This document outlines a patient care pathway that begins with self care and local health services, progresses to community and general hospital services, then to specialized services like cancer treatments, and finally to the most specialized tertiary services. The goal is to guide patients to the appropriate level of care based on their needs.

2. The preferred
care pathway
Specialised
services
e.g. cancer
treatments
General e.g.
hospital outpatients
CO
services
ST
OF
S
NT
HE
TIE
ALT
e.g specialist
PA
Community nursing teams,
H
OF
CA
Services disease
ER
PATIENT CARE PATHWAY
RE
management
MB
AN
NU
DT
G
CIN
RE
AT
DU
ME
e.g dentists,
RE
Local health
NT
opticians,
services
pharmacy
services
e.g. exercise,
Self care
healthy eating,
breast feeding
GOOD HEALTH

3. The Journey
NOW
Prevention Primary Secondary Care Specialist
Care Care
FUTURE

4. e.g. CHD Secondary Specialist
Prevention Primary Care Care Care
Angioplasty
Tobacco Control Predictive Registers Emergency
CABGs
Care
Exercise promotion CHD Management CHD
Rapid
Healthy Eating (Diabetes, CHD,
Access
High BP)
Chest
Weight pain
management clinics
Heart failure Angiography/
diagnostics
management

5. Estimated HCHS per capita expenditure by age group, England, 2002/03