ICB Politics and integrated health Flashcards
What is integrated care?
Person centred co-ordinated care which involves multidisciplinary teams. Used for patients with multiple overlapping problems. Treatment, care and support can be tailored to meet patient needs and preferences.
What are the themes discussed in “the changing face of medicine”?
Changing dr-patient relationship Workforce and work environment Technological advancement Doctor wellbeing and morale Medical leadership Rethinking medical education and training
What is the context behind why medicine is changing and the importance of integrated care?
Older population increasing
1/7 of >85yo live in care homes and account for 185000 emergency admissions
35-40% of emergency admissions avoidable
Long term conditions are increasingly lifestyle related
Greater demand on health and care services
What is the “5 year forward view” in relation to integrated care?
NHS plan for 2014-19 on how the NHS needs to change
What are the aims of the “LLR STP” (Leicestershire Sustainability and Transformation Plan?
More focus on supporting people to stay well
Make a stay in hospital an exception rather than a rule
New facilities in community hospitals
New services provided at home
New single site maternity hospital …
What is part of the NHS long term plan?
What and how NGS can delivery £20b funding
New service model - Digitalised GP, decrease hospital admissions, crisis response services, health care in care homes
Health promotion and inequality
NHS care priorities extended focus
Technology and digitally enabled care funding plans
Workforce
What is the inverse care law?
Availability of health care services is inversely proportional to the need for it
What are the essential components of providing better care in primary care?
Extra time for consultations
Serial encounters
GP as natural hub for local health systems
Better connections across front line
Better support for front line
Leadership at different levels
What members should be part of the clinical practitioner team at GP’s?
Paramedic Practice pharmacist Mental health nurses Family planning nurses Physios Advanced nurse practitioners Care home nurses Drugs and alcohol team Smoking cessation, IAPT counsellors and dieticians
What are the main challenges faced by inner city GP’s?
Ageing population
Increased no of people with complex conditions
Initiatives to move care from hospital to GP
Rising public expectations
Decreased funding for health and social care
Fragmentation in health services
Difficulty recruiting in inner cities
