South East CVD and Proactive Care Framework Workshop
Join this interactive session to learn more about the UCLP Proactive Care Framework and what support is available from your local AHSNs!
UCLPartners have created a series of proactive care frameworks to support primary care teams to manage patients with cardiovascular conditions. The frameworks focus on how to do things differently at scale, such as:
- enable practices to prioritise clinical activity by stratifying patients who are at the highest risk
- deploy the wider workforce to reduce the workload for GPs
- improve the personalised care offer for patients.
The clinical team have developed a number of resources to help staff with implementation and also promote self-management. View the resources here.
The frameworks include:
- Comprehensive search tools to risk stratify patients – built for EMIS and SystmOne
- Pathways that prioritise patients for follow up, support remote delivery of care, and identify what elements of LTC care can be delivered by staff such as Health Care Assistants and link workers.
- Scripts and protocols to guide Health Care Assistants and others in their consultations.
- Training for staff to deliver education, self-management support and brief interventions. Training includes health coaching and motivational interviewing.
- Digital and other resources that support remote management and self-management.
Join this interactive session to learn more about the UCLP Proactive Care Framework and what support is available from your local AHSNs!
UCLPartners have created a series of proactive care frameworks to support primary care teams to manage patients with cardiovascular conditions. The frameworks focus on how to do things differently at scale, such as:
- enable practices to prioritise clinical activity by stratifying patients who are at the highest risk
- deploy the wider workforce to reduce the workload for GPs
- improve the personalised care offer for patients.
The clinical team have developed a number of resources to help staff with implementation and also promote self-management. View the resources here.
The frameworks include:
- Comprehensive search tools to risk stratify patients – built for EMIS and SystmOne
- Pathways that prioritise patients for follow up, support remote delivery of care, and identify what elements of LTC care can be delivered by staff such as Health Care Assistants and link workers.
- Scripts and protocols to guide Health Care Assistants and others in their consultations.
- Training for staff to deliver education, self-management support and brief interventions. Training includes health coaching and motivational interviewing.
- Digital and other resources that support remote management and self-management.