Aims and objectives of service. The Pharmacy First Minor Ailments Service is primarily designed as a “walk in” service so that patients exempt from prescription charges of all ages can access self-care advice for the treatment of minor ailments and, where appropriate, be supplied with over the counter medicines, without the requirement to attend their GP practice for an appointment and prescription.
Aims and objectives of service. 1. To improve the mental and emotional health and wellbeing of children with autism, through training and early intervention with parents and professionals.
Aims and objectives of service. The aim of the service is to increase access to sexual health services in Kirklees in order to reduce unintended pregnancies and improve sexual health. In addition the services will increase knowledge of the consequences of risky sexual behaviour by providing information and advice as appropriate on sexual health issues including STIs, avoiding unplanned pregnancy, contraception and delaying sex (as appropriate). The service will also improve awareness of the range of sexual health services available in the area. • Specifically, the services will comprise: a consultation, information and advice, signposting to other services, provision of emergency hormonal contraception (EHC), pregnancy testing, Chlamydia screening and provision of condoms. • Females aged 13 and over who present within 120 hours of unprotected sexual intercourse will be provided with emergency hormonal contraception (subject to circumstances) free of charge • The Contract allows the Provider to supply Levonorgestrol or Ulispristal emergency hormonal contraception to appropriate clients in line with relevant guidance and patient group directions, by accredited pharmacists from the accredited Provider. • Increase the Public Health role of the community pharmacist and promote multidisciplinary working in relation to sexual health. 3.2 Service description/pathway • The Provider will ensure that the Service offered is user-friendly, non-judgemental, client-centred, young people-friendly and confidential. • Pharmacies will ensure that staff refer clients requesting EHC to the accredited pharmacist discreetly and as soon as practicable. See Accessibility section for action to be taken if accredited pharmacist not available • Pharmacists can be proactive in offering EHC under the scheme for clients who present for over-the-counter (OTC) EHC and fit the criteria outlined Consultation • The complete sexual health consultation must be carried out within a private consultation room separate to the main area of the premises to ensure privacy • The EHC consultation must be carried out by a pharmacist who is considered competent to provide; see section below. • Ulipristal will be given within its licensed indication in line with national guidance. Where levonorgestrel is given. This will be under PGD • The pharmacist will assess the need and suitability for a client to receive EHC, in line with the PGD and/or service specification • If EHC is not justified or there is minimum risk – i.e. presented day b...
Aims and objectives of service. The aim of the supranetwork penile cancer service is to deliver high-quality multidisciplinary holistic care aimed at increasing survival while maintaining sexual and urinary function, and quality of life. It also ensures ready and timely access to appropriate supportive care for patients, their relatives and carers. The service will be delivered through a supra-network penile multidisciplinary team, with some elements,(e.g.radiotherapy/chemotherapy) delivered at a local level depending upon the needs of the patient. All patients with penile cancer, both new and existing, should be managed by specialist multidisciplinary urological cancer teams. These teams should be established in large hospitals or cancer centres. All operations carried out by the penile cancer team should be carried out in a single hospital, which should also provide post-operative care and host the supranetwork multidisciplinary team (MDT) meetings. Documented clinical policies for referral and treatment should be agreed between cancer leads in primary care and lead clinicians representing urological, oncology and palliative care services throughout the network, and signed off by the lead clinician for the network. Effective systems will be required to ensure rapid communication and efficient co- ordination between teams. Supranetwork specialist teams Patients with penile cancer should be managed by specialist penile cancer teams working at the supranetwork level. Such teams should serve up to four networks, with a combined population base of at least four million. These teams should liaise closely and regularly with local urological cancer teams, who themselves will be responsible for some aspects of the diagnosis and treatment of these cancers. The service is required to agree the following areas with their local cancer networks: • Service configuration and population coverage • Referral criteria, clinical protocols (including referral and management of post- operative patients, emergency protocols, and pathways that enable rapid access for treatment), network policies (including local surgical policies) and treatment pathways. • Engagement with the local network groups and National Cancer Peer Review for penile cancers under urological tumours. The overall objectives of the services are: • To provide care with a patient- and family-centred focus to deliver the best possible patient experience, contributing to and learning from patient experience and outcome measures. • To provide an...
