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Future Hospital Commission: HC 2013, 17 April 2013 Dr Mark Temple Acute Care Fellow Royal College of Physicians. RCP Health Bill survey All members & fellows - March 2012. Top 5 Concerns – wider health agenda Lack continuity of care Efficiency savings/funding Clinical staff shortages
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Future Hospital Commission:HC 2013, 17 April 2013Dr Mark TempleAcute Care FellowRoyal College of Physicians
RCP Health Bill survey All members & fellows - March 2012 Top 5 Concerns – wider health agenda • Lack continuity of care • Efficiency savings/funding • Clinical staff shortages • Health reforms • Education training & research • Recommend hospital to relative? • 10% No, 25% not sure
Key challenges • Physicians: Hospitals on the edge RCP September 2012 • Lack of continuity of care • (information following pts) • Changing patients, changing needs • Out-of-hours care • Medical workforce crisis • Francis : putting pts first • Patients: • Continuity • joined up care • Communication • Involvement in decisions – patient family, carers • Dignity, compassion, respect • “moved like parcels in hospital”
What is the Future Hospital Commission? • Set up by the RCP • Reports to: RCP president & Council (June 2013) • Multi-professional steering group • Chaired by Professor Sir Michael Rawlins • Range of additional stakeholders • Launch due September 2013 • Longer-term programme of work – RCP led implementation of recommendations, pilot sites
Principle: Patient centred care - meet requirements of patients/carers (their perspective) Standard patients can state: 1. I knew who was in charge at all times 2. I was kept informed about my illness & my care discussed with me 3. I knew who to ask about my care 4. New staff explained their role 5. All the staff I met were well informed about me & my illness 6. In hospital my care was provided by one team on one ward 7. Throughout my admission I was kept informed about my discharge 8. Following discharge, the staff in the community were well informed: about what happened in hospital & what care I needed 9. I was clear about arrangements for my care after my discharge and who to contact if I became unwell