Computer generated transcript

Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.

kid. Afternoon. Hopefully everybody can start to see me and, uh, see what's happening. Um like to welcome everybody, um, to our webinar on the implementation of treatment escalation plans. Um, uh, I said we can I can be seen. So, um yeah, on behalf of Robin myself, thanks to everybody who has come along, I think, uh, when we first discussed this idea of a webinar, we didn't think we would have that many people register. We thought we might have about 30 or so people, but then the system started to tell me we had hit 100. Um, so an increased to 200 which she surpassed, and then up to the 300 mark. Um, which I believe we are passed now. Um, so welcome, everybody. My name's Steven Fryer. I'm a consultant intensive fist up in Aberdeen. Well, Infirmary and Aberdeen. I'm co hosting the Webinar with Robin Taylor Professor Robin Taylor, who's a respiratory physician who is also working up in Aberdeen just now. So I think what else? There was a bit of a surprise that so many of you are joining. I think it's testament to the feeling that we need to change how we manage patients that are deteriorating. UM, treatment escalation plans are system, which moves away from the idea of fixing medicine to a system which empowers patients, their families and the clinician's looking at them to discuss and express their priorities. Preferences about the future. Care. Um, it's a system where the discussions had earlier where the management is not just timely, but it's also appropriate. Um, it's where a plan has been considered, especially in the wider context of the trajectory of that patients journey. I think it's a system where the decision is accessible to all, and we can maintain consistency. We can maintain quality of care, and we can take those concepts of realistic medicine, um, into the patient's management. As busy clinicians, we know that communication get lost. We know that on call staff hospital night staff, rapid response teams can be all unfamiliar with patients, and even within medical teams, it can be difficult to know what plans and goals treatment has been discussed between patients and the senior clinicians. So this can lead to over treatment. It can lead to interventions that are non beneficial. You have moral distress experienced by the team and the team end up doing. What do you think they should do, rather than what they think is, um, the right thing to do? Treatment, escalation plans themselves. Don't sit alone. They work towards. And as we work towards more structured response, um, and we have patients that are meeting with criteria for early warning. What do we do next? Some patients will escalate some patients That would be inappropriate. So we have treatment escalation plans, which are first and foremost the communication tool. But they also nudge towards making the right decision. Potentially, Um, these are decisions that are being already made, but it's moving that decision out of the clinician's head. It's prompting discussion. It's removing misunderstanding, and it's reducing complaints. And overall, it's reducing harm. So a lot of what I just mentioned too many of you is already the Y. For many of you, there's a personal story as to why treatment escalation planning is important. It's a memorable patient. It's a personal encounter. For others, it's just the desire to continue to deliver excellent care, but do it in a better way. So what's the concept of the treatment? Escalation plan is a simple one. It's a complex intervention. So although we, um, have been touching a little bit on the Y and the what this webinar is going to concentrate on the what? Um, sorry, I'm going to culture it in the high. Uh, it's about integrating treatment escalation plans into the response to deteriorate patient. It's about implementing it within teams. It's about reforming priorities. It's about senior commissioned by in. It's about team knowledge and experience, education, communication, outcome, measures, governance and accountability. So over the next few hours, we're going to hear from those that are making their way through the implementation process. Um, people that have reached the end of it. People are just starting experience from across the NHS, Scotland and NHS England problems, solutions and hopefully will be answered some of the questions that you have put in place as well. Um, we've collected many of those questions. Um, we plan to use this, uh, discussion and the question answer station at the end. Um, please feel free to add some questions into the chat box on the side, on the right hand side of the screen. Um, explore the event information this year, um, interact with others, you'll be able to come out of the coffee break into a situation where you'd be able to speak to others that have registered. Um and, um, yeah, I hope you enjoy it. Um, we If there are any problems, you can email support metal. Um, and then you can get to register and get you being able to, um, supported metal. That or chills just put her in the chat. Um, and they will be able to get you register and sort it out. I think the crackling is my computer has happened once already. I shall go away and reload. Um, so I apologize for that, but hopefully everybody else's sound should be quite good. Um, I wanted to just say one other thing is that one of the reasons we chose medal for this was not excellent. Not only the excellent support that they're delivering to help us with this. I hope that the technology continues to work. Okay, but the mission behind metal is to provide health care training for all. So we're making this webinar available for catch up. We're also making it freely accessible with, um to get there to help people implementing, um, treatment, escalation forms. Um, and it is there for every health care professional everywhere. So