Championing Respiratory Care in Primary Care: The impact of a regional clinical network lead primary care respiratory champions programme. (ID 378)
NHS England (SW Region)
Funding: this abstract refers to interviews carried out as part of a six-month Primary Care Respiratory Champions programme funded by the NHSE/I south west regional respiratory clinical network.
Abstract
AIM: to understand the emerging impact a six-month programme supporting the development of respiratory focused primary care respiratory champions.OUTLINE: Mid-way through a six-month Primary Care Respiratory Champions programme delivered by a regional Clinical Network, participants were invited to an open structured discussion. Twelve participants volunteered and were interviewed.
Four themes emerged 1) Integration, 2) Quality, 3) Human Behaviours and 4) Variation, that are influencing performance and suggesting both opportunities and recommendations for local health systems when considering integrated respiratory focused care pathway transformation.
DESCRIPTION OF CHANGE: It was recognised that a range of system conditions had evolved over time which actually hindered the ability of the workforce to provide effective and efficient respiratory care. These system conditions unwittingly under-estimate the skills and abilities of this group of experienced nurses, can cause duplication and omission, leading to sub-optimised care and outcomes for individuals, and risk building additional cost across the system, whilst jeopardising the retention of staff. However, since systems conditions are “man-made”, it is within our gift to change them if we wish.
LESSONS LEARNT: This initial review of the programme indicated approaches that systems would wish to consider ensuring the primary care workforce are supported to offer high quality respiratory focused support for those in the community with long-term respiratory conditions. Since primary care is often the first point of contact for those seeking help to manage their respiratory condition, this programme showed that with support to grow in confidence, leadership and through working in partnership with access to the wider clinical expertise the primary care workforce are pivotal to the success and efficiencies of a systems integrated respiratory care pathway.
MESSAGE TO OTHERS: recognise the benefits of including and supporting primary care as respiratory specialists when developing your local ICS respiratory care pathways.
Conflicts of interest: Reeve T - none
Cook C - PCRS executive committee member
Holmes S - PCRS executive committee member
McConnell W - none
Rogers A - none
Sharp C - none
Stonham C - PCRS executive committee member
Williams R - none
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