RISK MANAGEMENT
T
he challenge facing the National Health Service is how to get more out of less and improve patient care.
At fi rst glance, it seems an improbable equa- tion. But is it?
The answer lies in connecting patient infor- mation scattered across the NHS like pieces of a jigsaw.
What if we could fi nd a way to move across traditional service boundaries and join these pieces together, creating a comprehensive picture of the health service and its needs?
A co-ordinated healthcare system linking pa- tient data from GP surgeries, hospitals, com- munity and social care for the fi rst time?
Imagine the clarity and new depth of under- standing that would bring to an organisation whose size is both its greatest asset and weak- ness.
There have been some tantalising glimpses of how this could change the way commissioners work, such as Bupa Health Dialog’s work with the King’s Fund.
The PARR1 and PARR2 risk stratifi cation models predicted patient risk of emergency re-admission to hospital based on studies of inpatient data.
However, data analysis was restricted to sec- ondary care, putting a limitation on how far patients’ conditions could be tracked across the health landscape.
The Combined Model took this one step fur- ther by combining inpatient, outpatient, A&E and GP data.
Health Analytics has taken this model forward and created supporting multiple risk strati- fi cation models so clinicians can choose the most appropriate metric for their purposes.
For example, CHADS2 for arterial fi brillation, or QRISK2 for heart and stroke patients.
This is the challenge we faced when NHS Redbridge asked Health Analytics to work alongside them and create a new software application capable of supporting GP commissioning in north-east London.
Redbridge, like its counterparts elsewhere, had already begun transferring fi nancial and decision-making powers to GPs ahead of the Government’s groundbreaking Health and Social Care Bill.
The challenge was to give the new commis- sioners greater clarity and understanding
national health executive Nov/Dec 11 | 73
Phil Wigglesworth (left) and Stuart Bond (right) of Health Analytics on their visit to Downing Street earlier this year, when they won a national award as part of the Government’s Innovation Launch Pad initiative.
A small software company has beaten industry giants to the punch with an application that is changing the way the NHS works, write Stuart Bond and Phil Wigglesworth of Health Analytics.
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