A patient

perspective on

the Five Year

Forward View @MarkDuman

www.pifonline.org.uk

Five Year Forward View (5YFV)

1.How many have heard of it?

2.How many have read it?

3.What are it’s key themes?

4.What difference has it made to date?

“Same stuff, different wrapper”

Francis (Feb’13) vs. Kennedy (Feb’01)

125 page Exec Summary; 290 Recommendations

28 page Exec Summary; 198 Recommendations

‘Fully engaged’ public saves billions

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Patient Activation

KPMG

People Participation Pyramid

User Experience

Public Engagement

Individual Participation

Friends & Family Test (FFT) NHS Surveys, including Staff Patient complaints PALS (Patient Advice and Liaison Service) PLACE NHS Choices/Care Opinion PROMs/PREMs Duty of Candour Patient Insights Dashboard Social media monitoring Citizen satisfaction with NHS Public perception NHS brand

User Experience

Care Planning Patient Decision Aids/Shared Decision Making

Records Access/Patient

Online Personal Health Budgets Health Coaching Structured Patient Education Peer Support Medicines Optimisation Support Brokerage Telehealth Patient Activation Measure(s)

Individual Participation

Healthwatch Patient Participation Groups CCG Lay Members Foundation Trust Patient Members/ Governors NHS Citizen/ Participation Academy/ People Bank Public Involvement Forum Local Authority

Public Engagement

Problem Solution

Listening to “Patients” – Partner Exercise

1. Informed? 2. In control? 3. Give feedback?

Turn to your neighbour. In 1 minute relate your last experience of care as patient, carer, partner. Swap.

3 quick personal stories

47 year old Pharmacist with Diabetes

? Structured Patient Education; Dietician; Care Plan(ning)

80 year old Bookeeper having Heart Surgery

? Angio-what?; Depression; Discharge Plan(ning)

70 year old GP with Prostate Cancer

? Supporting carer

1. Clinical Culture

Despite concerted efforts to tackle

the “effectiveness of consultations

between patients and clinicians,”

the biggest problem is the

“reluctance of clinical staff to

provide active support for patient

engagement.”

RCGP, Sep 11

2. Payors/ Purchasers

Information: first line Rx

3. Public - Increase Expectations

Manager Patients/ Public

Health System

Care Plan: Getting from A to…?

Nearly 1 m patients in the UK 2013 Doctor-Patient Survey

64% of them said they were as “involved in healthcare as

they wanted to be”

What % had a care plan?

Key concepts

1. “People” as THE workforce – let us in…

2. Information as a therapy – “education”

3. Clinicians care AND coach

4. Don’t commission from a desk – get out & listen

What are you

going to do

differently?