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Undiagnosed Health Problems: A Global Burden How do we reduce it?

Undiagnosed Health Problems: A Global Burden How do we reduce it?. SAVE Screening Adds Value Efficiently : e-nergising, ®e-vitalising and e-nnovating Adrian Davis adriandavis@nhs.net. NN4B. PDS. NHAIS. Current state architecture. Birth notification. PDS lookup / trace. Late registrations.

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Undiagnosed Health Problems: A Global Burden How do we reduce it?

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  1. Undiagnosed Health Problems: A Global BurdenHow do we reduce it?

  2. SAVEScreening Adds Value Efficiently: e-nergising, ®e-vitalising and e-nnovatingAdrian Davisadriandavis@nhs.net NN4B PDS NHAIS Current state architecture Birth notification PDS lookup / trace Late registrations Movers Birth notification NSS - National Screening Store NIPEScreening Management System NHSP Screening Management System Interfaced screening equipment ETL ETL Analysis and reporting tools Quality Management System Data Warehouse AnalyticTrends

  3. Undiagnosed Health Problems: A Global BurdenHow do we reduce it?

  4. HearCheck Screener

  5. 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

  6. Working with Industry We should build a better relationship with industry based on The NHS’ most senior CE’s regularly meeting and networking with industries most senior CE’s Based on Trust not Transaction With fewer contact points A different value proposition for the NHS Innovation Health and Wealth Working alongside representative bodies to lever change More effective procurement and pre-procurement, and a more systematic approach to the spread of new ideas Horizon scanning for the highest impact innovations and spreading them at pace and scale

  7. NHS CB - developing a long and short term view We had 5 opening lines of enquiry: • What do we know already? • Can payment mechanisms incentivise self-management of Long Term Conditions? • Can pricing incentivise centralisation & specialisation? • Can it incentivise the uptake of innovative technologies? • Can it incentivise productivity and efficiency? • 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.

  8. Future - Outcome over our children’s life-course is everything Thanks: Dr Bridget Wilckren Thanks: Northgate information systems

  9. Thank you Start networking early! STM example Inputs – Executive – Action – S/E/L/Cog

  10. Archie Cochrane Walter Holland David Sackett Muir Gray

  11. 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

  12. Lessons…

  13. Scale and pace Encouraging and working with SME Working with major companies

  14. Questions

  15. Thank you

  16. BVHC system – Hearing Loss Adrian Davis, Neil Porter, Jay Dobson

  17. Healthcare scientist input, system wholly managed by HCS – audiologist from triage to long term care with input from other medical and scientific groups when needed Healthcare scientist input

  18. Benefits realisation: UK plc People with HL People communicating with them Welfare, Social Care Healthcare – maybe greater spend on hearing and less on other issues because managed better???????? However, spend per patient reduction

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