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Leading Better Care - Delivering for Patients

Leading Better Care enables Senior Charge Nurses / Midwives and Team Leaders to deliver better care in consistent, measurable, evidence based way

To achieve this vision, the following aims and objectives have been agreed:

LBC Aims

  • All Senior Charge Nurses, Senior Charge Midwives and Team Leaders will be working in the context of the LBC components:
  • To ensure safe and effective clinical practice
  • To enhance the patients experience
  • To manage and develop the performance of the team
  • To ensure effective contribution to the delivery of the organisations objectives

by March 2013 and able to demonstrate this.

  • Nurses & Midwives will be able to demonstrate  the contribution they make to the quality and experience of care that patients receive under the three themes by March 2013:
  • Safe
  • Effective
  • Person centred

Effective

Providing services based on scientific knowledge

The strategy will continue to focus on primary prevention of health problems, shifting the balance of care to prevention and early intervention.

The strategy will identify and reduce inappropriate variation in clinical practice, and in provision of care packages and treatments across all healthcare pathways so that the best care is consistently provided by the right person in the appropriate place at the right time.

The strategy will also implement proposals to improve standards of care for long-term conditions and acute care in hospital, in the community and through supported self-management.

    • Initial Improvement Interventions for the Delivery of Effective Care

      Initial improvement interventions will be:

      • Preventative and anticipatory approaches, building on and extending initiatives such as Keep Well/Well North, alcohol brief interventions and smoking cessation;
      • Implement the Long-term Conditions Action Plan;
      • Initiating a process of refreshing the suite of care pathways in close collaboration between secondary and primary care with clear prioritisation;
      • Introduce and share Anticipatory Care Plans for 5 per cent of the population most at risk of hospital admission;
      • Implement the major national strategies; Better Cancer Care, Mental Health Primary Care, Heart Disease and Stroke, Dementia and Living and Dying Well;
      • Establish the appropriate healthcare skills and roles required to deliver high quality healthcare, and, through the use of the NHSScotland Career Framework and local/national workforce planning, establish plans to reshape the workforce accordingly;
      • Ensure all our GP enhanced services are fit for the purposes of this strategy;
      • Implement the Strategic Options framework for emergency response in remote and rural areas;
      • Leading Better Care implemented across all Boards by December 2010;
      • Implement the Releasing Time to Care approach across acute and community teams in all Boards; and
      • Ensure high impact Efficiency and Productivity approaches are implemented reliably - (e.g. disinvestment, reduce harmful and wasteful variation ( GP referrals, hospital length of stay, prescribing etc)).