"Applying Quality Improvement Science to Performance Challenges".
Welcome to the Long Term Conditions Collaborative Programme Home Page
The Long Term Conditions Collaborative (LTCC) Programme is developed in partnership with NHS Tayside to support NHS Scotland in using tools and techniques for clinical systems improvement. The Collaborative will help people to deliver improvements in patient centred services and change the way care is provided for people with long term conditions.
Sustainable improvements in the management of long term conditions are being supported across three work streams:
- Self Management
- Condition Management
- Complex Care / Case Management
Supporting NHS Boards, CH(C)Ps and MCNs
LTCC is designed to support NHS Boards and their partners to deliver the following HEAT targets:
- By 2010/11, reduce the emergency inpatient bed days aged 65 and over, by 10% compared with 2004/05.
- Achieve agreed reductions in the rates of hospital admissions and bed days of patients with primary diagnosis of Chronic Obstructive Pulmonary Disease, Asthma, Diabetes or Chronic Heart Disease from 2006/07 to 2010/11.
- Achieve improvement in the quality of the healthcare experience.
- Increase the percentage of people with complex needs who are cared for at home.
- Achieve agreed reductions in the rates of attendance at A&E, from the end of 2007/08 to the end of 2010/11.
In addition, using the Collaborative can support you in using a number of Community Care Outcome measures that are relevant to long term conditions, such as:
- The percentage of user assessments of need completed in accordance with agreed national standards.
- The percentage of users of community care services and carers satisfied with involvement in the design of their health and social care package.
- The percentage of care plan reviews carried out within agreed timescales.
- The percentage of older people, aged 65+ with intensive care needs receiving services at home.
- The number of older patients, aged 65+ admitted for any reason two or more times in a year as an emergency to acute specialities.
- The number of older people, aged 65+ with two or more emergency admissions in a year who have not had an assessment of their health and social care needs.
The LTCC Programme Team
The Programme Team is led by Susan Bishop (LTCC National Programme Manager). Dr Anne Hendry is National Clinical Lead. Regional Managers, Service Improvement Managers and Information Managers provide expertise in the choice and use of improvement tools and techniques. The contact details for your regional team can be found within the IST Contacts page.