the future of health - reform · kindly sponsored by: @reformthinktank #reformhealth 12.20 wifi:...
TRANSCRIPT
Kindly sponsored by:
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The future of health
Tuesday 2 December
12.00 – 16.30
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12.20 – 12.30
Welcome and introduction
Ian Wylie, Chief Executive, Royal College of Obstetricians
and Gynaecologists
Andrew Haldenby, Director, Reform
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12.30 – 13.00
Keynote speech
Rt Hon Andy Burnham MP, Shadow Secretary
of State for Health
Chair – Andrew Haldenby, Director, Reform
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13.00 – 13.50
Putting value at the heart of the NHS
David Prior, Chair, Care Quality Commission
Sir David Dalton, Chief Executive, Salford Royal NHS Foundation Trust
Dr Amit Bhargava, Clinical Chief Officer, NHS Crawley CCG
Mike Fairbourn, Vice President, UK & Ireland, CareFusion
Chair – Cathy Corrie, Senior Researcher, Reform
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13.50 – 14.10
Refreshments
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14.10 – 15.00
A patient-centred NHS
Professor Paul Corrigan CBE, Former Health Adviser to Prime Minister
Tony Blair
Dr Arvind Madan, Chief Executive, Hurley Group
Emil Peters, Vice President and Managing Director, Cerner Limited UK
Chair – Amy Finch, Researcher, Reform
Dr Arvind Madan CEO Hurley Group
Is the system unsustainable?
Yes, and federating or integration will not save us, in themselves.
So what needs to change?
Focus on wellness, prevention and earlier intervention: • Space to make general practice proactive • Permissive and supportive commissioners • Tangible support for federating • Shift in funding to primary care
How do we respond?
• Address recruitment crises / skill mix • Centralise demand management • Public expectations and responsibilities • Value general practice – change the rhetoric
Top-slice demand with the help of technology: • Better access • Better health outcomes • Better practice efficiency • Commissioner savings
TRADITIONAL DELIVERY MODEL
Symptom Checkers
TRANSACTIONAL • Book appts. • Change details • Repeat meds. • Messaging • View records • EPS
Written/ video
self-help info
Sign-post content, e.g.
pharmacy
24/7 call back from
111 clinician
Secure e-consults
with own GP
NEW DELIVERY MODEL PILOTED
The strategic challenge
Efficiency
Better health outcomes Patients triage themselves Prompts patient action (red flags) Robust clinical governance Digital disinhibition e.g. mental health Unleashes patient power Care starts sooner Fewer GP appointments needed Shorter waiting times More time for complex cases
Better access 24/7 access online E-consults with your own GP 36,000 website hits in six months 83% of patients would recommend 95% rated as very good or excellent 1/3rd aged over 45 years old 20% from mobile phones 25% BME and 28% ESL 11% unemployed 57% women
Better use of resources 9 online interactions for each e-consult 1/3rd of patients used self-help 18% then self-managed 50% of call backs from 111 closed 60% of e-consults closed remotely E-consults averaged 2.9 minutes Facilitated use of skill mix Only 3% supply led demand (so far) 100% GPs confident using e-consults 14% of patients would have gone to urgent care Commissioner ROI over 2 times investment
0
500
1000
1500
2000
2500
3000
3500
Jan
-13
Mar
-13
May
-13
Jul-
13
Sep
-13
No
v-1
3
Jan
-14
Mar
-14
May
-14
Jul-
14
Sep
-14
Walk-in centre attendances
WebGP
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14.10 – 15.00
A patient-centred NHS
Professor Paul Corrigan CBE, Former Health Adviser to Prime Minister
Tony Blair
Dr Arvind Madan, Chief Executive, Hurley Group
Emil Peters, Vice President and Managing Director, Cerner Limited UK
Chair – Amy Finch, Researcher, Reform
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15.00 – 15.30
Keynote speech
Rt Hon Jeremy Hunt MP, Secretary of State
for Health
Chair – Andrew Haldenby, Director, Reform
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15.30 – 16.20
An integrated health and care system
Ian Dodge, Director of Commissioning Strategy, NHS England
Toby Lambert, Strategy and Policy Director, Monitor
Dr Diane Bell, Director of Insight, COBIC
Martin Markus, Director, UK Healthcare Practice, McKinsey & Company
Chair – Cathy Corrie, Senior Researcher, Reform
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16.20
Closing remarks
Andrew Haldenby, Director, Reform