ECP

Emergency Care Practitioners, Case for investment

ECP from Bournemouth who saved two lives in one dayA national programme had the ambitious intent to reduce A&E attendance by 1 million.

Resource and Workforce Planning

When making a change in a system as complex as UK health service (whether a single department, or a whole region), getting the resources right both in terms of investment and in workforce can be quite a challenge. Moreover there can be more than one solution, for example more lower cost staff or fewer higher-cost.

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"10 High Impact Changes for Service Improvement and Delivery" - NHS Modernisation Agency

"10 High Impact Changes" presaged the NHS Institute for Innovation and Improvement style of publications - documents written to be accessible and useable for the NHS at large and the public, which gave shortcuts to the achievement of service improvement. It was naturally followed by a whole spate of spin-off documents - "10 High Impact Changes for Primary Care", "10 High Impact Changes in Mental Health", etc

Measuring the Benefits of the Emergency Care Practitioner

Measuring the Benefits of the ECP (Emergency Care Practitioner)"Measuring the Benefits" looks at the evidence for urgent care practitioners caring for patients effectively. It compares paramedics and advanced paramedics (in research from USA, Canada, Australia and Europe) with advanced nurse practitioners and ECPs (in UK pilots).

ECP Competence and Curriculum Framework

ECP Competence & Curriculum FrameworkThe Competence and Curriculum Framework defines what an ECP is and what training they require. At present (July 08) the title is not a restricted title so anyone can, technically, use it; this is being taken through the long process to help it become a restricted title.

The ECP Report: Right Skill, Right Time, Right Place

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The ECP Report - Right Skill, Right Time, Right PlaceThis was one of the defining reports for the Emergency Care Practitioner. Launched by Prof Sir George Alberti in October 2004, it explains what ECPs are (or can be), where they were at the time, how much they cost to develop and what the Return on Investment is (these two were my bits).

Urgent Care Limited - Social Enterprise

Urgent Care Social enterpriseUrgent Care Ltd is a social enterprise to bring together the valuable skills of Emergency Care Practitioners and Nurse Practitioners for first contact, and Primary Care Trusts (PCTs) need to get responsive clinicians providing care at the point of need.

Process Redesign using Care Pathway Simulator

Simon Dodds, a surgeon in Good Hope Hospital, developed an excellent piece of software to model the flow of patients/service users through a care pathway given constraints of staffing, equipment and facilities.

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Recent Additions and Updates

Old time farming - a moral tale

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A moral tale of industrialised farming.  Just like the Archers BBC Radio 4 long-running serial, the farmer industrialises, and then realises the error of his ways.

Charming animation shown as an ad during the Grammy Awards on Monday

A moral dimension to consulting

Moral dilemmaIt's easy to assume that all of our decisions are purely rational, but they rarely if ever are rational.  And they always have consequences for others, usually consequences that we think we could not have predicted.

But consultants are not here to make decisions, only to provide information and advice.  Does this somehow absolve us from a moral responsibility?

 

The Ten Commandments in Professional Services (6-10)

Interpreting God's Commandments

I've written previously about applying the first five commandments to Professional Services.  Here I show how Do Not Murder, Do Not Steal and so on are just as relevant commandments in the nuance and subtlety of modern life as they ever were.

Read on - and there's an invitation to comment!

The 10 Commandments in Professional Services (1-5)

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Two greatest commandsThe Ten Commandments apply just as firmly in each aspect of our daily life as they apply to the whole of our lives.  I'm a management consultant, and on this page I explain how the first five of the Ten Commandments apply to management consulting and professional services.

Getting GPs involved in Clinical Commissioning Groups (CCG)

Life in the YearsMost healthcare providers, in UK the same as everywhere else, get paid for each activity they do.  If someone needs care, they get paid.  If someone is well, they don’t.  So there isn’t much incentive (for the healthcare provider) to keep people well, even though it is much better for the person, much better for the nation, and much lower cost.  Minney.org Ltd is working with one CCG to generate enthusiasm and involvement, and the results are fairly successful….

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