The Torbay Experience

1
The Torbay Experience

• Adrian Jacobs
• Director of Primary Care
• Torbay PCT

2
The 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.

3
Opportunities and threats

• Choice
• Payment by results
• Practice based commissioning
• Politically driven organisational change

4
Torbay 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

5
A 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

6
Themes 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

7
Themes for further work with KP

• Medical Leadership development
• Better use of information
• Clinical placements
• Self Care?