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Andrew Archibald presentation
 

Andrew Archibald presentation

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    Andrew Archibald presentation Andrew Archibald presentation Presentation Transcript

    • Improving Outcomes and Improving Efficiency 25 January 2011 - London Total Place Project – Older People Andrew Archibald – Dorset County Council
    • The vision A shared commitment to improving outcomes for older people at less cost by… ...reshaping secondary care and community services, a sustained investment in well being and prevention and more integrated commissioning and provision A brave step to deliver a shock to the system
    • Implementing the vision A – (B+C) = Y A is the saving, by reducing the number of people avoidably receiving secondary care or long term residential care; B is the cost of meeting needs in alternative ways; C is cost of increased provision in well-being and early intervention; and Y is the reduction in overall expenditure.
    • Diversion from “acute” care A – (B+C) = Y Reduction in unplanned admissions in acute care – 15% > 65 (£18m) Reduction in care home admissions
    • Community services A – ( B +C) = Y Alternatives to Hospital Care - Care Closer to Home
        • Rapid / crisis response
        • Reablement / Rehabilitation
        • Clinical triage
        • End of Life Care
        • Case finding and management
        • Expanded role of GP’s – “GP’s as providers as well as referrers”
        • Falls prevention and management
        • Direct access Community Hospital beds
        • Telecare / telehealth
        • Extra care housing and other options
        • Intravenous therapies
        • Virtual Wards
    • Long term policy
      • A – (B+ C ) = Y
      • Ageing Well
      • Three building blocks;
        • Information, advice and support;
        • Community Development;
        • Neighbourhood / Locality working.
    • Long term policy
        • Exploration of personalised commissioning and integrated personal budgets;
        • Policy decisions not to fund long term care home placements alongside a comprehensive set of services such as reablement and carers support;
        • Need for more radical approaches to collaboration eg. shared housing, family placements, neighbourhood and community care;
        • Ideas sit in the context of current policy development.
      • We still need a shock to the system
    • Developments In Dorset
    • What will assist us to work in new ways?
        • Reduction of bureaucracy and processes
        • Streamlining of management structures and greater authority to act
        • Integrated computer system
        • Redefining of management and practitioner responsibilities:
      • Budget Management & Performance
      • Professional Development
        • Workforce Development
    • How will we be working in new ways?
        • Alignment …Co-location…Integration
    • How will we be working in new ways?
        • Person Centred
        • Peer evaluation and audit evidence to develop practice
        • Greater responsiveness and consistency
        • Greater autonomy and accountability
        • Focus on outcomes based approach
    • Contact details: [email_address]