Developing an MDT to help educate, develop and improve an established service


By Dr Russell Mellor, ST7 Geriatric Medicine, Salisbury NHS Foundation Trust

Poster

Introduction

The Parkinson’s disease service at Salisbury District Hospital is well established. The in hospital component of the service (including provision of outpatient clinics) includes, to differing amounts, 4 Geriatricians, 2 Neurologists, and a Parkinson’s clinical specialists with face to face and virtual appointments and inpatient reviews and a dedicated Parkinson’s ward round each week.

Salisbury District Hospital has a catchment area with covers patients from Wiltshire, Dorset, Hampshire and the New Forest with differing community services provided in each area, including the Parkinson’s service. Integration between the hospital and the community can, therefore, sometimes be difficult.

The service itself is going through a period of transition with changes in staffing at consultant and clinical specialist/specialist nurse level. This offers an ideal time to review and develop services.

In addition to supporting new members integration into the team and encouraging best practice between professionals, an MDT involvement in Parkinson’s care would be expected to improve patient outcomes and care provision.

Objective

Develop a service which is growing to meet the needs of the local Parkinson’s Disease community whilst identifying weaknesses in care provision that can be addressed.

With the above goal in mind, develop a forum with the goal of:

  • Improving best practice in management
  • Greater integration of services
  • Expert discussion of complex cases
  • Regular contact with allied health professionals/teams
  • Support new team members
  • Identify areas of the service for improvement

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Parkinson's Academy, our original and longest running Academy, houses 19 years of inspirational projects, resources, and evidence for improving outcomes for people with Parkinson's. Led by co-founder and educational director Dr Peter Fletcher, the Academy has a truly collegiate feel and prides itself on delivering 'the things you can't get from books' - a practical learning model which inspires all Neurology Academy courses.