Pathways - Improve preventative and timely access to care

 

Pathway redesign 

  • Evaluate testing of artificial intelligence in lung and breast pathways
  • Evaluate the CAELUS project
  • Implement the recommendations from the review of the pathway for adult general mental health
  • Grampian Frailty Programme Plan

Primary and community care

  • Implementation Plan for the Joint Vision for General Practice across Grampian 
  • Complete child oral and dental health needs assessment and agree action plan  

Improving Access and Protecting Planned Care – Secondary Care 

  • Find a solution to commission additional short stay theatre 
  • Create a sustainable radiology capacity plan 
  • Create a sustainable endoscopy capacity plan 
  • Agree the future elective care contribution expected from Dr Gray’s Hospital 
  • Phase 2 of the Aberdeen Royal Infirmary (ARI) bed base review 

 

Cancer Care – Secondary Care​ 

  • Recover the percentage of people receiving their first cancer treatment within 31 days of decision to treat back to 95%
  • Increase the percentage of people treated within 62 days of urgent referral for suspected cancer to first treatment to 72%
  • Deliver Framework for Effective Cancer Management and Scottish Cancer Strategy 

 

PFTF-Pathways delivery plan image

 

Unscheduled Care (USC) - Secondary care 

  • Look at establishing an Urgent Care Hub model 
  • Improve flow through the Emergency Department and assessment units to point of discharge or admission into hospital 
  • Ensure discharge planning is effective and efficient 
  • Use learning from winter 2023/24 to develop a plan for 2024/25 
  • Joint commission on Scottish Ambulance Service (SAS) transfers 
  • Reshape the USC improvement team 

 

Mental Health  

  • Improve mental health outcomes in line with national strategies and specifications.
  • Achieve children and adolescent mental health service (CAMHS) referral to treatment waiting times standard.
  • Achieve 90% referral to treatment waiting times standard for psychological therapies.
  • Progress and report on the Forensic Network Review.
  • Develop priority workstreams for the mental health and learning disabilities services (MHLDS) portfolio.
  • Complete a strategic needs assessment of mental health inpatient facilities
  • Develop an action plan for adult mental health process mapping exercise.  
  • Work with partners and communities to develop a collective approach for promoting good mental health and addressing the causes of inequalities, supporting groups particularly at risk. 

 

Digital  

  • Modernise the Digital Directorate organisational structure 
  • Continue to implement the integrated electronic patient record (EPR) 
  • Complete the rollout of Hospital Electronic Prescribing and Medicines Administration (HEPMA) 
  • Introduce 24/7 Service Desk and develop automation and colleague self-help 
  • Consider options for digital patient correspondence