Post on 16-Jan-2016
Copyright 2011 Right Care
Systems of Care
Sir Muir GrayJoint National Director, Right Care
August 2013
Online Learning Series
Right Care for Populations
2
How the NHS looks from space
3
The Healthcare Archipelago
General Practice
Mental Health
Community Services
Hospital Services
4
Population Healthcare
Is the service for people with seizures & epilepsy in Manchester better than the service in Liverpool?
Who is responsible for the headache service for people in Southampton?
How many liver disease services are there in
England and how many should there be?
Which service for frail elderly people in the London provides the best value?
Which service for children with mental health problems improved most in the last year ?
5
What does a system look like?
SELF CARE
INFORMAL CARE
GENERALIST
SPECIALIST
SUPER SPECIALIST
6
The balance is different
SELF CARE
INFORMAL CARE
GENERALIST
Specialist Super Specialist
7
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
Primary Secondary Acute Community OutpatientX X X X X
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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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