Presentation for Hull Lift

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The National Policy Framework

• Modernisation agenda
• Consumerism, design quality, sustainability
• To enhance the patients experience of healthcare

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The NHS Plan

• To upgrade GP premises and create one-stop
  primary care centres
• Greater integration of primary and community,
  social services
• Pay attention to the comfort and convenience of
  patients
• Emphasis on privacy and dignity

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Health Policy

• 3000 GP premises, 500 one-stop shops
• Millions more outpatients to be seen in primary
  care
• Advancing medical technology
• Wider range of expertise in primary care
• Existing premises are insufficient

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One-stop shops
Primary Care Trust
Local Authorities
Carers
General Practitioners
Police
Counselling
Physical fitness
advice
/ leisure
Chiropractors
Dentists
Nurses
Opticians
Therapists
Retail /
commercial
Ambulance services
Pharmacists
Social Workers
Allied Health
Professionals
Midwives
Diagnosticians
Link to schools
Volunteers
Job / advice centres
Podiatrists
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The result

• Greater integration
• Benefit (i.e. welfare advice) services
• Improvements to patients health and social
  circumstances
• Economic regeneration
• This needs
• Premises with capacity and innovative design

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Related providers

• NHS Direct (24 hours a day)
• Walk-in Centres and Minor Injury Centres (with
  interactive video links with A E)
• However care is accessed patients should be
  viewed as customers with their needs put before
  those of the healthcare providers

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Privacy and dignity

• Reception
• Consultation
• Examination
• Treatment
• With particular attention for the increasing
  numbers of elderly managing chronic conditions

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Other issues

• The development of patient pathways
• Facilities not being developed in isolation
• Grouping of single handed GPs
• The development and updating of the SSDP

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Changing roles

• Nurses taking on GP tasks
• Lifestyle changes (health promotion)
• Social group fostering activities
• GPs with special interests
• Specialist outreach care
• Telemedicine (teleradiology and telepathology)
• Near patient testing smaller and more automated
  equipment

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Our role

• To be aware and sensitive to this agenda
• To fulfil the criteria for design quality and
  sustainability as set out in AEDET and the CABE
  vision
• To understand the consumerism agenda
• To create non-institutional healing
  environments
• To radically improve the patient journey
• Link design to patient recovery

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To put one brick upon another. Philip Larkin

• To put one brick upon another,
• Add a third and then a fourth,
• Leaves no time to wonder whether,
• What you do has any worth.
• But to sit with bricks around you
• While the winds of heaven bawl
• Weighing what you should or can do
• Leaves no doubt of it at all

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Public
S.S.D.P
Estates Management
Property Development
Private
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