1 / 9

Complex, long-term health and social needs

Complex, long-term health and social needs. ‘Grand Challenge’ Progress report and Next steps. Grand Challenge - reprise . 70% of all health and social care activities. Enough said…. ‘Standard’ approach focuses on single conditions

tarak
Download Presentation

Complex, long-term health and social needs

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Complex, long-term health and social needs ‘Grand Challenge’ Progress report and Next steps

  2. Grand Challenge - reprise • 70% of all health and social care activities. Enough said…. • ‘Standard’ approach focuses on single conditions • Extensive experience of dementia, E of L, frailty etcbut for eg • Eg 60% over 65 have at least one long term condition Hence… • Complexities/co-morbidities dictate a multi condition solution • In May, this begat the Cumberland Initiative Grand Challenge

  3. Extending the single condition view Significant co-morbidities Predominance of single conditions LTC 1 LTC 2 LTC 3 Frailty End of Life Care LTC 4 LTC 5 LTC etc…….

  4. Progress to date… • Research proposal - ‘people not pathways’/population health focus • Four clearly identified research ‘pillars’ - Clinically driven • Cohort analytics • Co developed solutions • Alternative service model bank • Patient-Professional relationships • Dedicated Ethos team plus a technology partner • ‘Seminal’ 8/9000 word paper in outline specification • Encouraging initial market traction in England and Wales

  5. Initial market traction • Future localised cost trends - the scary ‘blue line’ • Increasing focus on integrated care • Greater emphasis on prevention • Risk stratification to tailor service responses • Hospital admission • Admission to a care home • Frailty likelihood that end of life is approaching; • Cost/service impacts of strategic redesign initiatives • …particularly savings accrue to health plus social care

  6. Emerging industry engagement • Clinical - Primary care, geriatricians, palliative, psychiatry • Commissioners - CCGs, LAs and CSUs • Industry - Data-mining, aggregation, visualisation • Academic/AHSNs - Service evaluation, epidemiology • Social care-Integration agenda & stat responsibilities • Workforce development - 70% of all services are people

  7. Emerging simulation ‘offers’ • ‘Extended’ individual condition pathways • Data mining and risk stratification • Geographic mapping & health inequalities assessment • Population/cohort modelling for strategic redesign • Local stakeholder engagement/integ’ed responses • Demand-side modelling workforce training & devm

  8. Next steps - Collaboration • Pathfinder CCGs and Local Authorities • AHSN, CSU and of course Cumberland relationships • (Exciting) on line visual technology development • Further scale up of the (extended) team and capabilities • Progressive and/or selective industry engagement • Major collaborative grant and funding bids….

  9. Next steps - Collaboration

More Related