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For Health Professionals

Inpatient outcomes

All patients will have Care / Action plans instigated on admission according to individual need. Mildmay will use a number of core plans that ensure standard practice and pathways are followed in line with expectation of current best practice and legislation.

Each care plan will be individualised for each patient once formal needs assessment has been achieved within that specific area. The core plans will be reviewed on a daily basis and formally reviewed by the wider IDT each week at the inter-Disciplinary Meeting. If any changes to the patient’s condition should occur, this will be reflected in amendment to the care plan.

Working with Mildmay’s Inter disciplinary team, patients will be encouraged to set their own goals and work towards the following outcomes or others that they have identified as important across key areas.

HNCI outcomes

As a result of treatment Mildmay would expect patients to have progressed towards or exhibited improvements in some or all of the following areas:

  • Reductions in challenging behaviours.
  • Improvement in overall up-take of medication (this will vary from patient to patient depending on severity of impairment with the key emphasis on 100% adherence even if still monitored on directly observed therapy.
  • Improvement in physical condition that could impair independence for example; incontinence, pressure sores, reduced mobility.
  • Greater insight into condition and how to use strategies to prevent future decline in health.
  • Re-established ability to self care for example: independently able to wash and dress, prepare light snacks and drinks.
  • Re-established ability to understand and utilise memory tools to assist with adherence to medication.
  • Improvement in money management.
  • Improvement in road safety.
  • Better understanding of safer sex practices.
  • Increased knowledge of partners, carers, family and friends to offer support where appropriate (wherever possible).
  • Optimisation of patients ability to return to community living with minimal support (wherever possible).

Complex physical rehabilitation outcomes

Patients are usually admitted to Mildmay post Acute Hospital admission for rehabilitation following unplanned admission requiring short term intensive improvement in physical condition. As a result of treatment Mildmay would expect patients to have progressed towards or exhibited improvements in some or all of the following areas:

  • Improved or patient instigated self management of adherence as a result of Mildmay’s education and training.
  • Improvements in patients mobility.
  • Improvement of nutritional condition and education / support for patients that have artificial feeding.
  • Overall improvement in the daily activities of independence (meal preparation, budgetary management).
  • Optimisation of patients ability to return to community living with minimal support (wherever possible).

End of life outcomes

To ensure Mildmay conforms to standards within the National End of Life Care Programme the patient can expect the following outcomes:

  • Adherence to patients wishes within the patients journey, based on previous discussions wherever possible, or those of family/carers.
  • The patient has been supported to come to terms with their condition and prognosis
  • A high standard of palliative medical intervention has been provided to ensure symptom control is well managed.
  • The patient and family, friends, partners etc has been treated with dignity at all times
  • To ensure that the patient has had peaceful environment through appropriate bed management.
  • The patients cultural and spiritual needs have been addressed and met.
  • Support and assistance to family, friends, partner to be provided following bereavement and also participation in onward referral to appropriate support.

Respite outcomes

As a result of a short admission for a patient that may be in crisis that does not require Acute Admission, patients could expect some or all of the following outcomes:

  • Patients were given access to medical and nursing teams to aim to resolve short term goals that can be followed up in a community setting.
  • Where the patient has been withdrawing from appropriate support mechanisms Mildmay has ensured continuity of community services.
  • Where adherence to medication is chaotic and may create imminent health problems Mildmay has assessed and educated the patient and referred for appropriate management.

Day services outcomes

  • Better maintenance of physical, mental and emotional health within the community.
  • Improved ability to use and be part of community services.
  • Reduction in incidences of readmission to hospital due to non adherence.
  • Improved patient confidence and understanding around managing their condition.

Developing consortia and partnerships

Mildmay will seek to develop ongoing partnerships and work in consortium with NHS other HIV service providers to encourage excellence. Outcomes will include:

  • The sharing of best practice through research, publication and membership of relevant forums.
  • Input into the development of innovative teaching and training methodologies.
  • Improved outcomes and services for patients through consortia approach when developing new areas of service provision.

For more information please find a copy of our Referral booklet:

click here to download:  39020_mildmay_clinical_booklet (7)

referral booklet2