PMS Pilot Project

1
PMS Pilot Project
NSF Older People Nursing Residential Care
Homes
Susan Bennett Clinical Project Manager Greater
Peterborough Primary Care Partnership
2
Nurse
Facilitator
Manager
Teacher
Quality Auditor
Service Redesign
Change Agent
Negotiator
3
Project Context

• Elderly Population Growth
• Known Concerns Primary Secondary Care
• NSF Older People Targets
• nGMS Contract
• New Care Standards by CSCi

4
PMS Pilot Project
Mapping Exercise
1200 residents
NSF Older People

• 32 Homes
• 11 Nursing
• 6 Social Services
• 15 Residential

Multidisciplinary team
5
PMS Team - Activities

• First Contact Visiting
• Chronic Disease Management
• Dementia care 16 2003 (40 2005)
• Teaching

6
Level HCSW to RGN
28 Subjects
Training Issues
15 Languages
Understanding and comprehension
7
Training Activities

• Clinical 14 subjects / 74 sessions / 424
  HCSW / 121RGNS
• Dementia Care 4 Aspects / 49 sessions
• HCSW 417 / RGNs 30
• Theory 6 Areas / 8 sessions / 107 / 35 RGN
• Professional Issues 6 sessions -25 RGNs

8
Risk Issues

• Communication
• Staff Residents
• Documentation
• Record keeping
• Quality of Care
• Hospital Admission / 999 call-outs
• Lack of leadership Skills
• Medication Errors

9
Example of Concerns

• 14 staff 9 languages
• Speech Tone Volume
• Private sponsorship ?NHS knowledge
• Adaptation from internal staff

• Patient comprehension
• Equipment
• Mattresses /Dressings
• Previous experience
• Doctor Hospital
• Palliative Care
• Culture re undressing
• Legal/ CSCi requirement

10
Which way now?