Inspiration: Mapping the community services locally and providing referral guidance

Inspiration: Mapping the community services locally and providing referral guidance

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St Georges Healthcare NHS Trust, Community Services Directorate

Overview

This project sits within a wider programme which aims to integrate care. The aim of the project is to enable people working within St Georges Healthcare NHS Trust to link easily and quickly with their partner organisations. This will support better joined up care and quicker discharges.

Brief Summary

I became a Darzi Fellow in September 2014. I am a nurse specialist in bladder & bowel dysfunction and a service manager.

The first phase of the project is to collate and present in an accessible format all the information on local services. People working at St Georges Hospital mainly refer to services in five London boroughs (Wandsworth, Sutton, Merton, Croydon & Lambeth) and sometimes into other boroughs, such as, Richmond, Kingston and Southwark. Each borough has different services, and each service is often accessed in a different way.

I will map all the services into the format of an electronic tree menu (similar to the NICE pathways), and include levels such as, what is the service, who can access it, how to refer, and who to refer. The paperwork needed to make a referral will also be attached.

The second phase will aim to standardise referral processes across similar services where possible.

This project has not finished yet. It is part of the Darzi Fellowship programme, and therefore will be continuously monitored and will have a final assessment.

Area of work

In relation to the four foundations of our declaration, this project aims to:

  • Working as one team

Service user involvement?

We are working on another discharge project which will include patients/users involvement. The mapping of services – at this stage – is to facilitate health professionals’ access to up to date information to facilitate patient’s flow through services. The project will develop further after my departure in other areas which may involve service users.

Advice for others

Do not re-invent the wheel. Talk to other people involved in similar projects and work on your project collectively. Build a multidisciplinary support network and think about the sustainability of your project (who is going to keep the database up to date? Any costs involved?) and the context within which it will be used

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