Undiagnosed Health Problems: A Global Burden How do we reduce it?
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Undiagnosed Health Problems: A Global Burden
How do we reduce it?
Earlier diagnosis?
Intelligent use of diagnostic tests enables earlier
diagnosis
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SAVEScreening Adds Value Efficiently:
e-nergising, ®e-vitalising and e-nnovatingAdrian Davis
ETL
Birth notification
Late registrations
NSS - National Screening Store
NHSP Screening Management System
PDS lookup / trace
PDS
Movers
NHAIS
NIPEScreening Management System
Birth notification
NN4B
Data
Warehouse
Analytic
Trends
Analysis and reporting tools Quality Management System
Interfaced screening equipment
ETL
Current state architecture
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Undiagnosed Health Problems: A Global Burden
How do we reduce it?
Earlier diagnosis?
Early screening enables earlier
diagnosis
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HearCheck Screener
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Introducing triage into primary care• Using HearChecks to screen
people before referring to Audiology– We have worked with primary
care in Leicester to raise their awareness of hearing & its management
– We triage patients in Audiology clinics to different pathways depending on how many tones they hear
– Liz Morgan-Jones (and Pauline Smith) can tell you about the great transformation this has made to her services
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Working with Industry I
nnov
ation
Hea
lth a
nd W
ealth
We should build a better relationship with industry based on
Based on Trust not Transaction
With fewer contact points
Working alongside representative bodies to lever change
Horizon scanning for the highest impact innovations and spreading them at pace and scale
A different value proposition for the NHS
The NHS’ most senior CE’s regularly meeting and networking with industries most senior CE’s
More effective procurement and pre-procurement, and a more systematic approach to the spread of new ideas
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NHS CB - developing a long and short term view
• NHS CB is undertaking work looking at our long term approach to tariff design, and how tariff can be developed to be consistent with, and promote the NHS CB’s strategic aims.
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We had 5 opening lines of enquiry:1. What do we know already?2. Can payment mechanisms incentivise self-management of Long Term
Conditions?3. Can pricing incentivise centralisation & specialisation?4. Can it incentivise the uptake of innovative technologies?5. Can it incentivise productivity and efficiency?
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Future - Outcome over our children’s life-course is everything
Thanks: Dr Bridget Wilckren Thanks: Northgate information systems
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Thank you
Start networking early!
STM example
Inputs – Executive – Action – S/E/L/Cog
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Archie CochraneWalter HollandDavid SackettMuir Gray
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Value in healthcare• Demand does not = Need
– Efficiency through screening reduces stress
• Equity = whole population – (The price of inequality – Stiglitz)
• Earlier => better outcomes achieved– (mortality, quality of life, recovery from intervention, safer, more satisfactory)
• Whole Services Improvement– Even I can do this as I have standards, training, specs, SOP, audit, QA, QI and
commitment
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Lessons…
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Scale and pace
• Encouraging and working with SME
• Working with major companies
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Questions
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Thank you
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BVHC system – Hearing Loss
Adrian Davis, Neil Porter, Jay Dobson
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Healthcare scientist inputHealthcare scientist input, system wholly managed by HCS – audiologist from triage to long term care with input from other medical and scientific groups when needed
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Benefits realisation:
UK plcPeople with HLPeople communicating with themWelfare, Social CareHealthcare – maybe greater spend on hearing and less on other issues because managed better????????However, spend per patient reduction