, models of care in use, and models of care or resources that may be shared within the network for the professions of nutrition and dietetics, occupational therapy, physiotherapy, psychology, social work and speech pathology. What are the implications for practitioners? This profile of AH practitioners across the district provides a baseline reference that may prove useful for future planning of maternity and neonatology services in Queensland Health. Very low levels of staffing were identified and the staffing requirements outlined in the clinical services capability framework was not met at some sites. The results indicate that profession-specific support networks for AH practitioners have positive effects in the spreading of information; in addition, the continued promotion, support and involvement in these profession-specific networks are suggested for all facilities.

scholarly journals The Queensland Health Ministerial Taskforce on health practitioners’ expanded scope of practice: consultation findings

2015 ◽  
Vol 39 (3) ◽  
pp. 249 ◽  
Author(s):  
Gretchen Young ◽  
Julie Hulcombe ◽  
Andrea Hurwood ◽  
Susan Nancarrow
Keyword(s):  
Health Service ◽  
Health Professionals ◽  
Large Scale ◽  
Allied Health ◽  
Scope Of Practice ◽  
Allied Health Professionals ◽  
Health Service Provision ◽  
Stakeholder Consultation ◽  
Queensland Health ◽  
High Level

Objective Queensland Health established a Ministerial Taskforce to consult on and make recommendations for the expansion of the scope of practice of allied health roles. This paper describes the findings from the stakeholder consultation. Methods The Ministerial Taskforce was chaired by the Assistant Minister for Health and included high-level representation from allied health, nursing, medicine, unions, consumers and universities. Widespread engagement was undertaken with stakeholders representing staff from a wide cross-section of health service provision, training and unions. Participants also tendered evidence of models incorporating full-scope and extended scope tasks undertaken by allied health professionals. Results The consultation incorporated 444 written submissions and verbal feedback from over 200 participants. The findings suggest that full scope of practice is often restricted within the Queensland public health system, resulting in underuse of allied health capacity and workforce inefficiencies. However, numerous opportunities exist to enhance patient care by extending current roles, including prescribing and administering medications, requesting investigations, conducting procedures and reporting results. The support needed to realise these opportunities includes: designing patient-centred models of service delivery (including better hours of operation and delegation to support staff); leadership and culture change; funding incentives; appropriate education and training; and clarifying responsibility, accountability and liability for outcomes. The taskforce developed a series of recommendations and an implementation strategy to operationalise the changes. Conclusions The Ministerial Taskforce was an effective and efficient process for capturing broad-based engagement for workforce change while ensuring high-level support and involving potential adversaries in the decision-making processes. What is known about the topic? Anecdotal evidence exists to suggest that allied health professionals do not work to their full scope of practice and there is potential to enhance health service efficiencies by ensuring practitioners are supported to work to their full scope of practice. What does this paper add? This paper presents the findings from a large-scale consultation, endorsed by the highest level of state government, that reinforces the perceptions that allied health professionals do not work to full scope of practice, identifies several barriers to working to full scope and extended scope of practice, and opportunities for workforce efficiencies arising from expanding scope of practice. The top-down engagement process should expedite the implementation of workforce change. What are the implications for practitioners? High-level engagement and support is an effective and efficient way to broker change and overcome intraprofessional barriers to workforce change policies. However, practitioners are often prevented from expanding their roles through an implied need to ‘ask for permission’, when, in fact, the only barriers to extending their role are culture and historical practice.

scholarly journals Necessity breeds innovation: GPs help prevent an emergency department closure

2009 ◽  
Vol 33 (3) ◽  
pp. 467
Author(s):  
Riitta L Partanen ◽  
Maxine L O'Brien ◽  
Diann S Eley
Keyword(s):  
Internal Medicine ◽  
Emergency Department ◽  
Health Service ◽  
General Practitioners ◽  
Medical Staff ◽  
Emergency Services ◽  
Internal Medicine Ward ◽  
District Health ◽  
Queensland Health ◽  
Patient Confidence

In January 2006 the Maryborough Base Hospital in Queensland faced imminent closure of its emergency department (ED) due to a shortage of senior medical staff. At the same time patient confidence in Queensland Health was low. During consultation forums, the community had made it clear that their priority was to maintain emergency services in Maryborough. In search of a solution, the Fraser Coast District Health Service asked Maryborough general practitioners to work in the Maryborough Hospital ED and/or in the internal medicine ward as Visiting Medical Officers. While this represented a solution to the problem, there was much to be considered before such a plan could be put into place.

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