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Long Term Conditions – development of the current agenda and role of data analysis

Long Term Conditions – development of the current agenda and role of data analysis. Dr. Peter Cansfield East Midlands Public Health Observatory. National Information. 60% of adults have a long term or chronic health problem

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Long Term Conditions – development of the current agenda and role of data analysis

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  1. Long Term Conditions – development of the current agenda and role of data analysis Dr. Peter Cansfield East Midlands Public Health Observatory

  2. National Information • 60% of adults have a long term or chronic health problem • Up to 80% of GP consultations are with people with a long term condition (LTC) Mostly minor conditions, but • 5% of patients with LTC account for 42% of hospital bed days

  3. What are LTCs? N.B. Pyramid is not Egyptian

  4. New care models • Evercare • Kaiser permente • Unique Care / Castlefield • Eldercare • Etc… community matrons / managers, personalised care management

  5. Drivers and Targets • Drivers • Improved care • Financial (PBR and unplanned admissions) • Targets • Community matrons – centrally determined number for each health community • Reduce emergency admissions by 5% by 2008

  6. How can we predict which patients are ‘frequent fliers’? • United Health Care – Jean • Kings Fund – Howard • Dr. Foster – Steve • Local (e.g. Risk factor – Eldercare) – Hanna

  7. Questions • Which risk assessment tool and why? • What is the strength of evidence to support one method over another? • Models and the data required – a pragmatic trade-off? • Data access: How internal restrictions on data overcome? • Other practical difficulties? • Value: should we take a view?

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