YAS NHS Shared Care Plan Projects

1. End of Life Care Plans
   • Description: Implementing shared care plans for patients at the end of life to ensure coordinated and compassionate care.
   • Status: Ongoing
   • Key Stakeholders: Hospice teams, primary care physicians, palliative care specialists.
2. Mental Health Crisis Care Plans
   • Description: Developing shared care plans for patients experiencing mental health crises to facilitate rapid and appropriate interventions.
   • Status: Pilot Phase
   • Key Stakeholders: Mental health services, emergency response teams, social care workers.
3. Chronic Disease Management Plans
   • Description: Establishing shared care plans for patients with chronic diseases such as diabetes, COPD, and heart disease to improve long-term health outcomes.
   • Status: Implementation Phase
   • Key Stakeholders: Primary care providers, specialist clinics, patient support groups.
4. Frequent Caller Care Plans
   • Description: Creating shared care plans for frequent callers to the ambulance service to better manage their health needs and reduce unnecessary ambulance usage.
   • Status: Development Phase
   • Key Stakeholders: Community health services, mental health services, social care teams.
5. Post-Discharge Care Plans
   • Description: Implementing shared care plans for patients discharged from the hospital to ensure continuity of care and prevent readmissions.
   • Status: Ongoing
   • Key Stakeholders: Hospital discharge teams, community nurses, primary care physicians.
6. Frailty Care Plans
   • Description: Developing shared care plans for frail elderly patients to provide coordinated care and support in the community.
   • Status: Pilot Phase
   • Key Stakeholders: Geriatric care specialists, community health teams, social services.
7. Pediatric Care Plans
   • Description: Establishing shared care plans for children with complex health needs to ensure comprehensive and coordinated care.
   • Status: Implementation Phase
   • Key Stakeholders: Pediatricians, school nurses, community health services.
8. Substance Abuse Care Plans
   • Description: Creating shared care plans for individuals with substance abuse issues to provide integrated care and support.
   • Status: Development Phase
   • Key Stakeholders: Substance abuse treatment centers, mental health services, community outreach programs.
9. Learning Disabilities Care Plans
   • Description: Developing shared care plans for patients with learning disabilities to ensure tailored and coordinated care.
   • Status: Ongoing
   • Key Stakeholders: Specialist learning disability services, primary care providers, social care teams.
10. COVID-19 Care Plans
    • Description: Implementing shared care plans for patients affected by COVID-19 to ensure coordinated care during and after recovery.
    • Status: Ongoing
    • Key Stakeholders: Public health teams, hospital services, community health providers.

These projects aim to improve patient care through enhanced coordination and communication across various healthcare services and providers.