Transcript Why act? - NHS Right Care

Online Learning Series
Right Care for Populations
Systems of Care
Sir Muir Gray
Joint National Director, Right Care
August 2013
Copyright 2011 Right Care
How the NHS looks from space
2
The Healthcare Archipelago
3
General
Practice
Mental Health
Community
Services
Hospital
Services
Population Healthcare
epilepsy in
Is the service for people with seizures &
Manchester better than the service in Liverpool?
Who is responsible for the headache
people in Southampton?
service for
many liver
How
disease services are there in
England and how many should there be?
Which service for frail elderly people in the
provides the best value?
Which service for children
problems
4
London
with mental health
improved most in the last year ?
What does a system look like?
SELF CARE
INFORMAL CARE
GENERALIST
SPECIALIST
SUPER
SPECIALIST
5
The balance is different
SELF CARE
INFORMAL CARE
GENERALIST
Specialist
Super
Specialist
6
A new language
A SYSTEM is a set of activities with a common set of objectives and an
annual report. Systems can focus on symptoms, conditions or subgroups of
the population
(also known as a service)
A NETWORK is a set of individuals and organisations that deliver the
system’s objectives
(a team is a set of individuals or departments within one organisation)
A PATHWAY is the route patients usually follow through the network
A PROGRAMME is a set of systems with ha common knowledge base and
a common budget
X
X
X
X
X
Primary Secondary Acute Community Outpatient
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An example of a national service setup as a system
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Objectives for an asthma system
• To prevent asthma
• To diagnose asthma quickly and
accurately
• To slow the process of the disease by
effective and safe treatment
• To help the individual afflicted adapt to
the challenges
• To involve patients, both individually
and collectively, in their care
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….beyond clinical practice criteria
• To prevent asthma
• To diagnose asthma quickly and accurately
• To slow the process of the disease by effective and
safe treatment
• To help the individual afflicted adapt to the challenges
• To involve patients, both individually and collectively,
in their care
• To make the best use of resources
• To mitigate inequity
• To promote and support research
• To support the development of staff
• To report annually to the population served
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Hierarchy versus Network
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Pathways
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Matrix Management
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Defining Population Healthcare
“The aim of Population healthcare
is to
maximise value for those populations and the
individuals within them Population healthcare
focuses primarily on populations defined by a
common need which may be a symptom such
as breathlessness, a condition such as arthritis
or a common characteristic such as frailty in
old age, not on institutions, or specialties or
technologies”
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Online Learning Series
Right Care for Populations
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www.rightcare.nhs.uk/resourcecentre
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15
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