copyright 2011 right care what to change service reviews & cases for change professor matthew...
TRANSCRIPT
Copyright 2011 Right Care
What to Change Service Reviews & Cases for Change
Professor Matthew Cripps BA MA CPFAProgramme Director NHS Right Care
August 2013
Online Learning Series
Right Care for Populations
2
Where to look
What to change
How to change
PRINCIPLES OF CHANGE
Delivering Value
CURRENTSERVICE
FUTURESERVICE
Fit forPurpose
Efficiencyand
marketoptions
Supplyand
capacityoptions
No/ lowbenefit
Step 1 – define:
Step 3 –
categorise:
Step 2 – define:
Redesign,Contract,Procure
Contract,Procure,Divest
Step 4 –
recommend:
Maintain
Divest
Service Review Pathway – Diagnostic steps
Fit forPurpose
Efficiencyand
marketoptions
Supplyand
capacityoptions
C1 Circulation health check Health CheckC2 NICE CVD prescribing Primary Care ManagementC3 Appointment following emergency admission Pathway Reform - OutpatientsC4 Cardiology post-NE pathway redesign Pathway ReformC5 Cardiology referrals threshold Threshold policyC6 Cardiology diagnostics Diagnostics pathway reformC7 Cardiac Intermediate care setting Pathway Reform - Secondary
care - Community careC8 Non-elective percutaenous coronary intervention
pathwayPathway Reform - Contract management
C9 DVT pathway Pathway ReformC10 Cardiology self care Expert Patient ProgrammeC11 Telephone consultation Pathway reform - Follows upC12 Cardiology Excess bed day reduction XSBD ratiosC13 Cholesterol management (statins) Prescribing policyC14 Heart failure prescribing Prescribing policyC15 Reduce multiple first outpatients appointments Pathway Reform - Outpatients
managementC16 Varicose vein treatment threshold Threshold policy
5
Online Learning Series
Right Care for Populations
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Find the full series at:
www.rightcare.nhs.uk/resourcecentre