Challenges & objectives

Challenges

At April 2006 the Trust has been externally evaluated as making progress towards compliance with WTD 2009 but still has significant distance to travel. Airedale service delivery groups are working on plans to improve compliance. This is challenging on a number of levels such as incomplete middle tiers and the reduced availability for training. The solutions being modelled vary significantly in scope and risk introducing increased inequity. The TUSKER and SPECTOR model provides a radical approach to promote equity, appropriate access to training and to work towards WTD compliance.

Specific objectives of the pilot

Airedale’s specific objectives are to:

• Achieve WTD compliance
• Identify innovative and challenging ways of establishing discreet scheduled and unscheduled adult care teams which will work 24 hours a day, every day across conventional speciality boundaries and be made up of doctors from diverse backgrounds, highly skilled nurses and healthcare assistants
• Provide experience to trainees at an early stage of their training that is in turn diverse and specialty specific
• Be trained in competencies required for delivering high quality, specialist emergency care to a wide range of patients
• Separate scheduled from unscheduled training experience
• Enable quality of intensity and acquisition of skills in emergency care across all specialties
• Reduce interruption of speciality training by unscheduled activity
• Provide appropriate and timely care for patients presenting with scheduled and unscheduled care needs
• Support appropriate escalation
• Match tasks to skills for all members
• Provide an environment for non-medical role development and delivery
• Challenge traditional speciality and professional divides
• Be enriched by working in a radical and innovative atmosphere.

Delivering compliance

This pilot will

• Learn and interface from previous projects that have built on team working
• Reduce workload for medical training grade and equivalent grades
• Improve communication across and within multi disciplinary teams, and Improve patient safety
• Ensure that new roles follow best practice and professionally appropriate requirements relevant to the role
• Be cost neutral or cost reducing initiatives.