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Role of Community Matrons in shifts in settings of care
 

Role of Community Matrons in shifts in settings of care

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    Role of Community Matrons in shifts in settings of care Role of Community Matrons in shifts in settings of care Presentation Transcript

    • Role of Community Matrons and Practice Nurses in shifts in settings of care
    • Political Context………………
      • 1991 - GP Fund Holding - give GPs a financial incentive to manage costs and to apply some competitive pressure to hospital providers
      • 2006 - The White Paper ‘Our Health, Our Care, Our Say: a new direction for community services’
      • 2005 - Commissioning a Patient Led NHS - develop commissioning throughout the whole NHS system
      • 2005 - Practice Based Commissioning - enables GPs and other front line clinicians to redesign services that better meet the needs of their patients.
      • 2010 - Equity and excellence: Liberating the NHS - Government's long-term vision for the future of the NHS.
      • 2011 - Liberating the NHS: Legislative Framework and Next Steps - setting out with clarity and direction why and how we need to deliver long-lasting reform in the NHS.'
    • What are the changes that are expected?
      • Focus on outcomes, not targets
      • Wider involvement in clinical commissioning
      • Stronger accountability
      • Implementation of a new model of care
      • Preventing ill health
      • Supporting self-care
      • Enhancing primary care
      • Providing care in people’s homes and the community
      • Increasing co-ordination between primary care teams and specialists and between health and social care
      • These changes require a significant ‘shift’ in the way care is delivered, away from what is often a ‘one size fits all’ approach, frequently delivered in a specialist setting, to a community based, responsive, adaptable, flexible service
      • Shift in resources away from acute hospitals to providing care in and closer to people’s homes..
      • Understand how to deliver the shift and how to accelerate this change across the NHS.
      • Comprehensive approach that improves the co-ordination of services for patients and promotes integration in the delivery of care.
    • Challenges
      • Financial Pressures and using resources more efficiently
      • Organisational complexity and culture
      • Absence of a single electronic medical record
      • Divisions between GPs and specialists
      • Meeting the needs of an ageing population in which chronic medical conditions are increasingly prevalent.
      • Implementing a new model of care in which clinicians work together
      • Changing mindsets and behaviour across the whole system.
    • Where is Care Delivered?
      • Home
      • Secondary Care
      • Street
      • Churches
      • Practices
      • Community Settings
      • Shops
      • Markets
      • And many more..................
    • However the NHS Reforms expects a shift from.............
    • How can Community Matrons & Practice Nurses contribute?
      • Participating in the development of a whole systems approach
      • Sharing and applying knowledge
      • Adoption of best practice.
      • Maximising the knowledge and skills of the workforce
      • Developing and working in a culture that facilitates sharing of learning and experience
      • Participating in ongoing service redesign and transformation
    • Working Together - Benefits
      • Knowledge and experience held by staff, service users and carers is the most valuable
      • There are assets available
      • Ability to provide high quality, personalised care
      • Re-use and sharing and making best use of existing capability in the current climate of financial constraint
      • Using evidence to make shared decisions on care
      • Work together as a network to support joint working and learning
    • New Model of Care Should Focus on..
      • Prevention of ill health
      • Supported self-care
      • Enhanced primary care
      • Co-ordination of care
      • High-quality, safe specialist care
      • Consistent standards of care
    • Core ingredients of integrated care
      • Defined populations that enable health care teams to develop a relationship
      • Encourage the management of ill-health in primary care settings
      • Shared accountability and the Use of data to improve quality
      • Information technology that supports the delivery of integrated care
      • Use of clinical decision support systems,
      • Use of guidelines to promote best practice, support care co-ordination across care pathways, and reduce unwarranted variations or gaps in care
    • Core ingredients of integrated care (cont’d)
      • Effective leadership at all levels with a focus on continuous quality improvement
      • A collaborative culture that emphasises team working and the delivery of highly co-ordinated and patient-centred care
      • Multi-specialty groups of health and social care professionals in which, for example, generalists work alongside specialists to deliver integrated care
      • Patient engagement in taking decisions about their own care and support in enabling them to self-care
    • Opportunities
      • Shared learning events
      • Use of Case Studies
      • Sharing similar goals and values
      • Network of influencers and innovators
      • Share good practice through lessons from practical experience, case studies and discussion
      • Contribute to developing guidelines and a possible resources bank
    • Final Thought......................
      • Doing more of the same won’t work.
      • Increasing demand, greater
      • complexity and rising
      • expectations mean that the
      • current situation is not sustainable