Delivery Themes
We have worked with our partners to identify priority areas for improving care in North West London. The Delivery Themes are targeted at areas of high morbidity with high health and care related costs that are recognised areas for improvement within the sector. These include Breathlessness, Early Years and Frailty as areas where local data suggest there is scope to significantly improve quality and value of care. 

Our three Delivery themes are “person-centred” and move from “Symptom” (Breathlessness) through “Whole Person” (Frailty) to “Population” (Early Years). The themes are interlinked and have a common research agenda including the assessment of impacts through the Health Economic Consortium.

https://sites.google.com/a/nihr.ac.uk/clahrcnwl/what-we-do/delivery-themes/Infographic.PNG?attredirects=0
Early Years
 
Promotion of childhood development, educational attainment and societal contribution

Service improvement projects funded by us include:
          • Allergy Care Pathway Rollout (Itchy, Sneezy, Wheezy)
          • Sickle Cell Disease Care Pathway
          • Unscheduled care in the under 5s
          • Adult asthma care bundle 
          • Risk assessment model in pregnancy of unknown location 


https://sites.google.com/a/nihr.ac.uk/clahrcnwl/what-we-do/delivery-themes/FrailtyInfographic.PNG?attredirects=0
Frailty 
Strengthening support for those with complex conditions

Service improvement projects funded by us include:
          • Inflammatory Bowel Disease Outpatients Service redesign: co-designed with patients as part of the multi-disciplinary team. The IBD Care Model.
          • Medicines Optimisation, Medication Review in Acute Care (ReMAC)
          • The Enhanced Recovery Programme. Improving outcomes and patient experience using co-designed Enhanced Recovery Protocols (ERP) in Oeosphago-gastric (OG) cancer surgery through a peer to peer learning model, and Co-Designed Service Re-design with patients and carers (PREPARE for surgery)
          • I-Hydrate – Improving hydration in older people in two nursing homes to reduce morbidity and prevent hospital admissions
          • Alcohol Care Bundle use for the Acute Medical Unit led by a cross-site Liaison Psychiatry Team.
          • Frailty Assessment

https://sites.google.com/a/nihr.ac.uk/clahrcnwl/what-we-do/delivery-themes/Infographic_Breath.PNG?attredirects=0
Breathlessness 
Improving wellbeing by addressing wider determinants of breathlessness 

Service improvement projects funded by us include:
          • COPD Primary Care Bundle
          • Acute Heart Failure Bundle
          • Common Rehabilitation for COPD and Heart Failure Patients
          • Hounslow community atrial fibrillation screening project 
          • Developing guided self-help to improve mental and physical wellbeing in people with asthma