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Prudent Health Workshop

Prudent Health Workshop. Clinical Overview Dr Kurt Burkhardt (GP Partner/ Locality Clinical Director). What is Prudent Healthcare?. Don’t harm patients Only do what’s necessary (patient needs) Ensure equity between patients and health professionals Ensure the maximum benefit

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Prudent Health Workshop

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  1. Prudent Health Workshop • Clinical Overview • Dr Kurt Burkhardt • (GP Partner/ Locality Clinical Director)

  2. What is Prudent Healthcare? • Don’t harm patients • Only do what’s necessary (patient needs) • Ensure equity between patients and health professionals • Ensure the maximum benefit • for what we do…by.. • stopping medicines with no • benefit

  3. We need to know: • What are we doing that is causing harm or a waste of time and money? • Can we do it cheaper? • What would doing “just what’s needed” look like?

  4. Why Prescribing? • It something Drs do a lot of ! • 74 million scripts were written by GPs in 2012-2013, costing £514 million • Cwm Taf was 7.9 million at a cost of £53 million • Or £176 per resident per year • Cwm Taf is one of the highest in Wales • It’s getting more complicated..some patients on very few drugs, others on as much as 20

  5. Challenges • Ageing population (more complex care) • More is expected (government and public) • Variation in Care and Health • Public Health Issues (e.g. smoking, obesity, exercise) • Workload • Communication • Longer waiting times • Rising complaints and litigation • ££££££££ • Treating populations NOT • patients • The void between “mangers and • grass roots”, or “policy and practice”

  6. Typical “GP” Day • Morning surgery (8:30-12:30) • Reading test results, letters (12:30-13:00) • Morning house calls (13:15-13:45) • Afternoon clinics/paperwork /on call (14:00-16:00) • Evening surgery (16:00- 18:45) • “lunch!” • Keeping up to date ! (20:00- ??)

  7. Cultural changes: • Political support • Professional desire • Public education

  8. “Your Medicines, Your Health” • Improves patient understanding • Empowers individuals • Promotes trust between public and professionals • Encourages community support e.g. voluntary sector • Targets specific areas of concern e.g. stockpiling

  9. Tell us if you can’t take them ! • Promotes communication between public and professionals • Improves patient compliance • Enables early intervention to reduce harm and promote effective prescribing • Results in better health outcomes

  10. What does it feel like at the moment?

  11. What should it look like?

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