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AHSN Vision for Integrated Care

AHSN Vision for Integrated Care. Rhian Hughes Co-Director: Institute of Primary Care & Health Sciences Director : Primary Care Research Network - Central England . Why integrated care. 80% healthcare spend is on care for people with long term conditions Multi-morbidity and ageing population

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AHSN Vision for Integrated Care

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  1. AHSN Vision for Integrated Care Rhian Hughes Co-Director: Institute of Primary Care & Health Sciences Director: Primary Care Research Network - Central England

  2. Why integrated care • 80% healthcare spend is on care for people with long term conditions • Multi-morbidity and ageing population • Recurrent, unplanned, preventable, hospital admissions • Health systems designed around care of individual diseases • Different assessment protocols • Separate treatments • Fragmented care

  3. What is integrated care? • Patient-centric • Organised from primary care • Holistic care • “Gateway” to co-ordinated services • Vertical integration • Care pathway models between 1⁰ and 2 ⁰ • Horizontal integration • Care pathways between specialties, mental and physical health, health and social care

  4. AHSN vision for integrated care • Identify and roll-out evidence and innovation actively and  constructively • Improve access to appropriate services • Reduce inequality and variation  

  5. AHSN vision for integrated care • Right people - Identify individual needs effectively and holistically • Right treatment – Target and coordinate care to match needs • Right place – pathway to match needs • Right time – identification, prevention, assessment, rapid treatment

  6. Links to other AHSN Themes • Digital: Accessible web-based tools. • Education & training: training the trainers, clinical champions • Adoption and diffusion: innovative methods to support rapid adoption and evaluation • Clinical trials: - research sites as early adopters • Wealth creation: new industry partnerships investing in innovation

  7. Securing stakeholder engagement in AHSN • Integrated Care Steering Group • Sets priorities and agenda for IC theme • Monitors progress and outcomes • Which influential stakeholders should be represented? • Network of clinical champions and mobilisation fellows

  8. Initial proposals • Genuine exemplars to test and develop AHSN methods • Gain full engagement of • Key NHS leaders and stakeholders to facilitate change • Health professionals to develop, support and implement change • Universities and Industry to develop and roll-out innovation

  9. On-going agenda • Link to areas of strength in research and innovation in local Universities • Musculoskeletal, CLAHRC, long term conditions, diabetes and obesity, stratified care, patient safety • Capture priorities and needs within the local health economy • Ensure right levels of alignment

  10. What would success look like? • Patient Experience • Patient Outcomes • Use of innovation • Process measures of better health care for less cost • Industry engagement • Development of IP from innovation • New industry partnerships / investment

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