South East Coast Respiratory Programme

Clinical Co-Leads: Jo Congleton, Jo Wookey and Julia Bott

Programme Manager: Rachel Collins

Programme Configuration

• Full Time Programme Manager:– Resource management– Planning – Administration

• 3 Clinical Leads, 1 day per week each, 1 lead per PCT Cluster– Leading on individual workstreams– Clinical Leadership– Clinical Engagement

SEC Respiratory Programme Board

Rachel CollinsProgramme Manager

Jo CongletonClinical Lead

Jo WookeyClinical Lead

SEC Oxygen Clinical Working Party SEC PR Network

Julia Bott Clinical Lead

SEC Early Identification and Prevention Project Board

SEC Respiratory Industry Alliance

William RocheMedical Director

Senior Responsible Owner

Governance

• Annual Stocktake Review with DH• Quarterly Progress Reports to Programme Board• Quarterly Data Reviews with Local Networks• Bi Monthly Workstream Reviews with clinical leads

Benefits Map

Clinical Network Development

• Discussions at PCT cluster level– Surrey– Sussex– Kent

• Programme Board discussion on what clinical networks should look like

Workstreams

• Prevention and Early Identification– Stop Smoking– Public Awareness Campaign– Staff Awareness Campaign – Proactive Case Finding

• Self Management– BLF SMP Pilot x 4 sites

Workstreams

• Pulmonary Rehabilitation– Network / Masterclasses– Influencing Commissioning

• Medicines Management– 5 Prescribing Principles– MURs and the NMS– Inhaler Technique

Workstreams

• Oxygen– Procurement– Network / Masterclass– Influencing Commissioning– Emergency Oxygen

• Asthma– Dashboard

• NIV– Influencing Service Models and Commissioning

Key Lessons to date

• It’s not what you know – It’s who you know– People and Relationships!

• Communications– Clear Key Message– Repetition– Be inclusive– It takes time to influence decision making

• Give recognition and help others celebrate success

Issues and Challenges

• Clustering arrangements at SHA and PCT level• Changing roles• Battle for Investment• Timescales - everyone expects a reduction in

admissions NOW! • Information overload for Primary Care

Support needed and gaps

• Media, Marketing and Communications• Data Analysis• Financial Forecasting• Public Health Forecasting • Training and Education

• ? Ambulatory Care • ? Working across new SHA regions