Working group 1: sudden onset with subsequent partial or complete recovery
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Last modified date:
5 March 2007
An NSF for long-term conditions working group.
Terms of reference
NSF aim:
To advise the ERG in confidence on the development of a National Service Framework (NSF) for long-term conditions with a focus on neurological services, making recommendations on the areas in which standards might be set and on how these might be achieved.
The NSF will:
- Set standards and define health and social care models for the diagnosis, treatment and care of people with neurological conditions. This will include identifying and tackling some generic issues that will benefit everyone with a long-term condition.
- Provide an implementation guide based on processes, key interventions and service models which have worked in practice (linked wherever possible to NICE guidelines and appraisals).
- Recommend national and local performance indicators and outcome measures as a means of monitoring and benchmarking progress.
The working group recommendations must be:
- User and carer-centred, taking into account both health and social care needs and building on the principles of the NHS Plan.
- Based on robust evidence or, where robust evidence does not exist, build on the best evidence available on a broad consensus of best practice.
- Affordable and offer best value in the use of resources, making explicit where interventions will be cost and quality effective in both the short and longer term.
- Set within the context of other policy initiatives, including the other NSFs, and taking into account the implications of new health and social care organisational arrangements.
- Focussed primarily within the NHS and social care but linked across to employment and relevant Other Government Department policy areas.
Areas to be covered by each group include:
- acute care including diagnosis;
- post-diagnosis and post-acute in-patient rehabilitation;
- community rehabilitation: day care/out-patient services; and,
- continued support for disabled individuals and their families: community out-reach/domiciliary services; drop-in services, counselling and support in the workplace and community settings with the links to other relevant agencies.
Equal consideration should be given to all areas. A key goal is to achieve or maintain maximum independence and participation (allowing for the constraints of the condition) for users.
Each working group will also need to:
- take account of the generic issues identified in the November 2001 NSF Scoping Event report and the Neurological Alliance's document
"Levelling Up"
- take account of transitional issues including the links to other relevant NSFs and the social care as well as the health needs of users
- take into account the views of users, carers and other stakeholders
- consider
- what information and support users and their carers need throughout the care pathway
- black and ethnic minority issues
- what information and Information Technology systems are needed to collect data on the delivery of the service as part of the supporting NSF Information Strategy
- implications for workforce
- lessons that could be applied more widely to different groups of users