Paul Zollinger-Read, GP and Medical Adviser and Clinical Lead on Primary Care, The King's Fund speaks on 'Understanding the big picture: how consortia can grasp early opportunities and take ownership of reforms'
8. ZR’s First Law SP = (C * I ) CR SP = sustained performance C = capabilities I = incentives CR = constructive relationships
9.
10. The challenge for consortia ‘ Relationships between practices must be built on shared values and vision, trust, respect and collaboration. As well as requiring leadership from the consortium, this will require member practices to have time, patience and commitment.’ Report on primary care quality, The King’s Fund 2010
Self manage diet exercise DESMOND Primary brief intervention smoke alcohol ……family for child obesity AF Secondary disease registers Post MI hypertension DM Core set 19ACS EoE 12% all admits…case management , telephone coaching easy access urgent care….Birmingham Ownhealth telephone coaching case mangers Angina, asthma , cellulitis,DM Heart failure dehydration COPD Physical and mental health provision of psychological support for angina in Liverpool reduced cost per pat per year by £1300 DM and depression; record code IAPT ETC
New deal….involve coordinate continuity improve quality listen Thus need Scale
Direction, accountability, co ord, ext orient, leadership, innovation and learning, capability, motivation culture