Getting Started

1
Getting Started

• Flexible Healthcare and Vascular Surgery (and
  maybe others)

2
Flexible Healthcare the idea

• Mathew Paul, Ive got this idea about
  integration of healthcare.
• Paul Sounds good to me, where do I sign up

3
Flexible Healthcare the idea

• Principles (at least what I took away from the
  discussion)
• 1. Breaking down some of the barriers between
  primary and secondary care
• 2. Improving the overall care for our patients

4
Flexible Healthcare the drivers

• Citadel mentality
• Tradition ways of working
• Massive increase in demand
• Lousy communication
• Incompatible systems and technology
• Current target culture seems to be increasing
  the divide

• Both sides want it
• When it happens (usually on a case by case basis)
  it improves patient care and makes it a more
  enjoyable process
• Need for outcome data
• Patient involvement
• Education

5
Flexible Healthcare our plans

• Aims
• Better referral and management pathways
• Better education/information
• Better communication
• More integrated clinical care and better working
  relationship

6
Flexible Healthcare our plans

• Methods/Plans/Ideas
• Agreed, evidence based, management plans, which
  feed referral practice
• Web based consultations/advice/wound review
• Co-ordinated risk factor management cross
  specialities
• Community clinics GPs/Primary care teams with
  Speciality support
• Hospital clinics with primary care support
• Better communication both access to and
  alternatives
• Education variable format face to face,
  web-based, for patients and GPs, FAQ, forums,
  patient education groups

7
Flexible Healthcare other thoughts

• Weve done something similar in vascular before
  with leg ulcer clinics
• This integrated approach well suited to
  vascular complex patients, extensive
  co-morbidities, multiple teams.
• Many of us (Primary and secondary) are quite
  proprietary about our patients this model of
  care could work for us and the generic camp
• Mixed contracts