|
|---|
| IMPLEMENTED MODEL |
COMPONENTS* |
|
|---|
National Clinical Programme for Epilepsy
[42,46,47,48,49,50] |
Cross-sector collaboration: community supports, secondary care, tertiary care MDTs: nursing, primary care, neurology, epileptology, emergency medicine CPGs & care pathways: Integrated care pathway for emergency department seizure management ENs: triage and connect PLWE with services across sectors Care coordination: often performed by nurse or EN CMPs: ENs play a key role in assessing care arrangements Education for HCPs: education on care pathways for new and junior staff Education for PLWE & families: education sessions provided by HCPs SDM: facilitated by EN and through CMPs Telehealth: telephone advice line virtual clinics to enhance communication between HCPs Shared EMRs: shared across epilepsy services to improve care coordination
|
|
| Epilepsy nurse-led model [42] |
Cross-sector collaboration: primary, secondary, tertiary care sectors MDTs: doctors, specialists, nurses, ENs Care coordination: ENs coordinate care across health and social care services Psychological services: ENs provide psychological and wellbeing support CMPs: ENs complete comprehensive treatment assessments Education for PLWE & families: ENs provide person-centred education to promote confidence to self-manage SDM: ENs engage in SDM with PLWE and families to enhance care outcomes Telehealth: ENs operate telephone advice lines to assist with PLWE and family concerns Shared EMRs: utilised by ENs as a guide to structure healthcare information
|
|
| Integrated care pathway for seizure management in emergency department [46,47] |
MDTs: inter-specialty approach; emergency department hospital staff and rapid clinic staff CPGs & care pathways: embedded national guidelines into care pathway Education for HCPs: provided for junior doctors and new staff ENs: EN service for triage and discharge follow-up
|
|
| Integrated care pathway for homeless PLWE [41] |
Cross-sector collaboration: health, community sectors MDTs: community services staff, hospital staff, epilepsy specialist CPGs & care pathways: new care pathway for homeless PLWE CMPs: jointly created treatment plans disseminated across providers Shared EMRs: care plans and outcomes shared on hospital records, national epilepsy patient record, and community records
|
|
| Urgent epilepsy clinic [43] |
MDTs: epilepsy physicians, triage nurses, social worker Psychosocial services: clinic focused on education, counselling, and addressing psychosocial risk factors CMPs: seizure action plans deployed to improve knowledge around home seizure management Education for HCPs: epilepsy education on seizure management Education for PLWE & families: facilitated by seizure action plan development Shared EMRs: used to manage the proper dosing of emergency seizure medications
|
|
| Neurocare service [44] |
Cross-sector collaboration: primary care, hospital, community sectors MDTs: hospital discharge team and community neurological nurses Care coordination: community neurological nurses helped PLWE navigate multiple providers CMPs: community neurological nurse-led individual goal setting and action planning Education for PLWE & families: community neurological nurses provided education about medications, symptom management and lifestyle changes SDM: community neurological nurses worked with PLWE on their self-management planning Telehealth: care delivery modes included telephone, videoconferencing, email, and text messaging
|
|
| Children and Young People’s Health Partnership Evelina London Model [45] |
Cross-sector collaboration: primary care, hospital, community sectors MDTs: children’s nurses, general practitioners, paediatricians, mental health specialists Care coordination: children’s nurses coordinate and deliver care across sectors Psychosocial services: biopsychosocial pre-assessment to inform early intervention care SDM: active family involvement in decision making processes and shared learning Telehealth: nurses communicated with families via telephone, email, and text messaging
|
|
