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Broadly, I'll cover:

Delivering Quality in Primary Care in Grampian Frank Strang Head of Primary Care Division Scottish Government 4 February 2011. Broadly, I'll cover:. Policy Context: Quality Strategy - ambitions - outcomes Delivery Quality in Primary Care - National Action Plan

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Broadly, I'll cover:

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  1. Delivering Quality in Primary Care in GrampianFrank StrangHead of Primary Care DivisionScottish Government4 February 2011

  2. Broadly, I'll cover: • Policy Context: Quality Strategy - ambitions - outcomes • Delivery Quality in Primary Care - National Action Plan - Local Actions: making the right choices for Grampian - The importance of the how

  3. NHS Scotland Quality Strategy Not ‘just another strategy’ - Integrated and building on firm foundations, rather than additional - Commitment to quality in all we do For all of us - NHS, contractors, other partners and the public For the long haul. Facing up to enduring challenges - demographic time bomb - "fiscal consolidation"

  4. Built on people’s priorities caring and compassionate health services collaborating with patients and everyone working for and with NHSScotland providing a clean and safe care environment improved access and continuity of care confidence and trust in healthcare services delivering clinical excellence

  5. 3 Quality Ambitions • Mutually beneficial partnerships between patients, their families and those delivering healthcare services. (Person Centred) • No avoidable injury or harm from the healthcare they receive. (Safe) • The most appropriate interventions, support and services will be provided at the right time to everyone who will benefit. (Effective)

  6. Quality Measurement Framework

  7. Proposed Outcomes • People live longer healthier lives • People are supported to live at home or in the community with access to appropriate treatment when they need it • Healthcare is safe • People have a positive experience of healthcare • Staff feel supported and engaged • Healthcare is efficient

  8. Delivering Quality in Primary Care • PC key to making QS happen • 90% of contacts • gateway to much of the rest • What does QS mean for Primary Care? What can PC bring to the QS table? • Debated with key players and professions - 6 events, 700 participants. Aberdeen 9/3/10. - clear messages good to talk scope for much more integration worries, esp money, but resolve to be part of solution

  9. Delivering Quality in Primary Care Action Plan • 11 national actions which will make biggest difference, including - contracts which support quality a more Scottish GMS? building on the best of each contract - rethinking the model of care: anticipatory; "mutual" - PC's place at the table . But… - as part of whole system solutions: care pathways

  10. Making it happen DQPC • Steering Group. Chair ensures no hiding place! • But national action plan is not the whole story - delivery with other stakeholders - local activity crucial • So much to do so little time: making the right choices for Grampian: fit matters here?

  11. Making Choices • In Theory: QUALITY INITIATIVES COST REDUCTION PROGRAMMES 1 2 3 4 5 Costs more cost neutral improves quality quality neutral reduces quality reduces costs • In practice in Grampian:

  12. Build on Strengths • Asset approach • Innovation, leadership – not just auld lang syne! - 17C - Eyecare - GP configurations - "know who to turn to" - etc • Older people: maintaining high standards • "Care closer to home" • Change Fund • But also “clear, honest and straightforward" about particular challenges

  13. DQPC: The How • 2 ambitious quotes: • “High trust low bureaucracy” and • “The energy, creativity and dedication of those in Primary Care will be nurtured and released for the benefit of patients” • How is therefore vital to DQPC • PC's place at top table • Independent contractors as fully fledged partners

  14. Conclusion • Today a precious moment • Moving “from high level strategy to practical implementation" • Making and implementing choices • Pittodrie: always the triumph of hope over expectation?

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