Aims and objectives of service. The National Insulin Resistant Diabetes Service provides a multidisciplinary outpatient clinic at Cambridge University Hospitals NHS Foundation Trust (CUH) plus inpatient stays for initiation of therapy when indicated. The aim of the service is to provide diagnostic, therapeutic and educational support for both patients and their local clinical carers, and to establish and disseminate evidence-based recommendations for the therapy of this severe group of conditions. The service is targeted at patients with lipodystrophy and/or extreme insulin resistance as defined below (in 2.1). These are very rare but metabolically devastating disorders associated with significant long-term morbidity and mortality. The purpose of the service is to improve outcomes for these patients through the following mechanisms: • by providing a precise diagnosis wherever possible • by the provision of targeted specialist delivered treatment interventions including both dietary and pharmacological therapies • by educating patients, their relatives (where this is appropriate) and local health carers • by raising the profile of severe insulin resistance/lipodystrophy as a clinical problem in order to improve access to optimal care for affected patients. Objectives and expected outcomes Diagnosis Accurate clinical assessment is an essential step to putting the correct management strategies in place early for this group of patients. This requires close links to clinical biochemistry, molecular genetics and radiology services, to provide a complete, integrated package of clinical, biochemical and radiological evaluation as well as definitive molecular genetic diagnosis where appropriate. Objective 1 • To provide a specific diagnosis to all patients with lipodystrophy/severe insulin resistance. This is not currently possible as the genetic basis of several of the disease
Aims and objectives of service. In the United Kingdom (UK) up to 40 patients per year become dialysis dependent having under gone renal cancer surgery. Ex-vivo partial nephrectomy and renal auto- transplantation (EPN) is an operation that can be used to treat complex cancers in patients with a single kidney not suitable for other nephron sparing approaches. EPN offers suitable patients the possibility of cancer cure and avoidance of a life on dialysis. The overall aim of the service is to provide patients with complex renal tumours in solitary kidneys or bilateral disease not suitable for conventional treatments, the possibility of cancer cure and avoidance of dialysis. Between 1997 and 2007, approximately 300 patients in the UK developed end stage renal failure requiring renal replacement therapy as a direct consequence of renal cancer surgery (data from the UK renal register). A proportion of these patients may have avoided dialysis had they had the option of an EPN. We anticipate that 50% of the patients with complex T1-2 tumours may be suitable for an EPN. National commissioning of ex- vivo partial nephrectomy now means that up to 20 potentially salvageable patients will be no longer be rendered anephric and dialysis dependent. It is expected that the EPN service will result in significant quality of life and cost benefits to the health service in England.
Aims and objectives of service. To provide alternative options to facilitate stopping smoking; To reduce smoking related illnesses and deaths by supporting people to give up smoking; To improve the health of the North Lincolnshire population by reducing exposure to passive smoke; To facilitate behaviour change as a means to improving health and well-being.
Aims and objectives of service. The key aims of the service is to: To improve the health outcomes for children and young people who have a neurodisability Early, appropriate and cost – effective Increase the focus on improving children‘s lives by ensuring that professional work together across organisational boundaries to meet the needs of the young people. The key objectives are to: To provide a high quality, timely consultant led medical service for children and young people with complex neurodisability for children and young people under the age of 19 (or during transition into adulthood). Through the provision of a multi-disciplinary neurodisability service, children young
Aims and objectives of service. 3.1.1 This service aims to improve health outcomes and quality of life amongst Hull residents by identifying individuals at an earlier stage of vascular change, and provide opportunities to empower them to substantially reduce their risk of cardiovascular morbidity or mortality. 3.1.2 Specific objectives of this service are to: Offer an NHS Health Check to 20% of the eligible population every year as part of a 5 year rolling programme with an uptake level of 75%, in accordance with national Best Practice Guidance (March 2016) xxx.xxxxxxxxxxx.xxx.xx/xxxxxxxx.xxx?x=0000 Enable the early detection of hypertension; Enable the prevention and early detection of diabetes and its potential precursor state pre diabetes (intermediate hyperglycaemia); Identify patients with undiagnosed atrial fibrillation to prevent future strokes; Enable the early detection of chronic kidney disease; Identify individuals with a medium and high risk of future cardiovascular disease; Initiate the appropriate medical management of newly diagnosed chronic diseases; Identify level of potentially harmful drinking; Increase population level awareness of dementia specifically among 65 to 74 year olds Work collaboratively with individuals whom require lifestyle modification and offer them on- going support through referral to one or more local lifestyle intervention services (see section 3.2.12) 3.2
Aims and objectives of service. The aim of the service is to maintain people at home when safe and appropriate to do so and thereby reducing admissions to hospital, reducing inpatient lengths of stay and reducing readmissions. • To adopt a client centred approach in which the individual takes on an active role to achieve maximum independence and quality of life, with the Intermediate Care team supporting the individual to set achievable objectives to help them attain their long term goals. • To provide a zone-led intermediate care service and medical input to enable the client to remain in their own home, wherever possible; where this is not possible in a short-term nursing or residential home placement with regular therapeutic & nursing interventions. 2.2 Service descriptionlcare pathway Intermediate care teams within Devon provide time limited multi-disciplinary rehabilitation to service users in their own homes and/or in short-term crisis intermediate care nursing or residential home placements. The teams comprise physiotherapy, occupational therapy and intermediate care support workers, with a central co-ordination function from within the locality based teams. At present, the Intermediate Care teams in Devon do not include nursing, social care and older person’s mental health. • Intermediate Care services are for people who would otherwise have unnecessarily prolonged hospital stays or inappropriate admission to acute inpatient care or long term residential care. • They are provided on the basis of a comprehensive assessment resulting in a structured care plan involving active therapy and treatment. • There is a planned outcome of maximising independence and enabling users to remain or resume living at home • Intermediate Care services are time limited; ideally up to 6 weeks duration and comprise multi- disciplinary service provision. In Devon this is current physiotherapy and occupational therapy with other professional interventions coming from within existing health and social care services. • Domiciliary care packages will be arranged or existing packages of care supplemented, including the use of Social Care re-ablement, where appropriate, to support the individual to remain at home during the Intermediate Care episode. These services will be accessed via Care Direct Plus or the locality based access points Where a person cannot be maintained at home they will, by agreement, be admitted to a nursing or residential home placement whilst their initial medical crisis is stabilised...
