Neurology network events on tour

October 26th 2015 category Commissioning Excellence

NHiS Commissioning Excellence continues its tour around the country and last week it was the turn of South West Neurology Commissioning Network in Taunton.

This interactive meeting chaired by Dr Peter Heywood, clinical neurology lead for NHS England South west Strategic Clinical Network and consultant neurologist at North Bristol NHS Trust, focussed on a range of areas that could support the delivery of efficient and effective neurology services.

The meeting started by looking at a recent progress report from the National Audit Office on neurology services which highlighted that services are still failing neurology patients and much more needs to be done to address the gap. There is great optimism however that innovative projects like the ‘NHS Vanguards’ and multispecialty providers will help to deliver much needed improvements by paving the way for new models of care which will change the way services for patients are commissioned.

The vanguards could be a new approach for implementing better NHS neurology services and whilst neurology is not specifically on their agenda at the moment, we hope clinicians and commissioners will be able to influence for inclusion. However these new structures are not the only avenue towards developing practical solutions.

Commissioning neurology services is not easy and the development of an epilepsy commissioning toolkit by Epilepsy Action and Epilepsy Society could help. The toolkit which officially launched in September has been produced together with nine Clinical Commissioning Groups (CCGs) to create a single access point of resources to support effective commissioning for children and adults with epilepsy. The nine sections will take CCGs through the whole commissioning process, and each section provides specific resources to improve commissioning.

A crucial aspect of understanding where to start with service redesign is to look at data and Lucy Mooney lead movement disorders nurse and deputy director of the Bristol Move-hIT project highlighted how the Parkinson’s service used data to help them understand where they needed to prioritise effort on Parkinson’s services. The Move-hIT programme is part of an initiative from Bristol Health Partners which aims to bring together the city’s NHS bodies, commissioners, universities and council to improve the health of those that live in Bristol.

Lucy explained how with the help of NHiS Commissioning Excellence they are now developing integrated care pathways for Parkinson’s which when implemented would help patients move more smoothly through the system.

In the final session Sue Thomas highlighted that looking at why people are being admitted as emergencies into hospital (for example in MS and Parkinson’s) can help to ensure the best possible outcomes at the minimum necessary cost. Part of this means profiling the population to identify who is at most risk from avoidable emergency admissions which could be prevented with the right proactive care. Among people with MS, urinary tract infections create a large number of emergency admissions, so working on specific strategies to address this problem should be a priority.

The next neurology meeting will be in Haydock near Manchester on 19 November, and includes Dr David Bateman, National Clinical Director for Adult Neurology Conditions for NHS England, and sessions on using headache guidelines in clinical practice and the National Audit of Seizure management in Hospitals (NASH) report. More Network Events are happening all over the country in the coming months, covering neurology, mental health and rheumatology – find out what’s happening near you.

*All the presentations from each event are downloadable at NHS Networks.

About the Author

Sue Thomas

Sue Thomas

Chief Executive for Commissioning Excellence
View more posts by Sue Thomas

October 26th 2015 category Commissioning Excellence

Commissioning Excellence

As one of NHS England’s recognised niche specialist commissioning support providers, we offer a full range services to assist you in improving patient outcomes. Our experience covers all long term conditions, with a particular specialism in the field of neurology.

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