I'm limited by where they live or who they know. Good afternoon. Hopefully, everybody can start to see me and, uh, see what's happening. Um like to welcome everybody, um, to our webinar on the implementation of treatment escalation plans. Um, uh, I said we can I can be seen. So, um yeah, on behalf of Robin myself, thanks to everybody who has come along, I think, uh, when we first discussed this idea of the webinar, we didn't think we would have that many people register. We thought we might have about 30 or so people. But then the system started to tell me we had hit 100. Um, so an increased to 200 which she surpassed, and then up to the 300 mark. Um, which I believe we are passed now. Um, so welcome, everybody. My name's Steven Fryer. I'm a consultant intensive fist up in Aberdeen Infirmary and Aberdeen. I'm co hosting the Webinar with Robin Taylor Professor Robin Taylor, who's a respiratory physician who is also working up in Aberdeen just now. So I think what else. There was a bit of a surprise that so many of you are joining. I think it's testament to the feeling that we need to change how we manage patients that are deteriorating. Um, treatment escalation plans are system, which moves away from the idea of fixing medicine to a system which empowers patients, their families and the clinician's looking at them to discuss and express their priorities. Preferences about the future. Care. Um, it's a system where the discussions had earlier where the management is not just timely, but it's also appropriate. Um, it's where a plan has been considered, especially in the wider context of the trajectory of that patients journey. I think it's a system where the decision is accessible to all, and we can maintain consistency. We can maintain quality of care, and we can take those concepts of realistic medicine, um, into the patient's management. As busy clinicians, we know that communication get lost. We know that on call staff hospital night staff rapid response teams can be all unfamiliar with patients, and even within medical teams, it can be difficult to know what plans and goals treatment has been discussed between patients and the senior clinicians, so this can lead to over treatment. It can lead to interventions that are non beneficial. You have moral distress experienced by the team and the team end up doing What do you think they should do, rather than what they think is, um, the right thing to do? Treatment, escalation plans themselves. Don't sit alone. They work towards. And as we work towards more structured response, um, and we have patients that are meeting with criteria for early warning. What do we do next? Some patients will escalate some patients that will be inappropriate. So we have treatment escalation plans, which are first and foremost the communication tool. But they also nudge towards making the right decision. Potentially, Um, these are decisions that are being already made, but it's moving that decision out of the conditions head. It's prompting discussion. It's removing misunderstanding and it's reducing complaints and overall it's reducing harm. So a lot of what I just mentioned too many of you is already the Y. For many of you, there's a personal story as to why treatment escalation planning is important. It's a memorable patient is a personal encounter for others, it's just the desire to continue to deliver excellent care but do it in a better way. So what's the concept of the treatment? Escalation plan is a simple one. It's a complex intervention. So although we, um, have been touching a little bit on the Y and the what this webinar is going to concentrate on the what? Um, sorry, I'm going to culture it in the high. Uh, it's about integrating treatment escalation plans into the response to deteriorate patient. It's about implementing it within teams. It's about reforming priorities. It's about senior question by in it's about team knowledge and experience, education, communication, outcome, measures, governance and accountability. So over the next few hours, we're going to hear from those that are making their way through the implementation process. Um, people that have reached the end of it, People are just starting to experience from across the NHS, Scotland and NHS England problems, solutions, and hopefully will be answered. Some of the questions that you have put in place as well. Um, we've collected many of those questions. Um, we plan to use this, uh, discussion and the question answer session at the end. Um, please feel free to add some questions into the chat box on the side, on the right hand side of the screen. Um, explore the event information this year. Um, interact with others. You'll be able to come out with the coffee break into a situation where you'd be able to speak to others that have registered. Um, and, um, yeah, I hope you enjoy it. Um, we If there are any problems, you can email support metal. Um, and then you can get to register and get you being able to, um, supported metal. That or chills just put her in the chat. Um, and they will be able to get you register and sort it out. I think the crackling is my computer has happened once already. I shall go away and reload. Um, so I apologize for that. But hopefully everybody else's sound should be quite good. Um, I wanted to just say one other thing is that one of the reasons we chose medal for this was not excellent. Not only the excellent support that they're delivering to help us with this, I hope that the technology continues to work. Okay, but the mission behind metal is to provide health care training for all. So we're making this webinar available for catch up. We're also making it freely accessible with, um to get there to help people implementing, um, treatment escalation forms. Um, and it is there for every health care professional everywhere. So I'm limited by where they live or who they know.