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FLEXIBLE HEALTHCARE. Dr Matthew Dolman WyvernHealth.com GP Axbridge & Wedmore May 1st 2009. morph. FLEXIBLE HEALTHCARE. Why “morph” ? This project is about change. Change in thinking Change in delivery healthcare Changing in a smooth and gradual way. FLEXIBLE HEALTHCARE.
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FLEXIBLE HEALTHCARE Dr Matthew Dolman WyvernHealth.com GP Axbridge & Wedmore May 1st 2009 morph
FLEXIBLE HEALTHCARE • Why “morph” ? • This project is about change. • Change in thinking • Change in delivery healthcare • Changing in a smooth and gradual way.
FLEXIBLE HEALTHCARE • Move care into community • Deliver a Flexible Care Pathway where the patient chooses when & where they have their care. • One stop design as an optimum • Care is integrated and innovative
FLEXIBLE HEALTHCARE • Integration and Innovation • We are in the 21st century • You have heard the narrative • You have heard the patient perspective • “it’s fantasy”
FLEXIBLE HEALTHCARE • Patient centred • Patient expectation has to be managed but also embraced • What are other scientific areas exploring • Morph : how nanotechnology will integrate into our lives………..
FLEXIBLE HEALTHCARE • Need to find renewed energy from the staff in this room and their colleagues • Ownership and collaboration to deliver the best clinical care in a new way
FLEXIBLE HEALTHCARE • Finance is a key element and will be discussed later • Management support already identified • Timescale is over the next two years
FLEXIBLE HEALTHCARE • Integrated care can offer something to everyone • Patient • Secondary care • Primary care • Community teams • Social services • Third sector
FLEXIBLE HEALTHCARE • Can we move from narrative to reality • Can we create the film?
FLEXIBLE HEALTHCARE • “High quality care for all” Darzi 2008 • Evidence base for Integrated Care” DOH • Patient vision • “Teams without walls” • Somerset Steering group ideas
FLEXIBLE HEALTHCARE • WyvernHealth.com • Practice based commissioning consortium • 74 out 75 Practices in Somerset • A vehicle to move ideas from Practice level to a fully commissioned service by the PCT
FLEXIBLE HEALTHCARE • NHS Somerset • Providing funding for the project • Management team • Committed for two years
FLEXIBLE HEALTHCARE • 5 clinical specialities engaged initially • Urology • Cardiology • Vascular surgery • Gynaecology • Orthopaedics • Rheumatology • Pain services
FLEXIBLE HEALTHCARE • Primary Care engagement • Provider opportunities • Confederations • County wide umbrella group • GP led health centre • PATHWAYS HEALTH AND SOCIAL CARE ALLIANCE LIMITED
FLEXIBLE HEALTHCARE • Peckham Health Centre • 1935 • New Estates developments in the future ?
FLEXIBLE HEALTHCARE • Unique Care Project • Joint work between Primary care teams,community teams and social services • Wyvern Advisory Group • Secondary care, third sector,SWAST,community teams , county council, Social services,pharmacists,
FLEXIBLE HEALTHCARE • Map of Medicine • Once pathways redesigned need to be accessible to all , including the patient • Can be programmed with local pathways • Outcomes will shown according to “Patient reported outcomes”
FLEXIBLE HEALTHCARE • Development • narrative • Pre production • PCT /Trusts/Wyvern • Production • Pathways designed • Patients/Drs/nurses/physiotherapists/technicians/social services/third sector/ambulance trust • Post production • Refined and piloted • Distribution • Media /Map of Medicine • Education
FLEXIBLE HEALTHCARE • From Here to Modernity