long term conditions – development of the current agenda and role of data analysis dr. peter...
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Long Term Long Term Conditions – Conditions –
development of the development of the current agenda and current agenda and role of data analysisrole of data analysis
Dr. Peter CansfieldEast Midlands Public Health Observatory
National Information
60% of adults have a long term or chronic health problem
Up to 80% of GP consultations are with people with a long term condition (LTC)
Mostly minor conditions, but 5% of patients with LTC account
for 42% of hospital bed days
% of Inpatients
Cu
mu
lati
ve %
of
inp
atie
nt
day
s
50% of inpatients account for 10% of all inpatient days
5% of inpatients account for 42% of all inpatient days
10% of inpatients account for 55% of all inpatient days
What are LTCs?
N.B. Pyramid is not Egyptian
New care models
Evercare Kaiser permente Unique Care / Castlefield Eldercare Etc… community matrons /
managers, personalised care management
Drivers and Targets
Drivers– Improved care– Financial (PBR and unplanned admissions)
Targets– Community matrons – centrally determined
number for each health community– Reduce emergency admissions by 5% by
2008
How can we predict which patients are ‘frequent
fliers’? United Health Care
– Jean Kings Fund –
Howard Dr. Foster – Steve Local (e.g. Risk
factor – Eldercare) – Hanna
Questions Which risk assessment tool and why? What is the strength of evidence to
support one method over another? Models and the data required – a
pragmatic trade-off? Data access: How internal restrictions
on data overcome? Other practical difficulties? Value: should we take a view?