Recommendation · source text
Agree what constitutes a contemporary and evidence based diabetic foot pathway, with the same approach and pathway implemented immediately across all the BCUHB sites.
Source · Investigations in the NHS
Independent Review of Vascular Services
Wales
Published 01 Jan 2024
Trust Betsi Cadwaladr University Health Board
Recommendations
Recommendation · source text
Confirm what constitutes the palliative care pathway, and disseminate what that structure consists of, including over weekends and public holidays.
Recommendation · source text
Formally set up a vascular pain management pathway, particularly in the management of neuropathic pain.
Recommendation · source text
Evaluate the stroke referral pathway and implement subsequent findings across all the relevant multi-professional teams.
Recommendation · source text
Agree psychology input as a standard component of vascular care with dedicated, protected, sessions of psychological support available for those vascular patients who require it.
Recommendation · source text
Provide dedicated, protected, sessions of micro-biological support for the relevant vascular patients who require it.
Recommendation · source text
Ensure availability of a Care Of The Elderly (COTE) consultant and their clinical team for daily input as required for vascular patients.
Recommendation · source text
Ensure a focus on mitigation of the risk that vascular patients, and in particular amputees, may specifically face regarding falls, with an updated plan of management.
Recommendation · source text
Review what constitutes good and safe discharge planning in relation to the BCUHB guidance being provided regarding ‘out of hours’ discharge timing and associated risk assessment. This should be part of a general review of the Discharge Policy which the Panel understands was due for review in 2018 but could not identify evidence of it being updated.
Recommendation · source text
Identify opportunities to work across the Health Board as an integrated service model strengthening links between primary and secondary care within areas such as the management of diabetes; and implement to avoid patients having to see ‘duplicate’ health professionals or experience delay.
Recommendation · source text
Ensure robust links between the palliative care team and the vascular service.
Recommendation · source text
Review the Did Not Attend (DNA) policy and guidance on when DNA might potentially become a safeguarding issue to ensure that all staff are aware of this and the actions to take.
Acceptance status
No Response Published
12
Total recommendations
12