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Dr. Donal Hynes introduces a revolutionary approach to healthcare where everything is done in a single encounter at the patient's home, aiming to provide the right care right here, right now. Learn about communicating this innovative model, challenges, and financial implications.
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Flexible Healthcare Dr Donal Hynes, Chair of Professional Executive Committee
What is it? • No wait for anything • Everything done in a single encounter • Everything done in the patient’s home
I only mentioned a twinge – I don’t want my hip replaced NOW!
Communication Strap Line Right Care Right Here Right Now
Narrative • Clinicians are good at telling stories
F/U RoRx Oncol MDT Stage Scan Refer OPD Result Biopsy Cancer Narrative
That Morning Consultation Biopsy Histology Diagnosis Scan Staging MDT Oncology Plan Cancer Narrative Refer
Narrative • Make a narrative for your specialist area
Challenges • Capacity • Vertical Integration • Horizontal Integration • Management of capitated budgets • Safeguarding Choice and Competition • Financial Implications • Employment status
Capacity • Steady line state 18 weeks
Capacity 0 weeks
Capacity • Clinicians do not work harder • It is the system that needs to be changed to meet clinicians’ needs
Vertical Integration • Generalist: Risk Management • Specialist: Discriminatory skills Gen Spec Gen Spec
District Councils Social Services Mental Health Vol Organiztns Horizontal Integration • Depression and Housing • Cancer and Benefits • Post Cardiac Mortality and Deprivation NHS
Capitated Budget • How much do we spend per individual per year? • What level of risk? • What formula to apply? • How to apply the funds?
Safeguarding Competition • Cosy Collusion • What is competition? • Competition with or competition in • AWP or AWPI • Strategic development partnership with gainshare
Financial Implications • PbR, PBC, FTs • Customer (commissioner) • Currency Transaction (Tariffs and PbR) • Provider (FTs, GPs)
Financial Implications • One Stop Shop • Primary Specialist split • Social and Health resource streams
Doctor Employment Status • National GP contract • FT contracts • Nascent organizations
Our Challenge • In the most perfect world we all know what we would like to do (and receive) • How to use Flexible Healthcare to achieve this