Programmes Cancer Information Clinical Governance / Quality Improvement Coronary Heart Disease and Stroke Data Development Equality and Diversity Information Governance Joint Future Long Term Conditions Mental Health Information National Clinical Dataset Development National Medicines Utilisation Unit NHS Resource Performance Management Scottish Health Information Service (SHIS) Scottish Public Health Observatory (ScotPHO) Substance Misuse Waiting Times Women and Children's Health Information
ISD Programmes
Long Term Conditions Programme
Better Health, Better Care Action Plan in the areas of long-term conditions, unscheduled care and their inter-relation.High-Level Objectives 2008/09
- Contribute to the risk stratification of the population of Scotland (at national and local levels) in terms of person-based patterns of long-term conditions
- Develop sources of data and analyses to support the Long Term Conditions Collaborative
- Continue to develop risk prediction tools as support for the better management of long-term conditions
- Analyse the system of unscheduled care paying particular attention to heavy users, end-of-life care and relation to long-term conditions
Programme Summary
In the short to medium term, priority tasks for this Programme are focussed around high-risk complex patients - e.g. Scottish Patients At Risk of Readmission and Admission (SPARRA) risk-prediction tool - and their relationship with the acute sector. However, the programme is also working to support the information requirements of CHPs and to map out a population distribution of long-term conditions.
In the longer term the programme will continue to expand the information infrastructure to support the population management of long-term conditions both in terms of active risk stratification of individual patients and population level planning.
Contact Details
Contact: Lorna Jackson, Head of Programme
Tel: +44 (0) 131 275 6419
Email: lorna.jackson@isd.csa.scot.nhs.uk
Web: www.isdscotland.org/isd/3914.html
Steering Group/ Programme Board
- Colin Cook, Head of Healthcare Planning Division - Scottish Government Health Department
- Jonathan Pryce, Head of Primary Care Division - Scottish Government Health Department
- Kate Bell, Change & Innovation Manager - NHS Lanarkshire
- Bill Mutch (Chair), Medical Director - NHS Tayside
- Simon Steer, Head of Community Care Integration - NHS Highland
- Paul Leak, Head of Financial Planning - NHS Highland
- Janet McCarlie, Clinical Lead North - Ayrshire CHP
- Elizabeth Ireland, General Practitioner - Kinglass Medical Practice
- Gill McVicar, General Manager - Mid Highland CHP
- Tim Eltringham, Head of Health & Community Care -East Renfrewshire Community Health and Care Partnership
- Rachel Hardie, Consultant in Public Health Medicine - NHS Lothian
- Penny Bridger, Consultant in Public Health Medicine - ISD Scotland
- Steve Kendrick, Programme Principal - ISD Scotland
- Eddie Adie, Project and Information Manager - ISD Scotland
Damian Sefton
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