Transcript A First for Children - Inspeccion de Servicios Sanitarios

Quality of Care in UK
National Health Service
Dr L J Patterson
Consultant Physician
OBE MB FRCP
Dr L J Patterson OBE MB FRCP
Almagro 26 October
2006
UK National Health Service
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England
Wales
Scotland
Northern Ireland
Dr L J Patterson OBE MB FRCP
What is quality?
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Effective care - the right thing at the right time
Responsive to an individual’s needs
Acceptable
Timely
Accessible
Equitable
Efficient use of resources
Safe care
Dr L J Patterson OBE MB FRCP
What do patients want ?
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No unnecessary death
No unnecessary harm
No unnecessary pain
No unnecessary wait
No unnecessary helplessness
Dr D Berwick
Dr L J Patterson OBE MB FRCP
Questions patients may ask
 How long will I wait?
 How safe and clean is the clinic or
hospital?
 How good is the care I will receive?
 Will I be treated with dignity and respect?
 How well is this organisation managed?
Dr L J Patterson OBE MB FRCP
What do patients want ?
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Fast access
Effective treatment by staff you can trust
Involvement in decisions
Clear, comprehensible information and
support for self care
 Physical comfort and clean safe
environment
Dr L J Patterson OBE MB FRCP
What do patients want ?
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 Emotional support and alleviation of
anxiety
 Involvement of family and friends
 Continuity of care and smooth transitions
Picker Institute 2005
Dr L J Patterson OBE MB FRCP
How to ensure Quality?
 Education and training of health
professionals
 Regulation of health professionals
 Standards of practice
 Clinical Audit
 Responding to patient’s views
 Inspection/Accreditation of Health care
Institutions
Dr L J Patterson OBE MB FRCP
Dr L J Patterson OBE MB FRCP
Setting Standards 1
 Professional standards –General Medical
Council
 Specialist standards-Medical Royal
Colleges
 Standards of service –National Service
Frameworks (Coronary Artery Disease,
Older People, Cancer Services, Mental
Health Services)
Dr L J Patterson OBE MB FRCP
Setting Standards 2
 National Institute for Health and Clinical
Excellence
 National Standards of Care –Department
of Health
Core standards –mandatory
Development standards—direction of
improvement
Dr L J Patterson OBE MB FRCP
Setting Standards 3
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Safety
Clinical and cost effectiveness
Governance
Patient Focus
Accessible and responsiveness Care
Core Environment and amenities
Public Health
Dr L J Patterson OBE MB FRCP
Dr L J Patterson OBE MB FRCP
Delivering Standards 1
 Modernising professional regulation
Major changes for the General Medical
Council - more lay involvement,
 Doctors will have to show they continue
to be up to standard
 General standards—revalidation
 Specialist standards -recertification
Dr L J Patterson OBE MB FRCP
Delivering standards 2
 Clinical Governance
 Accountability for continuous quality
improvement and safeguarding high
standards of care, by creating an
environment in which clinical excellence
can flourish
Dr L J Patterson OBE MB FRCP
Clinical Governance
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Listening to patients
Clinical Effectiveness
Clinical Audit
Staff Management
Research and development
Risk Management
Education and Training
Dr L J Patterson OBE MB FRCP
Continuous Quality Improvement
 National Institute for Innovation and
Improvement (previously Modernisation
Agency)
 e g Reduce waiting times by reducing variation
 Improve flow
 Improve safety
 Develop leadership
Dr L J Patterson OBE MB FRCP
Dr L J Patterson OBE MB FRCP
Monitored Standards
Healthcare Commission (Formerly
Commission for Health Improvement)
Annual Health check
Patient Complaints
Studies of National Service Frameworks.
Investigations into Serious Service Failure
National Patient Surveys
Dr L J Patterson OBE MB FRCP
Challenges
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Constant reorganisation
Future funding
Patient choice
Increased use of private sector providers
Democratic involvement of the public
Dr L J Patterson OBE MB FRCP
Choice
 Individual patients to choose from 5
providers
 At least one to be from the private sector
Dr L J Patterson OBE MB FRCP
Public Involvement -- Emphasis on
the individual
 Patient choice, patient centred care,
Expert Patient programmes
 National Patient Surveys
 Local Patient forums
 Patient Advocacy services
Dr L J Patterson OBE MB FRCP
Conclusion
 Does a publicly funded health service
have to be provided by the public sector?
 How should the public be more involved?
 Will choice improve quality or destabilise
the system?
Dr L J Patterson OBE MB FRCP
Thank you for your
attention
Dr L J Patterson OBE MB FRCP