new Service for Oral the cluster to those practices not secondary prescribing in line with model to GP practices, for – Anticoagulation with participating in the DES care, information/consideration. MHRA Warfarin medicines management Cluster Uptake: 6/8 team Practices 8 To prolong independence To continue with active GP March 2016 Early identification of Bay cluster has acted as of older people through involvement in the anticipatory Practices, and ongoing those patients most an early adopter. . identifying those people care programme Health vulnerable of losing their Practices have continued most at risk of losing Board, independence. Care their involvement in the independence and To participate in a full evaluation Community coordinator and care anticipatory care developing anticipatory when the programme rolls out to Hubs, Mental plan systems will assist programme establishing care plans. all clusters Health those patients most at systems to: risk. Assist in making it core business Identifying those most vulnerable of losing their independence Identify care coordinator and care plan systems 9 To review the effectiveness To consider an appropriate GP Practices March 2018 Better service to Secondary care of dermatology services evaluation process following the / Health patients. Fewer dermatology referrals offered within the purchase of dermatoscopes Board secondary care have been requested for community across the cluster referrals. review and evaluation during 2017/18. 10 PMS Plus: respiratory To continue to undertake a range GP Practices Ongoing Improvement in patient Notification of cluster prescribing of prescribing initiatives as / Medicines symptom control award during 2016 / 17 required to improve respiratory Management £26,006 prescribing Team / Pharmacists 11 To achieve better health To continue to promote the GP Practices March 2018 Reduced wastage of To discuss what is being outcomes and safer care wastage of medicines campaign / Health and ongoing medicines and costs. done during 17 / 18 to through prudent prescribing
new Service for Oral Anticoagulation with Warfarin the cluster to those practices not participating in the DES secondary care, medicines management team prescribing – in line with MHRA model to GP practices, for information/consideration. Cluster Uptake: 6/8 Practices 8 To prolong independence of older people through identifying those people most at risk of losing independence and developing anticipatory care plans. To continue with active involvement in the anticipatory care programme To participate in a full evaluation when the programme rolls out to all clusters GP Practices, Health Board, Community Hubs, Mental Health March 2016 and ongoing Early identification of those patients most vulnerable of losing their independence. Care coordinator and care plan systems will assist those patients most at risk. Bay cluster has acted as an early adopter. . Practices have continued their involvement in the anticipatory care programme establishing systems to: Assist in making it core business Identifying those most vulnerable of losing their independence Identify care coordinator and care plan systems 9 To review the effectiveness of dermatology services offered within the community To consider an appropriate evaluation process following the purchase of dermatoscopes across the cluster GP Practices / Health Board March 2018 Better service to patients. Fewer secondary care referrals. Secondary care dermatology referrals have been requested for review and evaluation during 2017/18. 10 PMS Plus: respiratory prescribing To continue to undertake a range of prescribing initiatives as required to improve respiratory prescribing GP Practices / Medicines Management Team / Pharmacists Ongoing Improvement in patient symptom control Notification of cluster award during 2016 / 17 £26,006 11 To achieve better health outcomes and safer care through prudent prescribing To continue to promote the wastage of medicines campaign GP Practices / Health March 2018 and ongoing Reduced wastage of medicines and costs. To discuss what is being done during 17 / 18 to
6.%20%20Bay%203Yr%20Action%20Plan%2017-20%20Final%20Agreed%20Edited.docx