almagro 26 october 2006 dr l j patterson obe mb frcp dr l j patterson consultant physician obe mb...
TRANSCRIPT
Almagro 26 October 2006
Dr L J Patterson OBE MB FRCP
Dr L J PattersonConsultant Physician OBE MB FRCP
Quality of Care in UK National Health Service
Dr L J Patterson OBE MB FRCP
UK National Health Service
England Wales Scotland Northern Ireland
Dr L J Patterson OBE MB FRCP
What is quality?
Effective care - the right thing at the right time
Responsive to an individual’s needs Acceptable Timely Accessible Equitable Efficient use of resources Safe care
Dr L J Patterson OBE MB FRCP
What do patients want ?
No unnecessary death No unnecessary harm No unnecessary pain No unnecessary wait No unnecessary helplessness Dr D Berwick
Dr L J Patterson OBE MB FRCP
Questions patients may ask
How long will I wait? How safe and clean is the clinic or
hospital? How good is the care I will receive? Will I be treated with dignity and
respect? How well is this organisation
managed?
Dr L J Patterson OBE MB FRCP
What do patients want ? 1
Fast access Effective treatment by staff you can
trust Involvement in decisions Clear, comprehensible information
and support for self care Physical comfort and clean safe
environment
Dr L J Patterson OBE MB FRCP
What do patients want ? 2
Emotional support and alleviation of anxiety
Involvement of family and friends Continuity of care and smooth
transitions
Picker Institute 2005
Dr L J Patterson OBE MB FRCP
How to ensure Quality?
Education and training of health professionals
Regulation of health professionals Standards of practice Clinical Audit Responding to patient’s views Inspection/Accreditation of Health
care Institutions
Dr L J Patterson OBE MB FRCP
Dr L J Patterson OBE MB FRCP
Setting Standards 1
Professional standards –General Medical Council
Specialist standards-Medical Royal Colleges
Standards of service –National Service Frameworks (Coronary Artery Disease, Older People, Cancer Services, Mental Health Services)
Dr L J Patterson OBE MB FRCP
Setting Standards 2
National Institute for Health and Clinical Excellence
National Standards of Care –Department of Health
Core standards –mandatory Development standards—direction of
improvement
Dr L J Patterson OBE MB FRCP
Setting Standards 3
Safety Clinical and cost effectiveness Governance Patient Focus Accessible and responsiveness Care Core Environment and amenities Public Health
Dr L J Patterson OBE MB FRCP
Dr L J Patterson OBE MB FRCP
Delivering Standards 1
Modernising professional regulation Major changes for the General Medical Council - more lay involvement,
Doctors will have to show they continue to be up to standard
General standards—revalidation Specialist standards -recertification
Dr L J Patterson OBE MB FRCP
Delivering standards 2
Clinical Governance Accountability for continuous quality
improvement and safeguarding high standards of care, by creating an environment in which clinical excellence can flourish
Dr L J Patterson OBE MB FRCP
Clinical Governance
Listening to patients Clinical Effectiveness Clinical Audit Staff Management Research and development Risk Management Education and Training
Dr L J Patterson OBE MB FRCP
Continuous Quality Improvement
National Institute for Innovation and Improvement (previously Modernisation Agency)
e g Reduce waiting times by reducing variation
Improve flow Improve safety Develop leadership
Dr L J Patterson OBE MB FRCP
Dr L J Patterson OBE MB FRCP
Monitored Standards
Healthcare Commission (Formerly Commission for Health Improvement)
Annual Health checkPatient ComplaintsStudies of National Service Frameworks.Investigations into Serious Service FailureNational Patient Surveys
Dr L J Patterson OBE MB FRCP
Challenges
Constant reorganisation Future funding Patient choice Increased use of private sector
providers Democratic involvement of the
public
Dr L J Patterson OBE MB FRCP
Choice
Individual patients to choose from 5 providers
At least one to be from the private sector
Dr L J Patterson OBE MB FRCP
Public Involvement -- Emphasis on the individual
Patient choice, patient centred care, Expert Patient programmes
National Patient Surveys Local Patient forums Patient Advocacy services
Dr L J Patterson OBE MB FRCP
Conclusion
Does a publicly funded health service have to be provided by the public sector?
How should the public be more involved?
Will choice improve quality or destabilise the system?
Dr L J Patterson OBE MB FRCP
Thank you for your attention