The Torbay ExperienceThe Torbay Experience

Adrian JacobsAdrian Jacobs

Director of Primary CareDirector of Primary Care

Torbay PCTTorbay PCT

The Local ContextThe Local Context

• Care Trust• “Mature” Health Community• Planning infrastructure that crosses traditional

boundaries – professional and organisational• Multi Professional Health and Social Care

Teams• Focus on the Management of Long Term

Conditions is now embedded.

Opportunities and threatsOpportunities and threats

• Choice

• Payment by results

• Practice based commissioning

• Politically driven organisational change

Torbay KP projectsTorbay KP projects

• Integrated Health and Social Care Centre in North Torquay

• Redefining the role of a Community Hospital

• Redefining the referral process

• Linking nGMS to a reduction in unplanned admissions

• Alternatives to admission

A Change of FocusA Change of Focus

• Moved away from projects to embedding change in systems and culture.– Getting Patients Treated– Unscheduled Care Group– Strengthened local management– Local Multi-professional teams– Professional Leadership

Themes for changeThemes for change

• Know the people planning

• Treating unscheduled admissions as a failure of chronic disease management.

• Make the right thing to do the easiest thing to do.

• Working in partnership as a health and social care community.

• Develop a Long Term Conditions Strategy

Themes for further work with KPThemes for further work with KP

• Medical Leadership development

• Better use of information

• Clinical placements

• Self Care?