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Why act?

Online Learning Series Right Care for Populations. Why act? . If population healthcare is the solution – what is the problem?. Sir Muir Gray Joint National Director, Right Care August 2013. Great innovations of the first and second healthcare revolutions.

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Why act?

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  1. Online Learning Series Right Care for Populations Why act? If population healthcare is the solution – what is the problem? Sir Muir GrayJoint National Director, Right Care August 2013

  2. Great innovations of the first and second healthcare revolutions The First The Second • MRI and CT scanning • Statins • Antibiotics • Coronary artery bypass graft surgery & stents • Hip and knee replacement • Chemotherapy • Radiotherapy • Randomised controlled trials • Systematic reviews

  3. But… ..all health services, world wide, still face 5 major problems • failure to prevent preventable disease • inequity • patient harm, even when quality is high • waste of resources • unwarranted variation in: • - activity • - quality, safety • - outcome & cost = value ..and there is an iceberg ahead.

  4. Population Healthcare…5 questions • Is the service for people with seizures & epilepsy in Manchester better than the service in Liverpool? • Who is responsible for the headache service for people in Southampton? • How many liver disease service s are there in England and how many should there be? • Which service for frail elderly people in the London provides the best value? • Which service for children with mental health problems improved most in the last year ?

  5. The Healthcare Archipelago General Practice Mental Health Community Services Hospital Services

  6. The Commissioning Archipelago Specialist Commissioning GPs / Pharmacists / Optometrists 152 Local Authorities Public Health 211 CCGs

  7. Defining Population Healthcare • “The aim of Population healthcare is to maximise value for those populations and the individuals within them Population healthcare focuses primarily on populations defined by a common need which may be a symptom such as breathlessness, a condition such as arthritis or a common characteristic such as frailty in old age, not on institutions, or specialties or technologies”

  8. Paradigm shift

  9. A new language A SYSTEM is a set of activities with a common set of objectives and an annual report. Systems can focus on symptoms, conditions or subgroups of the population (also known as a service)A NETWORK is a set of individuals and organisations that deliver the system’s objectives (a team is a set of individuals or departments within one organisation)A PATHWAY is the route patients usually follow through the network A PROGRAMME is a set of systems with ha common knowledge base and a common budget • Primary Secondary Acute Community Outpatient X X X X X

  10. Work like an ant colony; Neither markets nor bureaucracies can solve the challenges of complexity

  11. Online Learning Series Right Care for Populations • Follow Right Care online • Subscribe to get a weekly digest of our blog alerts in your inbox, • Receive occasional eBulletins • Follow us on Twitter @qipprightcare Find the full series at: www.rightcare.nhs.uk/resourcecentre

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