Development of

Service Frameworks

June 2007

What is a Service Framework? Explicit standards on prevention, treatment and care; “Quality requirements” supporting the standards;

Specific timeframe - 3-5 years and revision process;

Capable of measurement/comparative data (minimum and stretch);

Linked to the HSC quality standards and other policy, documents and guidance;

Applicable to both adults and children;

Follow a life cycle approach; and ,

Developed in collaboration with the HSC and public.

AIM Improve health and wellbeing;

Reduce inequalities in health;

Promote social inclusion;

Transparent standards of care, on behalf of public;

Reduce variation in treatment and care;

Link public health with quality and safety of care;

Safeguard vulnerable individuals and groups; and,

Improve partnership working with other agencies/sectors.

Real Opportunities Integrate health and social care;

Enhance public health and wellbeing through identification of those at risk and prevent, protect individuals / families in local populations from harm and disease;

Promote evidence-informed practice; and,

Enhance multidisciplinary / intersectoral working.

The public;

HSC organisations and other providers;

Commissioners - HSCA and LCGs;

Voluntary, community and independent sector;

RQIA; and,

DHSSPS/Minister.

Key StakeholdersKey Stakeholders

ORGANISATIONAL DESIGN: KEY ELEMENTS

Choice/ Commissioning

Performance Management Funding

based on Outcomes

CVD

Respiratory

Cancer

Mental Health

Learning Disability

Patient/client Pathway Template

Prevention / PromotionProtection /Lifestyle

Assessment & Diagnosis

Treatment

Ongoing Care / Chronic DiseaseManagement

End of Life Care / Palliative Care

Phase 1- Development Cardiovascular Health and Wellbeing –January 2007

Recognition of common risk factors; Promotion of self-care; Will include:

– Coronary heart disease– Hypertension– Cerebrovascular disease– Peripheral Vascular disease– Diabetes ( as a significant risk factor for CVD)– Renal disease associated with CVD

Phase 2 - DevelopmentRespiratory Health and Wellbeing – Feb. 2007

Recognition of shared risk factors;

Promotion of self care;

Will include:– Pneumonia– Asthma– Allergic Rhinitis– COPD– Obstructive Sleep Apnoea– Pulmonary hypertension– Tuberculosis– Cystic Fibrosis( and other genetic diseases)

Phase 3- Development Cancer Prevention ,Treatment and Care – May 2007 Will include:

- Breast;- Colorectal;- Lung;- Gynaecological;- Upper gastro-intestinal and hepato-pancreatico biliary;- Haematological;- Children’s cancer;- Head and neck;- Sarcoma;- Central nervous system;- Endocrine cancers;- Dermatological; and- Urological system

Phases 4 and 5 - Development

Mental health – from June 2007

Learning Disability- from end June 2007

Trawl for other areas of risk and concern – Sept. 2007

Engagement Use established HSC networks and fora;

Stipulate composition to promote multidisciplinary and intersectoral working;

Common methodology and template;

Recognition that care goes beyond traditional HSC boundaries; and,

Consultation and external quality assurance.

Timeframe for Completion CVD – April 2008 Respiratory – July 2008 Cancer Care – August 2008 Mental Health – September 2008 Learning Disability – November 2008 Other(s) – beyond this

Review mechanism will be built in to process