closing keynote: future vision forintegrated care - professor jane dacre
TRANSCRIPT
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Tuesday 4 November 2014
Professor Jane DacrePresident, Royal College of Physicians
Future vision forintegrated careThe challenges, the solutions and how we can make it happen
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Outline
• The challenges• The solutions• Making it happen nationally• The RCP’s role
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The challenges?
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Hospitals on the edge?• 65% of people admitted
to hospital are over 65
• Third fewer general and acute beds over 25 years
• 37% increase in emergency admissions in 10 years
• Multiple complex conditions
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Information silos and islands
• Plurality of isolated IT systems
• Culture • Style of clinical practice • Funding
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The solutions?
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The Future Hospital
Patient experience
Radical restructure of wards
Secondary care stretching out into the community
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The Future Hospital
Information to enable integration
• Patient-centred electronic records
• Patient access
• Standards for clinical records
Information to improve efficiency
• Effective use of technology for care
• Information available to manage, research, commission
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How do we make it happen?
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Promoting what works
• Future Hospital demonstrator • Improve access to specialist care for
rural frail and elderly• Use of telehealth and triage algorithms
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Search for patient, get automatic summary
National and local EHR elements
Single sign on clinical p
ortal in
use in
Ninewells H
ospital s
ince 2008 !
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Cluster RCT results: nearly 1/3 of 280 dermatology
clinic visits would have been prevented using
telehealth
Eminovic et al. . Arch Dermatol. 2009;145(5):558-64.
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Five-point plan for governmentFuture Hospital: More than a building
The hospital is an integral part of the community
Secondary care has a crucial role wherever patients are
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Five point plan principles
• Stability and long-term vision• Removal of financial and organisational
barriers• Invest now to save later• Prioritise what works and improve what
doesn’t• Adopt the Future Hospital model as a
template
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NHS – 5 Year Forward View• Local choice, national
standards • Invest in research and
innovation• Break out of artificial
boundaries• Use IT to transform care
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The RCP’s role?
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Helping to make it happen
• Influence – national and local
• Physician education and development
• Future Hospital network, good practice case studies, exemplars etc
• Engaging with specialties and partners