≤Exercise E
1 Tell students that in the next part of the lecture they will hear the phrases in Exercise D.
They know now what type of information is likely to follow. Now they must try to hear what actual information is given. If you wish, photocopy the table in the additional resources section (Resource 7B) for students to write their answers on. Do the first one as an example. Play the first sentence and stop after Integrated Care Pathway. Ask students: What is the important concept? (Answer: Integrated Care Pathway.)
Play the rest of the recording, pausing briefly at the points indicated by a // to allow students to make notes. Put students in pairs to check their answers.
Feed back with the whole class, asking questions based on the words in the ‘Followed by ...’ column. For example:
After phrase number 2, what is the word or phrase that is explained?
After phrase number 3, what is the diagram that is commented on?
2 Refer back to students’ questions in Exercise A. Discuss with the whole class whether they heard any answers to their questions
Answers 1 Model answers: see table below. 2 Answers depend on students’ questions.
Transcript≤2.3 Part 3
Now, an important concept in the smooth running of any hospital and one which frequently raises concern in the popular press is the notion of Integrated Care Pathway or ICP. So, // what do I mean by the Integrated Care Pathway exactly? Well, to help you
Fixed phrase
1 An important concept (is) …
Followed by …
a new idea or topic that the lecturer wants to discuss
2 What do I mean by …? an explanation of a word or phrase 3 As you can see, … 4 Say …
5 Looking at it another way, …
6 The point is …
7 In financial terms, ... 8 In this way, …
118
a comment about a diagram or picture an imaginary example
a different way to think about the topic a key statement or idea
a general idea put into a financial context
a concluding comment giving a result of something
understand this concept, can you look for a moment at the patient leaflet that I have just handed out? // As you can see, a patient typically arrives in admissions and then passes though several departments meeting different members of the emergency team before being discharged at the end of his or her stay. // Let’s look at an example of this. Say a patient arrives with a suspected fractured hip. After being admitted, the patient may spend time in the waiting room before being seen by the triage nurse who will assess their symptoms and vital signs. They will be then be sent for an X-ray before going to the Surgical Assessment Unit. Just prior to the operation the anaesthetist will make an assessment of the patient’s fitness for operation. Immediately after the operation the patient will spend time in the recovery room, then go back to the orthopaedic ward. // And then, finally the patient is discharged back to the care of their GP or family doctor. Despite significant advances in technology and increased specialization, the organization of these departments has changed very little. However, looking at it another way, changes in the patient mix and profile, an ageing population in effect, has brought about certain problems, notably an increase in admissions to acute care hospitals. // And that’s for both planned and emergency care. The point is that the resulting flow of patients is often inefficient and poorly coordinated. // This is a phenomenon that has been noted in small regional hospitals as well as the larger teaching hospitals. In financial terms, hospital wards are under pressure to close and the number of beds to be reduced. // But why is ‘patient flow’ so important? Well, with hospitals that are capable of functioning to their optimal capacity, patient waiting times are reduced, the quality of care is improved and hospitals become more cost-effective; in this way maximizing the benefits of hospital care for all those who need it.
Actual information (suggested answers) Integrated Care Pathway
explanation of Integrated Care Pathway the patient journey through A&E example of a patient journey
changes in the patient mix mean changes to the patient flow
patient flow is often ineffective and disorganized hospitals are under pressure to close wards
it will be possible maximize benefits of hospital care
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