QUALITY AND BEST PRACTICE
with mental health problems in surgeries, and care navigators who follow up and monitor patient care between services. Dr Watson said such changes would make things “better for the patient, better for us [GPs], and better for the system”.
A common theme of day two was the problems posed by long-term conditions. Dr Watson described them as one of the biggest challenges facing practices, and Dr Minesh Patel, chair of Horsham and Mid Sussex CCG, said the Quality and Outcomes Framework’s (QOF) biggest weakness is the long-term illnesses it doesn’t cover.
Dr Patel was talking about what quality care looks like in a post-QOF era and posed questions about outcomes. “Whose outcome is it that we need to measure? Is it the systems outcome, is it our outcomes as organisations, as professionals – or actually is it the patients’ outcome and what matters to them? Is it the same thing? I think clearly the answer is it probably isn’t.
“Whatever we think of our relationship with patients, the future will be about paying for outcomes that our patients and our populations
value, and they won’t always be the same things that we value.
“GPs and CCGs can no longer ignore the patient in the conversation about outcomes.”
Dr Patel closed on an optimistic note, pointing out that GPs now have a great opportunity to help shape the system that they work in.
“CCGs as they are now create windows of opportunity. They are membership organisations and there is a window here to engage with them, as members, to create the sort of system that we want to create, and I’m not sure that the window will be there forever because the system will need solutions to fall into place.”
He added: “The key here is to engage with your CCG as members and to actually design. The future isn’t being dreamt up somewhere else, it’s going to be dreamt up by the membership.”
Coverage of Jeremy Hunt’s speech at the show is on page 44.
FOR MORE INFORMATION
More from the Best Practice Show at the NHE website and at: W:
www.bestpracticeshow.co.uk
national health executive Nov/Dec 14 | 35
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64 |
Page 65 |
Page 66 |
Page 67 |
Page 68 |
Page 69 |
Page 70 |
Page 71 |
Page 72 |
Page 73 |
Page 74 |
Page 75 |
Page 76 |
Page 77 |
Page 78 |
Page 79 |
Page 80 |
Page 81 |
Page 82 |
Page 83 |
Page 84 |
Page 85 |
Page 86 |
Page 87 |
Page 88 |
Page 89 |
Page 90 |
Page 91 |
Page 92 |
Page 93 |
Page 94 |
Page 95 |
Page 96 |
Page 97 |
Page 98 |
Page 99 |
Page 100