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Developing national condition specific standards for care pathways post LCP

Developing national condition specific standards for care pathways by Mark Fleming  National ICP Coordinator – Healthcare Improvement Scotland and Programme Manager EHealth/Mental Health, NHS Ayrshire and Arran.


The presentation from Scotland will focus on the development of ICPs within a national strategic framework.
Previous work by Healthcare Improvement Scotland had identified that care provision was better organized in NHS Boards that had adopted a care pathways approach.
The Scottish government in their “Delivering for Mental Health” strategy in 2006 tasked NHS QIS in developing both ICP standards and an accreditation system that would be locally created and implemented by NHS Boards from late 2008. The standards were delivered in early 2008 and since then NHS Boards have been developing their ICPs based on the national standards laid out.
The standards and the developing pathways have a whole systems approach to them which covers the community and in patient journey as well as the provision of crisis and early intervention models. Hence there is a focus on the provision of community care and the prevention of hospital admissions.
The assessment and care planning components of the standards promote the need for a self  recorded assessment of need and the development of a recovery plan from this and the staff members needs identification.
NHS QIS have developed the standards and created a support structure where each boards ICP Team has a link National ICP coordinator who supports them in the development and implementation of the ICPs in that NHS Board. Nationally a network of support meetings and an electronic toolkit provides additional peer support and information.

Mark's full presentation is available to download at the bottom of this page.

Mark Fleming is one of the National ICP coordinators based at Healthcare Improvement Scotland in Glasgow.
Mark has a mental health nursing background and has been working in the ICP field for about 12 years now. Mark also works as Programme Manager in NHS Ayrshire and Arran where he has responsibility for ICP Development and the E-Health developments across the mental health services there.
Mark is a regular speaker both nationally and internationally in the mental health ICP and EHealth fields. He is also chapter author of the Integrated Care Pathways in Mental health book as well as in Integrated Care for Ireland: An International Context.
Mark has recently been appointed as the chair of the HIMSS UK Nursing EHealth Committee and was part of an Immersion study to Chicago USA in 2013 exploring how the US health system used technology to support clinical care.
Away from work Mark likes to travel and enjoys his Football and skiing.

Forthcoming events of interest:

Clinical Audit for Improvement 2014
Wednesday 26 February 2014 — Thursday 27 February 
Hallam Conference Centre

Patient Experience Insight: Demonstrating Responsiveness to Feedback
Monday 28 April 2014 
ICO Conference Centre

Action Planning
Wednesday 30 April 2014 
Hallam Conference Centre

Masterclass: Service Innovation and Improvement
Tuesday 20 May 2014 
BPP Law School

Measuring and Monitoring Quality
Wednesday 21 May 2014 
Colmore Gate Conference Centre

Clinical Audit Masterclass
Thursday 22 May 2014 
Hallam Conference Centre

Implementing the Named Responsible Doctor and Nurse in Hospital
Wednesday 11 June 2014 
ICO Conference Centre

Download: Mark Fleming full presentation

12 February 2014


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