Formerly the Canterbury Initiative Support Services (CISS), we are now the Canterbury Clinical Network (CCN) Integrated Services team.
We are a team that works as part of the Integrated Respiratory and the Integrated Diabetes services, including facilitation of the multi-disciplinary Integrated Respiratory Service Development Group and the Integrated Diabetes Service Development Group. Smaller working groups support service design and quality monitoring in areas such as, spirometry testing and sleep assessments.
We support a clinically-led, alliance-based way of working which focusses on:
- Joint general practice and hospital clinician design of integrated care pathways
- Providing services closer to people in their own homes and communities
- Enabling hospital capacity on treating more complex needs
Community Respiratory Service
The Community Respiratory Service helps patients receive spirometry, sleep assessments, education and pulmonary rehabilitation by making them available from approved general practitioners or at the patient’s general practice by the mobile respiratory nurse facilitators. Pulmonary rehabilitation courses are held in various locations in the community. A Community Respiratory Physician is available for advice, case review and practice staff education.
GP Subsidised Procedures
General practice teams have been upskilled in a number of procedures – to date these have included starting insulin, newly diagnosed diabetes, skin cancer/melanoma excisions, gynaecology procedures, sleep studies, musculoskeletal steroid injections and aspects of child health. GPs who have attended these training sessions have been able to remove previously-referred patients from the hospital waiting list and treating in primary care.
GP Liaison Service
Motivated and passionate GPs are part of a team that link primary care with hospital services. Linking with key individuals (clinical and management) and key groups is an important focus. The three objectives of the service are to: improve outcomes for patients, improve patient access to service and improve patient flow through services.
This community-based service operates from general practice settings and uses spare clinic capacity in strategic locations to help rural and urban patients and general practice teams with musculoskeletal expertise and training.