I strongly agree with John that shared care pathways are a way to improve
care. I would ask the following questions...
what is the evidence base on which the pathways are being developed?
are the pathways driven by factors which are proven to deliver better
outcomes, or are they about changing process without considering the impacts
elsewhere in the emergency care continuum?
is there a role for some national co-ordination of this activity across all
the interested parties e.g. ambulance service, primary care, A&E, acute
secondary care etc etc?
how do we avoid every one re-inventing the wheel, but allow local solutions
to local problems which take into account local skills, enthusiasm,
geographical and political factors?
Lots of questions; all thoughts gratefully received.
Mike Lambert
A&E Department
Norfolk and Norwich Hospital
NORWICH
NR1 3SR
-----Original Message-----
From: J.M.Ryan <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 12 November 1999 16:09
Subject: Re: join
>
>
>> ----------
>> From: [log in to unmask][SMTP:[log in to unmask]]
>> Sent: Friday, November 12, 1999 4:07:06 PM
>> To: [log in to unmask]
>> Subject: Re: join
>> Auto forwarded by a Rule
>>
>>
>Catherine
>
>I am sure care pathways are the way forward and sharing them is important
>rather than re:inventing the wheel in every A&E department. We have
>dveloped one with the cardiac team for chest pain and are developing one
for
>the management of self harm. Interestingly the latter is becoming an
>Integrated Patient Care pathway which will see self harm being managed by
>A&E staff with input from other stakeholders where as many other pathways
>lead the patient out of A&E to definitive care elsewhere.
>
>regards
>
>John Ryan
>
>
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