Not for the faint hearted

The chapter for Brighton GP Localities.
I have started a Googlemap of the Brighton and Hove General practices to help me get a feel of the geography.
You can drag'n'drop or double-click a place on the map to magnify.
Also I just worked out how to do this and link it, so not populated yet, but I'm working on that.
Fun and useful, but might slow the site down a little.

Central - yellow
East - blue
West - green

View Larger Map

Brighton GP Referrals Section embedded within the Map of Medicine.

Still only visible from NHS computers as yet.
So click the link on the left under MyLinks>> Doctor>> Map of Medicine "C-Sussex" View from NHS pcs

Click the "Feedback" button to let us know what you think of each page.

We initially used Dizziness as a referral pathway to learn how to use the Map.
Some background work is being done bringing together all the links and forms related GP referrals.
The Early Adopter Plan is being formulated.
It is also planned to move the hosting onto the www to allow access at home, and to allow individual logins to gain access to further features like personal notes.
See docs below for an idea of the plans and progress.

• The Map of Medicine (MoM) is software designed initially with clinicians at the Royal Free Hospital London to create Clinical pathways/guidelines.
• It is designed to be visual, consistent, to chunk information and to encourage feedback.
• It is structured to show the evidence-based and record the information governance behind pathways.
  
• It is now part of the National Program for IT, backed by the National Knowledge Service.
  
• They are working together with professional bodies (including many Royal Colleges) to accredit current pathways and plan new ones.
• So far they have created about 400 Evidence-Based National Clinical Pathways.

We have access to a local copy of these to "localise" for Brighton and & Hove if we wish.

There are two levels of localisation.

1. Local Admin Info  (such as adding local clinic times/contacts/leaflets at an appropriate part of a Pathway)
2. Clinical Localisation  (changing the clinical content or creating a whole new Pathway)

(This is a Chapter heading - if you wish to see the titles of the pages below this chapter then click the title of this page)
Click the link to take a Quick Tour of the features of this book.

updated during pre-publication work for November by Emma Stanley

Separate nodes by anatomical region:

• Shoulder & Elbow
• Hand & Wrist
• Hip
• Knee
• Foot & Ankle
• Podiatry?
• Back Pain Clinic

Local Admin later

• ? Acute clinics like Knee

Criteria and pathway

Liz Derrick has written some guidelines

There is also some work with Anne Foster and Clare Mitchison regarding the

• Community Dermatology LES
• Minor Surgery DES

Although we are not allowed to publish these yet.So the docs are not attached as yet.

Collating the Documents relating to this Pathway

18weeks pathway

A place to start putting your drawings

"off to the PROMs!"

Steth decides to check out Patient Reported Outcome Measures

Looking at: 2 Week Wait18 Weeks:

• Indigestion (Dyspepsia)
• Rectal Bleeding
• Change of Bowel habit
  / IBS
• Abdominal Wall Hernia
• Upper Abdominal Pain
• Iron Deficiency Anaemia

See attached ppt

www.nhspa.gov.uk/nhspa_site/index.htm

Notes recorded in the doc attached below.

File attached below

New to the Map, or just need to recap some training.
How it all stacks up:

• The Map of Medicine with  and all the local views (including Clinical Localisation, but no Local Admin Info visible on this)
• Then the Local Service Providers (LSP-Fujitsu for now in our case) Host a copy of this locally (this is the copy we add Local Admin Info to)

  ......

see attached.
May be useful to help us think about how to set up the process.

Vascular CRG meeting presentation.

The collapse of the Fujitsu contract in the South has meant that some "interim solutions" are being sought to fill the gaps.
More info as we get it.

I am also starting a list of  IT/Comms projects that you may wish to know about below.

Unscheduled Care Projects for Brighton and Hove Localities:If you lead one of these feel free to add a child page below with details of the project as I am starting to do with the IT/Comms projects page below.

• UCC
• CRT
• A&E Comms
• STAN
• Specialist Urgent hospital based Assessments
• Roving GP concept
• Safe Place
• Alcohol Liason
• Pharmacy
• Heart Failure
• TIA
• I.V.Therapy
• Care Home Support Team & Care Home LES
• DVT Steering group
• District Nursing
• ECMS/Hub for Health
• Short term Services

• IT/Comms projects (Electronic Discharges/Diagnostics Reporting)

• SDH Community services review
• Falls Service

TWOC Pathway draft Docs (background work)Starting to create the MoM pathway

uploaded doc

While helping to bring these together on the local Map of Medicine, I wanted to organise my understanding of referrals and I was having difficulty remembering which procedures were PAP, so gradually collating data and forms.
Many links will initially go to the PCT website while I am updating this.

This will hopefully become defunct once the Map of Medicine GP view is populated.
To see the table click the title above, or "Read more" below.

Choice architecture?
Libertarian paternalism?
by Richard H. Thaler (Author), Cass R. Sunstein (Author)
I have just started reading this, will let you know how it goes.

Helen Bevan, Director of Service Transformation, NHS Institute for
Innovation and Improvement.
Chris Ham, Professor of Health Policy and Management,
Health Services Management Centre, University of Birmingham
Paul E Plsek, Director, Paul E Plsek & Associates Inc,
Roswell, Georgia, USA

Interesting comments from Gene Watch (anyone know how reliable they are?)
"(vi) The appointment of Dr Walport to jointly run the consultation is inexplicable, given his ongoing role in lobbying for access to electronic medical record data by the pharmaceutical and biotech industries, including access to sensitive personal information in the ‘sealed’ and ‘sealed and locked’ envelopes of electronic medical records for research (contrary to the recommendations of the Health Select Committee)"

The Helsinki Declaration states: (22) “The subject should be informed of the right to abstain from participation in the study or to withdraw consent to participate at any time without reprisal”.

Chapter for the Eastern Locality.
We're adding East Locality Practices as child pages below this title.