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Neil Churchill - Driving change in the NHS for older people
The document outlines a strategic framework for improving patient experiences within the NHS, focusing on various services such as primary care, hospital care, and maternity services. It includes indicators for measuring patient experiences and emphasizes the importance of compassion and responsiveness in healthcare. The framework aims to reduce health inequalities and enhance care for different patient groups, including those with mental illness and the elderly.
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Neil Churchill - Driving change in the NHS for older people
- 1. Delivering Change inthe New NHS Giving older patients a positive experience of care
- 2. Compassion in Practice Reducinghealth inequalities The strategic framework
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- 4. 4 Overarching indicators Ensuring thatpeople have a positive experience of care 4a Patient experience of primary care i GP services ii GP Out of Hours services iii NHS Dental Services 4b Patient experience of hospital care 4c Friends and family test Improvement areas Improving people’s experience of outpatient care 4.1 Patient experience of outpatient services Improving hospitals’ responsiveness to personal needs 4.2 Responsiveness to in-patients’ personal needs Improving access to primary care services 4.4 Access to i GP services and ii NHS dental services Improving women and their families’ experience of maternity services 4.5 Women’s experience of maternity services Improving the experience of care for people at the end of their lives 4.6 Bereaved carers’ views on the quality of care in the last 3 months of life Improving experience of healthcare for people with mental illness 4.7 Patient experience of community mental health services Improving children and young people’s experience of healthcare 4.8 An indicator is under development Improving people’s experience of accident and emergency services 4.3 Patient experience of A&E services Improving people’s experience of integrated care 4.9 An indicator is under development *** (ASCOF 3E) Outcomes to improve
- 5. 79 72 49 35 44 83 65 62 72 88 77 56 46 38 27 26 59 34 44 5760 43 0 20 40 60 80 100 AUS CAN FR GER NETH NZ NOR SWE SWIZ UK US Medical home No medical home Scale of challenge
- 6. Friends & FamilyTest Full coverage across all NHS services by March 2015 Everyone over the age of 16, at or within 48 hours of discharge From April 2013 - A&E & inpatients Who? When?Where? Women (age to be confirmed) From October 2013 - Maternity services “as rapidly as possible thereafter for all those using NHS services “ (The Mandate, Nov 2012) Reported and published monthly Monthly Friends and Family Question for Staff
- 8. Themes for improvement AgeAgenda People living with frailty Outcomes in key disease areas Patient involvement Avoidable harm Shift to preventative services Domain Strategy People living with frailty Diagnosis and intervention Patient involvement Avoidable harm Preventative care
- 9. Patient Experience Response toFrancis Relational Care * Shared decision-making * Communication * Emotional support Integration * Information * Co-ordination Involvement Standards Capacity building Improvement Measurement
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