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Hip and Knee Pathway in South Central Dr Geoff Watson Clinical Director Planned Care

Hip and Knee Pathway in South Central Dr Geoff Watson Clinical Director Planned Care South Central SHA. “Efficiency is doing things right: effectiveness is doing the right things” Peter Drucker.

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Hip and Knee Pathway in South Central Dr Geoff Watson Clinical Director Planned Care

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  1. Hip and Knee Pathway in South Central Dr Geoff Watson Clinical Director Planned Care South Central SHA

  2. “Efficiency is doing things right: effectiveness is doing the right things” Peter Drucker

  3. Together, the clinical programmes are engaged in building an even better NHS, one that we are all proud of….. • Delivering the fundamental principles of the NHS • Improving quality and equality • Every step of the way and at every opportunity • Focus on what really matters and what works • Maximising the potential of people to live well

  4. All patients seen at the appropriate time, by the appropriate people in an appropriate place.

  5. Enhanced Recovery In South Central • April 2009 – Planned Care launch • September 2009 – National ERPP • October 2009 - MSK workshop • November 2009 - South Central ERP Workshop • February 2010 – MSK first draft

  6. 10-fold variation in tonsillectomy • 8-fold risk of death with surgical treatment • “… tendency for the operation to be performed for no particular reason and no particular result.” • “…sad to reflect that many of the anesthetic deaths… were due to unnecessary operations.” J Allison Glover, 1938 Slide courtesy of Dr Al Mulley Foundation for Informed Medical Decision Making and the Dartmouth Center for Health Care Delivery Science

  7. ‘Variation is the enemy of Quality’ W Edwards Deming

  8. 17-fold variation in tonsillectomy • 6-fold variation in hysterectomy • 4-fold variation in prostatectomy • “Professional uncertainty and the problem of supplier-induced demand” John E. Wennberg, 1973 Slide courtesy of Dr Al Mulley Foundation for Informed Medical Decision Making and the Dartmouth Center for Health Care Delivery Science

  9. Across England there is a four-fold variation in spend on knee replacements (adjusted).

  10. “It is difficult to get a man to understand something when his salary depends on him not understanding it” • Upton Sinclair

  11. “….ambition to get all health care providers to be above average” A. C. L. Blair • LOL! D. J. N. Watson

  12. The National Picture Primary Hip Length of Stay

  13. The National Picture Primary Knee Length of Stay

  14. The National Picture

  15. The National Picture

  16. The National Picture

  17. The National Picture

  18. The National Picture

  19. Innovation Sites No Service No Plans Currently Live Testing Plans Progress Across South Central – April 2011

  20. Thank you for your attention.

  21. Velkommen til Reading af den første South Central Enhanced Recovery konference.Tak for din hjælp i dag og.

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