The Morecambe Bay Respiratory Network (MBRN) received partial funding through the Vanguard programme and sought to deliver a new model of care “to proactively and consistently manage respiratory disease to a high standard across Morecambe Bay.”
The key goals of the new model are:
- Flexible network model allowing each ICC to develop their own way of working;
- All patients will be diagnosed accurately to establish the nature of their respiratory condition;
- Patients with respiratory conditions should have all their routine care provided and managed within ICCs – the aim is to reduce outpatient attendances by 50-100% by the end of 2018;
- All patients will have a personal care plan that is understood and owned by the patient/carer;
- All patients will have an annual review as a minimum (whole person Multi-Disciplinary Team (MDT) based review);
- High quality care will be provided by an extended MDT in each ICC, combining the appropriate expertise from both secondary and primary care;
- Patients with exacerbations should also be managed within ICCs in the vast majority of cases – aim to reduce non-elective attendances by other 50% by the end of 2018;
- And the opportunity for UHMBT to develop additional specialist clinics to repatriate care for difficult asthma currently being seen out of area.
How have we worked with our community so far?
Patient Interviews: As part of the work, interviews with patients took place. These were in-depth and qualitative interviews, designed to enable the exploration of experiences of care and the perceived impact of the changes brought about by the new pathway on satisfaction; self-management and health and wellbeing.
14 patients registered at a GP practice in either Queen Square or Lancaster ICC were interviewed. Two interviews were conducted face-to-face and the remainder by telephone. The average interview duration was 23 minutes (the shortest interview was 10 minutes and the longest 40 minutes).
Staff Interviews: Interviews took place with those involved in the development, leadership and delivery of the respiratory pathway, including strategic stakeholders, ICC respiratory teams and MDT teams. The purpose of these indepth qualitative interviews was to explore the process of developing and delivering the new respiratory pathway and perceptions of its impact.
21 interviews with staff were completed between January and September 2018. The interviews ranged between 15 and 70 minutes in duration. With the permission of participants, interviews were audio-recorded and then transcribed.
You can read the full report of the Morecambe Bay PACS Vanguard, which gives more information about the work of the Morecambe Bay Respiratory Network, here.
How can you get involved?