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Care pathways as if the 21 st century was really happening

Care pathways as if the 21 st century was really happening. Paul Hodgkin FRCGP, CEO Patient Opinion. The drive to systematised care over the last 20 years: Better care is achieved through reducing variation. Evidence base. NICE and policy. Local protocols. Incentives. clinician.

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Care pathways as if the 21 st century was really happening

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  1. Care pathways as if the 21st century was really happening Paul Hodgkin FRCGP, CEO Patient Opinion

  2. The drive to systematised care over the last 20 years: Better care is achieved through reducing variation Evidence base NICE and policy Local protocols Incentives clinician Individual journey Care Pathway ‘Rules + targets + care pathways = better quality’ Creative Commons Hodgkin/Patient Opinion non-commercial licence

  3. NHS spend on CfH ~ £10 billion

  4. £100 billion over 10 years

  5. What can Your mum is a bright, technologically savvy 76 year old who recently fell and broke her hip. This was found to be due to a pathological fracture secondary to multiple metastasis from her breast cancer 8 years before. Some of the care in hospital was great but some was awful. She was discharged to a respite bed in a local nursing home and is now back living by herself in her first floor flat which she can no longer leave. You live 25 miles away

  6. Assume you have standard GP, District Nursing, palliative and DGH care available to you. As a group build a care package using all the apps and software that you know that does any of the following: • Meets as many of your mum’s clinical and social needs as possible • Makes your life easier • Enriches the last months of your mum’s life as much as possible • Costs less than normal care • Creates social value by improving other people’s lives or services.

  7. You are having a hard year. No sooner have you sorted your mum out but you find yourself going to the doctor with weight loss and tiredness. She does some tests and refers your to hospital. They do more tests and eventually diagnose you with Addison’s disease and put you on some treatment.

  8. What information needs do you have at each stage of this journey? • What can you find out right now about Addison’s disease? • How would you use access to your GP record? What tools and apps would you want to find on there

  9. Is this just a citizen thing? Should the NHS redesign its care pathways? Where do patient-access to their EPRs fit in?

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