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    The description :the nhsscotland chief executive's annual report 2016/17 presents an assessment of the performance of nhsscotland in 2016/17....

    This report updates in 08-Aug-2019

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this site uses cookies, to find out more about which cookies could be in use please see the link. read more ok this website might not function or display correctly as it is optimized for modern browsers. to get the best experience please use a modern browser. start foreword peoples stories achievements in numbers financial overview patient feedback download pdf scotland chief executive's annual report 2017/18 transforming care paul gray, chief executive of scotland and director-general health and social care, presents his chief executive’s annual report. he outlines the achievements made during 2017/18, and describes the challenging context in which scotland continues to operate. in his foreword, paul pays tribute to the outstanding commitment of all scotland staff, and to the dedication of colleagues in our partner organisations – including those in the voluntary and third sector. the report charts progress towards our 2020 vision for health and social care and presents achievements in the three areas often referred to as the ‘triple aim’: improving the quality of the care we provide; improving the health of the population; and securing the value and financial sustainability of the health and care services we provide. our quality ambitions for person-centred, safe and effective care have continued to guide our work in improving quality, transforming care and delivering improved performance. the video stories you see here are people’s personal accounts of scotland and its partners working to achieve the best health outcomes for the people of scotland. if you would like to read more, you can access the full report below . person-centred hospital visiting grampian - welcoming ward the ‘what matters to you?’ approach helps staff to focus on what’s important to the people they care for and support, and creates the right conditions for person-centred care. there’s growing recognition across the of the importance of developing a family-friendly culture – one that encourages and supports people to remain connected with family and loved ones while they’re in hospital. in august 2017, grampian launched its ‘welcoming ward’ initiative. this person-centred approach to hospital visiting recognises the important role that families, carers and friends can have in a person’s recovery. by welcoming visitors right through the day, the initiative has achieved significant benefits at aberdeen royal infirmary. it’s now being rolled out to all in-patient settings within grampian. visitors who might otherwise struggle to attend due to other commitments are now able to come when they’re not in a hurry, and staff have more time and opportunity to discuss any relevant issues affecting their family members. consultants and other staff have also been able to discuss levels of available care and the suitability of the home environment in much greater detail, and that’s helped inform decisions on when and how to send patients home. transforming the pathway of care for hip fracture patients anne’s story hip fracture is the most common serious orthopaedic injury to affect older people, resulting in more than 6,000 admissions to hospital in scotland each year. caring for hip fracture patients involves a number of different disciplines in clinical and social care. establishing an effective pathway of care for patients from arrival at a&e, through surgery and recovery to their return home, is critical. the important interventions along the pathway are measured against the eleven standards in the scottish standards of care for hip fracture patients. anne is a fit and active retired teacher - and a keen curler until she slipped on the ice and needed a complete hip replacement. anne was treated at the royal alexandra hospital (rah) in paisley, where the team has a great record in orthopaedics. from a&e through surgery to physiotherapy and post-discharge care, the rah demonstrated exceptional integration and cooperation between departments and services. the paisley team has been recognised for their work, winning the ‘golden hip award’ for overall performance twice in just three years. in our film, anne describes how she was able to have surgery within 24 hours of admission, and began receiving physio treatment the following day. she was well and mobile enough to return home within a week. distress brief intervention pilot project university hospital hairmyres many people who die by suicide have a history of psychological distress, experiencing anxiety, depression and other emotional and psychological symptoms. supportive intervention at an appropriate point may help to alleviate distress and prevent self-harm and attempted suicide. a distress brief intervention (dbi) is a supportive, problem-solving contact with an individual experiencing distress. dbi is a two-level approach, with dbi level 1 normally provided by front-line staff including gps, paramedics and police. level 2 is provided by a range of third sector organisations and typically takes the form of community-based problem-solving and support. since 2017, four pilot programmes in dbi have been underway in scotland – in aberdeen, inverness, lanarkshire and the borders. an independent evaluation will report in 2021, but early observations show a high level of engagement and improved experience. dbi training has helped staff from the a&e department at university hospital hairmyres in south lanarkshire to better support individuals who present in distress. primary care transformation fund developing new and improved primary care services in ayrshire & arran musculoskeletal (msk) conditions range from minor sprains and sports injuries to serious and chronic conditions. across ayrshire & arran, within the first year of delivering a new service for people to be able to go direct to see a physiotherapist in a gp practice, it was found that the majority of msk problems could be met by these physiotherapists. this was in nine practices across ayrshire directly saving gp appointments enabling them to spend more time with other patients. this innovative model, and the success with which the team has integrated within the gp practices, has had significant impact on outcomes for patients in the test site areas. practices with access to msk physiotherapists have also benefitted from reduced gp workload, and referred significantly fewer patients for secondary care. across the wider spectrum of conditions, advanced nurse practitioners can deal with many routine cases and help meet the increasing demands of an ageing population. the aim of this initiative was to ensure patients were seen at the right time, at the right place, and by the most appropriate professional. as well as providing an efficient and effective pathway for patients, the pilot aimed to support gps in their day-to-day workload and limit referrals to secondary care msk services. the best start: transforming maternity and neonatal care continuity of carer the best start: a five-year forward plan for maternity and neonatal care in scotland, describes a new and transformational model of maternity and neonatal services. it presents 76 recommendations to improve care and the experience of care for women, babies and families. care and support for mothers and their babies has a significant impact on individual families and communities, and ultimately on society as a whole. evidence shows that the changes outlined in the report, could reduce rates of medical intervention and preterm birth, reduce length of stay in neonatal care, and provide safer care for even the smallest and most vulnerable babies. improved support for mums and a focus on keeping mothers and babies together could also improve breastfeeding rates and deliver better clinical and social outcomes. one initiative that’s making a big difference is continuity of carer. this is the policy of making sure that, whenever possible, the family has the same midwife for antenatal care, birth, and postnatal car

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