ECP

Emergency Care Practitioners, Case for investment

ECP from Bournemouth who saved two lives in one dayA national programme had the ambitious intent to reduce A&E attendance by 1 million.

Resource and Workforce Planning

When making a change in a system as complex as UK health service (whether a single department, or a whole region), getting the resources right both in terms of investment and in workforce can be quite a challenge. Moreover there can be more than one solution, for example more lower cost staff or fewer higher-cost.

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"10 High Impact Changes for Service Improvement and Delivery" - NHS Modernisation Agency

"10 High Impact Changes" presaged the NHS Institute for Innovation and Improvement style of publications - documents written to be accessible and useable for the NHS at large and the public, which gave shortcuts to the achievement of service improvement. It was naturally followed by a whole spate of spin-off documents - "10 High Impact Changes for Primary Care", "10 High Impact Changes in Mental Health", etc

Measuring the Benefits of the Emergency Care Practitioner

Measuring the Benefits of the ECP (Emergency Care Practitioner)"Measuring the Benefits" looks at the evidence for urgent care practitioners caring for patients effectively. It compares paramedics and advanced paramedics (in research from USA, Canada, Australia and Europe) with advanced nurse practitioners and ECPs (in UK pilots).

ECP Competence and Curriculum Framework

ECP Competence & Curriculum FrameworkThe Competence and Curriculum Framework defines what an ECP is and what training they require. At present (July 08) the title is not a restricted title so anyone can, technically, use it; this is being taken through the long process to help it become a restricted title.

The ECP Report: Right Skill, Right Time, Right Place

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The ECP Report - Right Skill, Right Time, Right PlaceThis was one of the defining reports for the Emergency Care Practitioner. Launched by Prof Sir George Alberti in October 2004, it explains what ECPs are (or can be), where they were at the time, how much they cost to develop and what the Return on Investment is (these two were my bits).

Urgent Care Limited - Social Enterprise

Urgent Care Social enterpriseUrgent Care Ltd is a social enterprise to bring together the valuable skills of Emergency Care Practitioners and Nurse Practitioners for first contact, and Primary Care Trusts (PCTs) need to get responsive clinicians providing care at the point of need.

Process Redesign using Care Pathway Simulator

Simon Dodds, a surgeon in Good Hope Hospital, developed an excellent piece of software to model the flow of patients/service users through a care pathway given constraints of staffing, equipment and facilities.

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Recent Additions and Updates

Judicial System - If I were running the country

Scales of JusticeHow do we make the courts run more smoothly?  Cases take too long and are too expensive, mired in endless argument and counter-argument that are the hallmarks of our adversarial system.  What if we were to set time limits?  Would that work?

Well, let's try it.  Each side presents their best evidence, and if magistrate or jury isn't convinced, they can ask for more time from each side.  If it works for Cricket, that most venerable of British institutions, it should work for courts.  Who knows, they may even become spectator sports?

If I were running the country - encouraging business

Minimum wage

Fantasy government - what would I do if I were in government?  Well how about reduce corporation tax, increase income tax, increase minimum wage and invest in job creation in the regions?  That would be a good start - create jobs where there are workers, then make sure that the right amount of tax is collected and at the same time reduce spend on benefits which are only used to increase profits of selfish organisations.

Would it work?  Have your say.

PwC Report on the Current State of Project Management

PwC Project Management ReportPwC found that successful companies are getting more mature in their project management ability.  This raises the game – successful companies have lower costs from fewer failed projects, and less successful companies have to work harder to catch up.  There are some important lessons to take this report for everyone – Read more…

Joy instead of tedium

The Office

Every office has them - the tasks that have to be done that nobody likes doing.  Whether it's the audit, the wages, standard letters, whatever it is - someone has to do it and it feels like a waste of time and money.

Why should you care?

So you employ somebody, so why do you care about how tedious the task is? Well they are costing money, to do something that could be done far more effectively.

Learning from the Past

Evidence for service improvement

Many public service changes have little basis in evidence. Their success (or otherwise) does not appear to depend on how 'good' the policy itself is, but rather on how it has been implemented. This relies on staff attitudes and relationships. My research falls into a number of broad categories: finding out what is currently happening; what people think about it; and what people think it will mean.

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