Substance Misuse Management in General Practice
Shared Care Coordination

Shared Care Coordination

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Don't forget to check for shared care events on the Courses & Events page.

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Introduction

Welcome to our section about the coordination of shared care schemes. Making shared care schemes work involves strategic planning, clear local guidelines and good working relationships across a number of different agencies and professions. Without effective coordination a shared care scheme can struggle to develop, no matter how enthusiastic local practitioners are. The coordination of a shared care scheme is therefore essential and can be a very rewarding role, but it can also be isolated at times.

The aim of this section is to provide those involved in the coordination of shared care schemes with the opportunity to share practice and ideas. We hope to build up a library of resources on a number of different issues directly related to shared care coordination. We will also advertise any local and national events for shared care coordinators.

Don't forget to have your say on our interactive online discussion forums, and check for upcoming shared care events on the Courses & Events Page.

Contribute to this Section

Do you have documents that would be useful to show in this section? Is something missing that you would like to see? Please e-mail Kate Halliday with any comments and/or contributions.

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Shared Care Development Days

Initially the impetus for these days came from the East Midlands NTA Regional Team who felt there were some training needs for managers, commissioners and practitioners involved in delivering shared care services. The aims of the days are to help areas set up new schemes, and to improve existing shared care schemes, sharing examples of good local practice.

Key points from past Shared Care Development Days

  • The importance of having a dedicated post to coordinate shared care systems.
  • The need for increased understanding of how Primary Care Trusts (PCTs) work in terms of commissioning, decision making, etc.
  • The need to review/reinstate/introduce Shared Care Monitoring Groups (SCMGs) to all areas.
  • The need to remove/reduce the 'gatekeeping' role of secondary care workers who are acting as gatekeepers into shared care i.e. improving primary/secondary care interface.
  • The need to understand the role of SCMGs and how to make these effective.
  • The need to introduce flexibility into systems.

Notes and presentations from past Shared Care Development Days can be found in the Conference Reports & Presentations section.

Details of future Shared Care Development Days can be found on the Courses & Events Page.

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Access the Shared Care Documents

All the following documents relate to shared care coordination.

For shared care conference documents please see the Conference Reports & Presentations section.

Shared Care Client Satisfaction Survey June 2007
- Addaction Southern Derbyshire County Service (Jul 2007)
The Addaction Southern Derbyshire County Service shared care scheme has now been running for well over a year. In that time 11 GP practices have been recruited into the scheme and 85 clients have been prescribed in shared care. We have previously conducted a survey of shared care prescribers to gauge their satisfaction with the shared care scheme. The results of this survey were published in April 2007. Our next step was to survey the clients' satisfaction with shared care. We intended this exercise to indicate the strengths and benefits of the scheme from the clients' perspective outline any concerns they may have and perhaps identify areas for further development.
Adobe Acrobat Document
PDF (.pdf, 112K)
Shared Care GP Satisfaction Survey March 2007
- Addaction Southern Derbyshire County Service (Apr 2007)
The Addaction Southern Derbyshire County Service shared care scheme has now been running for over a year. In that time 11 GP practices have been recruited into the scheme and 79 clients have been prescribed in shared care. This seemed to be an appropriate point to try and gauge the satisfaction of the practitioners involved in shared care. Equally, we hoped this exercise would indicate the strengths of the scheme from the practitioners' perspective and outline their current concerns and areas for further development.
Adobe Acrobat Document
PDF (.pdf, 107K)
Shared Care for Alcohol Provision in Primary Care: Is it possible?
- Jeff Fernandez, Islington PCT (Mar 2006)
This is a brief summary of two evaluations of an innovative post provided by Islington PCT, looking at how best to service and support GPs in the specialist area of alcohol. This model shows that it is possible to work in the best interests of the patient while sharing the care between a specialist nurse and the general practitioner. This is shaped from the model of shared-care used in treating patients with substance misuse problems in primary care. However, it has to be noted that the "binge" drinking population are still hard to find as this model has uncovered a "new" population of dependent drinkers.
Adobe Acrobat Document
PDF (.pdf, 34K)
Poppy Project - Corby Shared Care in Operation
- Clive Jekyll, Shared Care Development Officer, Northamptonshire DAAT (Jan 2006)
The Poppy Project has been an exciting development for one of the major health risks in the Corby area. It allows rapid access to treatment and encapsulates all the needs of a patient in one place. Additionally it has had the added bonus of demonstrating how the closer working of drug specialists and primary care can benefit the overall health of individuals and how better partnerships can help achieve a change in lives and a safer community for all.
Adobe Acrobat Document
PDF (.pdf, 58K)
DANOS Level 4 Project Information Bulletin: January 2006
- Skills for Health (Jan 2006)
Drugs and Alcohol National Occupational Standards (DANOS) describe the standard of performance required of those working to tackle substance misuse, and the knowledge and skills they need. They cover service delivery, management and commissioning.
Adobe Acrobat Document
PDF (.pdf, 33K)
DANOS Level 4: Report on Research into the Need for Level 4 Qualifications & National Occupational Standards for the Drugs & Alcohol Field
- The Management Standards Consultancy (Dec 2005)
The Drugs and Alcohol National Occupational Standards (DANOS) are widely used and recognised and candidates are beginning to register for the new Level 3 Health and Social Care Scottish and National Vocational Qualifications (S/NVQs) which contain the DANOS units. Skills for Health, the health Sector Skills Council, has been funded by the UK Coordinating Group of the Education Regulatory Bodies to investigate whether there is a need for Level 4 qualifications for advanced practitioners in the drugs and alcohol field and, if so, how such qualifications should be structured.
Adobe Acrobat Document
PDF (.pdf, 106K)
Systems of Shared Care Coordination & Models of Shared Care
- Lisa Stanway, SMMGP (Oct 2005)
Adobe Acrobat Document
PDF (.pdf, 61K)
Underperformance Issues
- Telford & Wrekin PCT (Mar 2005)
Guidelines for working with issues of underperformance in shared care schemes.
Adobe Acrobat Document
PDF (.pdf, 35K)

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Notes About the Shared Care Documents

Readers should note that great care is taken to try and ensure all information contained in these documents is correct at the time they are published, but that details may change over time. The older the document, the more likely it is that details such as contact names and addresses, or links to 3rd party web sites, may have altered.

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