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

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….

Clinical Commissioning Groups and the NHS

Commissioning Innovation

As we race forwards into clinical commissioning, there are lessons to be learnt from other people.  The latest book “The Innovator’s Prescription: A Disruptive Solution for Health Care” by Christensen, Grossman and Hwang points to some things we need to take account of. It makes good reading . . .

Getting GPs involved in GP Commissioning

Clinical Commissioning Groups (CCG)GPs know the most about the patients registered with them, and have the biggest incentives to innovate and to commission better services. So why aren't they embracing Clinical Commissioning and using it to improve healthcare right across the country?

It could be any of a number of reasons, and we believe it's about understanding.  What's more, with our experience of doing exactly this (supporting GPs to get engaged), we can demonstrate how we've made a difference, and how it could work for other CCGs.

The Politics of CCGs

Clinical Commissioning

Clinical Commissioning Groups (CCG), the organisations that will commission  healthcare for nearly 60million people across England at a value of around £70billion, are beginning to take shape.

They come in essentially three types, and if you want to supply healthcare to these CCGs, even if you are an established provider of healthcare, you need to understand what you are dealing with

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