Service Development

Useful Documents

This area of the website lists documents which are useful for those involved in service development and commissioning. Many of the former modernisation agency documents are listed here. If you come across resources that you feel should be on this page or linked to then please inform us.

The Role of Professions in Healthcare Science (HCS) within Critical Care Services [2003]

Comprehensive Critical Care - A Review of Adult Critical Care Services - published by the DOH in May 2000

Guidance on Comprehensive Critical Care for Adults in the Independent Sector Acute Hospitals [2002]
This document has been published by the Independent Healthcare Association and is the standard to which all independent hospitals with Critical Care Units must attain.

Critical Care Programme - Weaning and Long Term Ventilation [2002]
Executive Summary
Both these documents were published by the Modernisation Agency and are the work of an expert group that was set up to consider the way in which long term weaning and ventilation facilities should develop.

The Nursing Contribution to the Provision of Comprehensive Critical Care for Adults: A Strategic Programme of Action
This sixteen-page document has been long awaited by nurses within critical care. The Expert Nursing Advisory Group, which was formed at the time of the preparation of Comprehensive Critical Care, will finally see their work come into the public domain.

AHP and HCS Working Group Paper [2002]
The role of Healthcare Professionals within Critical Care Services - a document published by the Modernistion Agency detailing the role of Allied Healthcare Professionals. 
 
National Education and Competance Framework for Assistant Critical Care Practitioner 
National Education and Competence Framework for Advanced Critical Care Practitioner

Patient Flows Working Group

Introduction

The Patient Flows Working Group is a combined effort between the Intensive Care Society and the Department of Health. The objective was to refine the Modernisation Agency’s Patient Flows Model and to develop other models to assist with capacity and flow planning. The first stages of this work have now been completed and it is suggested that the Flows Model (see below) is used over a two to four week period coinciding with the biannual KH03a Critical Care Bed Census.

Work So Far

A broad outline of the group’s work has been described in an article published in the Health Services Journal. The Patient Flows Model is available to download. Supporting documentation and instructions are included. There is a literature review of capacity and flow modelling through critical care. The abstracts are available.

Future

The work is continuing and the Working Group aim to refine models used for strategic planning of critical care capacity (scenario planning), to improve prediction over the short term (four weeks) so allowing ICUs to modify their workload in relation to the available capacity. Eventually, the website will have a Patient Flows User Group.

For further details please download the following document, "History, Update and Future".

Use of the Patient Flows Model and data collection during the July 2006 KHO3a bed census:  A report from the Patient Flows Working Group

 
 
Patient Flows Files

The setup file for the database and spreadsheet - If you require this please contact Nina
Background to the technique 
File list and contents 
Definitions 
Some FAQs 
Instructions on how to install the database - Read this first 
Instructions on how to use the database 
Forms for collecting data 
Extention to data collection form for extra beds 
An alternative form for collection data 
Virtual bed data collection form 
Instructions on how to use the excel spreadsheet to create graphs