Patient Care Pathway, Generic or Specialist

Please note type 1 pathways should be entered into the type 1 specialist service category

Have you or your multidisciplinary team (MDT) made significant positive changes to services that are based in the community and/or in hospital?

An efficient patient care pathway is critical to empower self-management and avoid unnecessary complications. Based on patient needs and goals, the focus of the patient care pathway is to improve the quality and delivery of effective integrated services that are based in the community and/or in hospital.

Entries should demonstrate clear, specific goals with outcomes that have been evaluated using appropriate baseline and follow-up measures. There should be evidence of innovation, and detail of project planning, methods, effectiveness, timeliness, safety considerations, economic viability and evidence of potential/demonstrable sustainability and dissemination.

Two entry sections to choose from:

A. Generic pathways

Entries to this category could include:

  • Best practice for non-specialist healthcare professional and allied health care professional led initiative for community and/or hospital settings
  • Best practice for nutritional and pharmacological management pathways
  • Digital and technology initiatives: should be UK or Ireland based (even if they are used globally). Work must have been conducted during the 18-month period between July 2016 and December 2017 to be eligible
  • Best practice for clinical engagement, leadership and governance to drive improvement and quality of services
  • Best practice for commissioning services supporting new models of care in an integrated framework:
    • Self-management and health literacy
    • Healthcare professional support
    • Community and hospital based integrated care
    • Addressing variation: postcode, hard-to-reach and vulnerable groups, specialist services.

B. Specialist care pathways

Entries to this category could include:

  • Best practice for reasonable adjustments for people with a learning disability who have diabetes
  • Inpatient diabetes team, shared records and advice line
  • Management services for acute diabetes emergencies in varied clinical settings such as:
    • Hospital care pathway
    • Wound care, avoidance of heel pressure sores
    • Patient safety + protecting from harm
  • Cardiovascular
  • Peripheral vascular disease
  • Preconception pregnancy planning advice
  • Paediatric diabetes
  • Vision – optometrist and ophthalmology
  • Foot care and podiatry
  • Psychological wellbeing
  • Renal and dialysis
  • Oral health.

Scoring criteria, judges will be looking for evidence of:

Section

Title

Section scores

Guidance on content

Section 7

Main Outcomes

Max 20 points from 2 subsections

For this category the judges are particularly interested in the innovative aspects of your initiative. This is highlighted in the first section of the submission statement

A

Summary

5

Background, brief overview of the initiative.

B

Innovation

15

Demonstrate evidence of innovation: what is new and different about your initiative eg novel approaches, creative solutions to longstanding problems, bridging gaps in care etc.

Section 8

Planning & Methods

Max 40  points from 3 subsections

This section provides further details of how the initiative was developed

A

Project planning

15

Describe the identified need for the initiative. Organisation, stakeholders, planned timeframes and milestones. Evidence of clear, specific goals and outcome measures including reasoning behind these. How did you involve service users?

B

Methods

15

Putting plans into action. What did you do? Describe how the initiative was Implemented, and outline the procedures and tools you used to measure outcomes.

C

Safety considerations

10

Describe risk assessment, clinical governance, ethics and any other safety considerations and how these were addressed

D

RESULTS

Total of 40 points divided between 5 quality improvement areas

This section provides details of results for outcomes outlined in Section 8A-8C, along with user feedback, economic viability, potential or achieved impact, dissemination and sustainability.

1

Effectiveness

10

Demonstrate effectiveness of project to illustrate efficiency improvement(s) how the initiative brought about change to support improved outcomes and what was the impact for people with diabetes?

2

Timeliness

5

Did you achieve your goals in desired/required time frame?

3

User feedback

5

Describe how feedback was collected and bias was minimised. Provide examples of service user feedback and explain how this is used.

4

Cost efficiency and economic viability

5

Maximising quality health outcomes and minimising NHS costs, getting better value from the NHS budget

5

Sustainability and evidence for sharing practice  and dissemination

15

Detail of potential or secured commitment to the initiative including length of plan, resources, stakeholders, funding sources. For demonstrable sustainability describe integration, compatibility, barriers encountered, evaluation and milestones.

Achieved spread of initiative to wider geographical areas or other healthcare setting)Include details of strategy, communication of outcomes, key messages, objectives and evaluation undertaken


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