east of england east midlands london north east north west south east coast south central south west...
Post on 28-Mar-2015
247 Views
Preview:
TRANSCRIPT
East of England
East Midlands
London
North East
North West
South East Coast
South Central
South West
West Midlands
Yorkshire & the Humber
NHS Integrated Care – implications for professional development
Angela Lennox
GP and Associate Director of Primary Care
Department of Health
•Expectations
•Population
•Information society – and its implications
•The changing nature of disease
•Advances in treatment
•A changing health workplace
The opportunities
High quality care for all- NHS Next Stage Review Final Report
Quality at the heart of
the NHS
High quality care for
patients and the public
Freedom to focus on quality
High quality care for all
NHS Next Stage Review: vision for primary and community care
People shaping services
Continuously improving
quality
Promoting healthy lives
Leading Local Change
Patient Power & Choice
Clinical Leadership & Engagement
World Class Commissioning
NHS Next Stage Review: vision for primary and community care
People shaping services
Continuously improving
quality
• Listening and responding to people’s views
• Services that fit together & make sense
• Informed choices for patients and families
• More control for people with long-term conditions
• Piloting personal budgets
Promoting healthy lives
NHS Next Stage Review: vision for primary and community care
People shaping services
Continuously improving
quality
• Partnerships with local government and other sectors to promote health and wellbeing
• Staying healthy throughout life
• Access to healthy living services
• Reducing health inequalities
• Stronger QOF focus on public health
• Listening and responding to people’s views
• Services that fit together & make sense
• Informed choices for patients and families
• More control for people with long-term conditions
• Piloting personal budgets
Promoting healthy lives
NHS Next Stage Review: vision for primary and community care
NHS Next Stage Review: vision for primary and community care
NHS Next Stage Review: vision for primary and community care
Examples of LIFT centres
NHS Next Stage Review: vision for primary and community care
Bingfield Primary Care CentreIslington, North London.
NHS Next Stage Review: vision for primary and community care
3 GP Practices Community Nursing Base Pharmacy Genito-Urinary Outpatients Podiatry Family Planning/Health Living
Services Dentistry Adult and Children’s Audiology ENT Outpatients Speech and language therapy Musculoskeletal Therapy
St Peter’s Health & Leisure Centre, Burnley, East
Lancs.
NHS Next Stage Review: vision for primary and community care
3 GP Practices Minor operations Podiatry Pharmacy Audiology Physiotherapy and
hydrotherapy suite Paediatric clinical services Catalyst for re-development
Platt Bridge Health Centre Wigan
NHS Next Stage Review: vision for primary and community care
Shared site with extended school
SureStart Family support centre Library Housing office
Platt Bridge Health Centre Wigan
NHS Next Stage Review: vision for primary and community care
Barking & Havering
NHS Next Stage Review: vision for primary and community care
Barnsley
NHS Next Stage Review: vision for primary and community care
NHS Next Stage Review: vision for primary and community care
People shaping services
Continuously improving
quality
• Partnerships with local government and other sectors to promote health and wellbeing
• Staying healthy throughout life
• Access to healthy living services
• Reducing health inequalities
• Stronger QOF focus on public health
• Listening and responding to people’s views
• Services that fit together & make sense
• Informed choices for patients and families
• More control for people with long-term conditions
• Piloting personal budgets
Promoting healthy lives
• Transforming community health services
• Systematically measuring quality
• Independent process for QOF
• Practice accreditation
• Registration with Care Quality Commission
NHS Next Stage Review: vision for primary and community care
People shaping services
Continuously improving
quality
Promoting healthy lives
Leading Local Change
Patient Power & Choice
Clinical Leadership & Engagement
World Class Commissioning
Leading local change
World Class Commissioning for primary care
• World class commissioning guide for primary care• understanding needs of local communities• clinical leadership and clinical engagement• incentives for integrated care and upstream prevention• information for patients and the public• applying system rules• stimulating innovation and choice (market making)
• Support and development• predictive modelling and risk stratification• public engagement and social marketing• dataset development (including equality monitoring)• contract management• estates strategies
Leading local change
World Class Commissioning for primary care
• World class commissioning guide for primary care• understanding needs of local communities• clinical leadership and clinical engagement• incentives for integrated care and upstream prevention• information for patients and the public• applying system rules• stimulating innovation and choice (market making)
• Support and development• predictive modelling and risk stratification• public engagement and social marketing• dataset development (including equality monitoring)• contract management• estates strategies
Supporting integration of health and social care
• Joint strategic needs assessment & LAAs• More integrated working between SHAs and GOs• Ministerially-led group to identify how to support
organisations that want to go further
Leading local change
Reinvigorating PBC
• Repositioning PBC: clinical leadership & health outcomes• Incentives for more multi-professional engagement• Entitlement to management and financial support• Holding PCTs to account through assurance framework• Different levels of engagement
entry-level PBC (dependent on quality of primary care) increasing freedoms for high-performing, multi-
professional and accountable PBC groups
Leading local change
Reinvigorating PBC
• Repositioning PBC: clinical leadership & health outcomes• Incentives for more multi-professional engagement• Entitlement to management and financial support• Holding PCTs to account through assurance framework• Different levels of engagement
entry-level PBC (dependent on quality of primary care) increasing freedoms for high-performing, multi-
professional and accountable PBC groups
Piloting new models of integrated care
• Clinical collaboration across primary, community and secondary care
• Integration between health and social care• ‘Integrated care organisations’ managing capitated budgets• Testing safeguards for choice and competition• Specifying service quality and financial management
Leadership for quality- making change happen
Expectations how people will have to change
Vision where we are
going
Methodthe way that improvement will happen
Embed in training. Leadership will be included in undergraduate curricula for nurses and doctors
New standards. Accredited health leadership standards for both clinicians and managers
NHS Leadership Council. Support all leadership, with strong focus on top 250 in the NHS
Support Boards. New development programme for trust boards to be commissioned
NHS Leadership Model
Interprofessional Education – opportunities
Interprofessional Education – opportunities
Patient Access, Choice and Empowerment
Interprofessional Education – opportunities
Patient Access, Choice and Empowerment
Integrated Pathway Redesign - Quality, Outcomes, Productivity and Efficiency
Interprofessional Education – opportunities
Patient Access, Choice and Empowerment
Promoting Healthier Lives
Integrated Pathway Redesign - Quality, Outcomes, Productivity and Efficiency
Interprofessional Education – opportunities
Patient Access, Choice and Empowerment
Promoting Healthier Lives
Continuously Improving Quality
Integrated Pathway Redesign - Quality, Outcomes, Productivity and Efficiency
Interprofessional Education – opportunities
Patient Access, Choice and Empowerment
Promoting Healthier Lives
Leadership and Innovation
Continuously Improving Quality
Integrated Pathway Redesign - Quality, Outcomes, Productivity and Efficiency
Interprofessional Education – opportunities
Patient Access, Choice and Empowerment
Promoting Healthier Lives
Leadership and Innovation
Continuously Improving Quality
Integrated Pathway Redesign - Quality, Outcomes, Productivity and Efficiency
top related