AEC pathways

DVT and Cellulitis Improvement Event – April 2016

In April 2016 NHS Sunderland CCG held an improvement event to review a number of ambulatory pathways across the whole unscheduled care system.  The following event scope and outcomes were identified.

Event Scope

Develop seamless AEC Pathways Deep Vein Thrombosis (DVT) and Cellulitis across acute, primary and community services, supporting the wider AEC Whole System Work Programme

Event Outcomes – Achieved!

  • Patients to be treated in the right place, at the right time and by the right professional thus resulting in better patient and professional experience
  • Patients having better management of their condition
  • Value for money
  • Support Workforce development
  • Support Emergency Department (ED) and North East Ambulance Service (NEAS) performance targets
  • Reduce patient Length of Stay (LoS)
  • Reduce admissions and ED attendances

DVT Pathway Outcomes – Where are we now?

The event supported the development of a:

  • Brand new simplified pathway
  • Information pack for all partners to launch the pathway identifying the roles and responsibilities of partners throughout thus supporting the reduction of ED attendances/admission
  • Prescribing Direct Oral Anticoagulants (DOACS) by GPs
  • Introduce qualitative D-Dimer Point of Care testing
  • Joint education and engagement strategy (cellulitis)
  • Direct booking of scans 24/7 by GPs within the Trust (GP and GP OOH services)
  • Set of metrics to measure progress

dvtpathway1a

Cellulitis Pathway Outcomes – Where are we now?

The event supported the development of a:

  • A continuously improved pathway specifically identifying the roles and responsibilities of partners throughout thus supporting the reduction of ED attendances/admission for IV antibiotics unless – septic, requires surgery, addicts, facial cellulitis etc
  • GP information pack
  • Developed a set of metrics to measure progress
  • Developed a GP communications plan in line with the new and improved DVT pathway
  • Use of Map of Medicine within General Practice to promote the new pathway

celulitispathway1d

Both pathways have been launched in October 2016 with necessary evaluation metrics and processes in place to continuously improve these areas.  Further discussions will be held within the AEC Work Programme project group regarding further whole system pathways for implementation. 

If you would like further information on the new DVT/Cellulitis pathways or would like to receive a copy of the report from the improvement event please contact Dr Tracey Lucas, Sunderland CCG Executive, tlucas@nhs.net, Natalie McClary, AEC Programme Lead, natalie.mcclary@nhs.net or Helen Warren, AEC PMO Support helen.warren6@nhs.net.