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The Torbay Experience

The Torbay Experience. Adrian Jacobs Director of Primary Care Torbay PCT. The Local Context. Care Trust “Mature” Health Community Planning infrastructure that crosses traditional boundaries – professional and organisational Multi Professional Health and Social Care Teams

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The Torbay Experience

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  1. The Torbay Experience Adrian Jacobs Director of Primary Care Torbay PCT

  2. The Local Context • Care Trust • “Mature” Health Community • Planning infrastructure that crosses traditional boundaries – professional and organisational • Multi Professional Health and Social Care Teams • Focus on the Management of Long Term Conditions is now embedded.

  3. Opportunities and threats • Choice • Payment by results • Practice based commissioning • Politically driven organisational change

  4. Torbay KP projects • Integrated Health and Social Care Centre in North Torquay • Redefining the role of a Community Hospital • Redefining the referral process • Linking nGMS to a reduction in unplanned admissions • Alternatives to admission

  5. A Change of Focus • Moved away from projects to embedding change in systems and culture. • Getting Patients Treated • Unscheduled Care Group • Strengthened local management • Local Multi-professional teams • Professional Leadership

  6. Themes for change • Know the people planning • Treating unscheduled admissions as a failure of chronic disease management. • Make the right thing to do the easiest thing to do. • Working in partnership as a health and social care community. • Develop a Long Term Conditions Strategy

  7. Themes for further work with KP • Medical Leadership development • Better use of information • Clinical placements • Self Care?

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