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Transcript of Innovation
We are continuously changing anyway
we have political financial and practical pressures
there are better ways of doing things " " So far we
asked for your suggestions
offered you £300k
Outcomes has been small scale, and we havent spent much money We had intended to change the world We need more ideas The plan:
Focus on areas of particular importance where there are already indications of innovation Readmissions Introducing technology 24/7 Health Economy Technology Readmision Importance:
Quality of care
"getting it right first time" We know
Chronic disorder Patients
get readmitted What might the future include?
Better prediction of death? Current Technology Work:
Senior review tracking What could we do if we had 24/7 healthcare?
25% more operations
25% more investigations
Planned admissions when patients want them
25% more work, with no more buildings or infrastructure costs What would it cost?
Would they work weekends for days off in the week?
Could you do less during the week?
It wouldnt cost 25% more, but does the healthcare economy want more work done?
Saving £2billion will take radical thinking.
This is radical. Bed management: E prescribing:
Go live in 18 months
Currently in development
Will need major clinical input Diagnostic inbox:
Results delivered to people who ordered them
More reliable reviews
Fewer missed results
Less paper printing
Better team communication
This is ready to be trialled now.
Volunteers needed to do the clinical work to get this working correctly so it can be rolled out Readmissions Audit
48% of readmissions were "avoidable" Avoidable Causes:
System problems (recurrent symptoms, cavendish unit, falls, waiting for treatments)
Palliative care problems Inevitable:
Most were COPD and dementia / frail elderly