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Breaking Down Barriers in Healthcare: Insights from NHS Somerset Leaders

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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Breaking Down Barriers in Healthcare: Insights from NHS Somerset Leaders

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  1. 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

  2. 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

  3. Drivers for Change • Patient Experience • Waiting Times • Changing Economic Context

  4. NHS Growth

  5. Approach • Based on needs of patients • What do pathways look like? • Responsiveness and Flexibility

  6. 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

  7. Targets and Standards • Best practice / quality / safety • Targets as drivers for change (i.e. waiting times) • New levers for change - validation

  8. Care Pathways Referrer Outpatient Attendance Pre – Op Assessment Elective Spell Discharge Diagnostics Referrer Outpatient Attendance Pre – Op Assessment Elective Spell Discharge Diagnostics

  9. Care Pathways Referrer Outpatient Attendance Pre – Op Assessment Elective Spell Discharge Diagnostics Referrer Outpatient Attendance Pre – Op Assessment Elective Spell Discharge Diagnostics

  10. Care Pathways Referrer Outpatient Attendance Pre – Op Assessment Elective Spell Discharge Diagnostics Referrer Outpatient Attendance Pre – Op Assessment Elective Spell Discharge Diagnostics

  11. What is Important? • Leadership • Doing the right thing for the right reasons • Commitment = Ability to Overcome Barriers

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