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Join Judith Newman, Director of Secondary Care Development, and Peter Lewis, Deputy Chief Executive and Finance Director of Taunton and Somerset, as they explore critical barriers to success in healthcare. They address issues such as payment by results, organizational boundaries, and existing processes that hinder flexibility and responsiveness. Discover how to align organizational objectives with patient needs and the implications of targets and standards on care pathways. This session emphasizes leadership commitment and innovative approaches to overcome obstacles in delivering quality healthcare.
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Flexible HealthcareBreaking Down Barriers Judith Newman Director of Secondary Care Development NHS Somerset Peter Lewis Deputy Chief Executive / Finance Director Taunton and Somerset May 2009
Potential Barriers to Success • Payment by Results • Organisational Boundaries • “Blockers” • Existing processes – flexibility / complexity • Targets / standards • Payment ‘rules’ / Contracts • Complexity of need / service provision • Organisational interfaces • Alignment of organisational objectives
Drivers for Change • Patient Experience • Waiting Times • Changing Economic Context
Approach • Based on needs of patients • What do pathways look like? • Responsiveness and Flexibility
Payment by Results • Mechanism to support and drive change • Potential to drive ‘wrong’ behaviour • Necessary framework to support complexity • What is the need • How can the need be met • What are the implications and risks
Targets and Standards • Best practice / quality / safety • Targets as drivers for change (i.e. waiting times) • New levers for change - validation
Care Pathways Referrer Outpatient Attendance Pre – Op Assessment Elective Spell Discharge Diagnostics Referrer Outpatient Attendance Pre – Op Assessment Elective Spell Discharge Diagnostics
Care Pathways Referrer Outpatient Attendance Pre – Op Assessment Elective Spell Discharge Diagnostics Referrer Outpatient Attendance Pre – Op Assessment Elective Spell Discharge Diagnostics
Care Pathways Referrer Outpatient Attendance Pre – Op Assessment Elective Spell Discharge Diagnostics Referrer Outpatient Attendance Pre – Op Assessment Elective Spell Discharge Diagnostics
What is Important? • Leadership • Doing the right thing for the right reasons • Commitment = Ability to Overcome Barriers