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Poor communication Disempowerment of staff and patients Ineffective systems and processes

Workforce Transformation Prof Lis Paice OBE FRCP North West London Whole Systems Integrated Care Julie Screaton , Managing Director, Health Education South London . 5 themes from 30 enquiries into major deficiencies in health care: (K Walshe Oct 2002 BMJ ). Poor communication

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Poor communication Disempowerment of staff and patients Ineffective systems and processes

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  1. Workforce TransformationProfLis Paice OBE FRCPNorth West London Whole Systems Integrated CareJulie Screaton, Managing Director, Health Education South London

  2. 5 themes from 30 enquiries into major deficiencies in health care: (K Walshe Oct 2002 BMJ) • Poor communication • Disempowerment of staff and patients • Ineffective systems and processes • Isolation • Inadequate leadership/management

  3. Integrated Care • Patients at the centre – empowered and informed • Professionals , services and organisations working together • Proactive care - assessing risk, intervening earlier

  4. Factors for Success in Integrated CareDH/RAND Study 16 pilots 2012 • Strong leadership • Relationships at a personal level across organisations • Shared values and vision • Widespread staff engagement • Education and training of staff, specific to reforms

  5. Why does it have to be so hard?

  6. Skills for Staff in Integrated Care • Working with empowered patients • Recognising the roles and expertise of others • Working across a variety of settings, teams • Respecting data • Communicating effectively • Taking responsibility, being proactive, innovating

  7. Educating for Integrated Care • Secondments to different settings • Paired learning (eg manager/doctor) • Coaching and motivational interviewing • Multidisciplinary case conferences • Action learning sets • Understanding patient experience

  8. Engaged and challenged, not stressed Comfort Zone Learning Zone Panic Zone From Peter Hawkins

  9. Pathway Simulation GP Surgery Pharmacist Home Ambulance A&E

  10. The Patient Journey Ward Production line Imaging Production line Social care Production line Ambulance Production line Family doctor Production line

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