Senior Respiratory Physiotherapist Integrated Care

<h2>Overview</h2> <p>The successful candidate will be part of the Integrated Respiratory Care team.</p> <p> </p> <p>In line with Sláintecare (2017) and the Department of Health’s Capacity review (2018), a shift in healthcare service provision is now required to place the focus on integrated, person-centred care, based as close to home as possible. In order to enable this, the Integrated Care Programme for the Prevention and Management of Chronic Disease (ICPCD) is supporting the national implementation of a model of integrated care for the prevention and management of chronic disease as part of the Enhanced Community Care Programme (ECC). The Model of Care for the Integrated Prevention and Management of Chronic Disease has a particular focus on preventive healthcare, early intervention and the provision of supports to live well with chronic disease.</p> <p> </p> <p>The investment in the ECC programme will be delivered on a phased basis with a view to national coverage being achieved within a two- to three- year period. Three priority areas have been identified as follows:</p> <p> </p> <li>Structural reform of healthcare delivery within the community with Community Health Networks (CHNs) becoming the basic building blocks for the organisation, management and delivery of community services across the country; </li> <li>Creating Specialist Ambulatory Care Hubs within the community to support primary care management of chronic disease and older people with complex needs; and, </li> <li>Scaling Integrated Care for Older People and Chronic Disease through the recruitment of specialist integrated care teams including Frailty at the Front Door Teams. </li> <p> </p> <p>The focus is on providing an end-to-end pathway that will reduce admissions to acute hospitals by providing access to diagnostics and specialist services in the ambulatory care hubs in a timely manner. For patients who require hospital admission, the emphasis is on minimising the hospital length of stay, with the provision of post-discharge follow up and support for people in the community and in their own homes, where required. A shared local governance structure across the local acute hospitals and the associated CHO will ensure the development of a fully integrated service and end-to-end pathway for individuals living with chronic disease.</p> <p> </p> <p>The ECC Programme is underpinned by a set of key principles including: </p> <ul> <li>Eighty percent of services delivered in Primary Care are through the GP and CHNs;</li> <li>Identifying and building health needs assessments at a CHN level (approximate population of 50,000) based on a population stratification approach to include identification of  people with chronic disease and frequent service users, thereby ensuring the right people get the right service based on the complexity of their health care needs;</li> <li>Utilisation of a whole system approach to integrating care based on person centred models, while promoting self-care in the community;</li> <li>The Older Persons and Chronic Disease Service Models set out an end to end service architecture for the identification and management of frail older adults with complex care needs and people living with chronic disease;</li> <li>Learning from, and delivering services, based on best practice models and the extensive work of the integrated care clinical programmes to date, particularly in the areas of Older Persons and Chronic Disease; </li> <li>Embed preventive approach to chronic disease into all services;</li> <li>Availability of a timely response to early presentations of identified conditions and the ability to manage appropriate levels of complexity related to same in the community;</li> <li>Resources applied intensively in a targeted manner to a defined population, implementing best practice models of care to demonstrate the delivery of specific outcomes and sustainable services; and,</li> <li>The need to frontload investment, coupled with reform to strengthen community services. </li> </ul> <p> </p> <p>Ambulatory care hubs are sites identified outside of the hospital setting that will provide access to specialist services within the community. Each hub will be affiliated with a local hospital and will serve a population of approximately 150,000 and will focus primarily on the prevention and management of chronic disease. These hubs will be established to support the provision of care closer to home and </p> <p>to facilitate ready access to diagnostics, specialist services and specialist opinions in order to enhance the delivery of patient-centred care, support early intervention and avoid hospital admission, where possible. </p> <p> </p> <p>A suite of alternative outpatient pathways, support from multidisciplinary Chronic Disease Specialist Teams and access to diagnostics including spirometry, radiology and laboratory testing will support the Respiratory Consultant’s work within each hub and the provision of the right care, in the righ