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HEALTHCARE DELIVERY


The value of patient empowerment


The latest report from the NHS England Realising the Value programme has set out the 10 actions it believes will help put people and communities at the heart of health and wellbeing. It’s also developed a set of values that should underpin these actions. Spirit Healthcare’s CEO Chris Barker explains why the conversation may be changing from discussing ‘value’ to ‘values’.


Chris Barker


When NHS England’s ‘Five Year Forward View’ described a vision of better health, better patient care and improved NHS efficiency, conversations began about developing a new relationship with patients and communities. However, these were set firmly against the backdrop of cost savings in the acute sector. The local backlash to the


sustainability and transformation plans (STPs) that are being unveiled across England, demonstrates that the local media and communities are preoccupied by perceived cuts to services. The message that many of these changes will be better for patients is simply not getting through. That’s why the Realising the Value programme is so important. The latest report not only provides local NHS trusts and CCGs with an evidence-based action plan – it also emphasises the reasons we are doing this. The argument that investment in community services is costing one half of the NHS in order to reduce pressure and save money for the acute sector is no longer a barrier to change. We now have six values that can underpin our conversations with commissioners. We can talk about values, rather than value. This has to be good news for the acute sector, which will ultimately benefit from a healthier, happier population.


New ways of working


This report highlights the system levers that need to change, developing tools and resources to make commissioning and take-


The message that many of these changes will be better for patients is simply not getting through.


48 I WWW.CLINICALSERVICESJOURNAL.COM


up of key interventions easier. When it comes to implementing person-centred ways of working, using the best tools and evidence, consistently learning and improving, it’s really important that we can share our knowledge and experience with other NHS professionals to ensure that we build on each others’ work.


At Spirit Healthcare, we have always believed that as partners we can help the NHS provide better care, whether that’s through structured diabetes education, centred around what people actually want, or through a range of self-monitoring/ monitoring systems, supporting people with long-term conditions to better manage their own health and care. It was clear to me when I began Spirit Healthcare that services that are developed around the people who are using and commissioning them, will provide better outcomes. By collecting comprehensive data for every service we offer, we have been able to provide both quantitive and qualitative evidence that health and wellbeing are being improved. With one of the broadest suites of digital healthcare technology solutions on the market, we can support managing long-term conditions in respiratory, diabetes, cardiovascular disease and the frail elderly. As you would expect, these are focused around matching patient need to the most appropriate technology solution. For low risk patients, we have developed a non- monitored arm’s length intervention – the Activ8rlives Healthcare Monitoring, Wellness and Food Diary solution. This combines a wearable fitness tracker, accessories and app to promote lifestyle change and educate


MARCH 2017


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