Improving COPD pathways for patients (LTC)

Submitted by Hugo_Minney on Thu, 01/08/2009 - 17:12

large_Team Picture 4.jpg Easington in County Durham is a COPD hotspot. It is a former mining community with a large proportion of elderly people and smokers. the prevalence of the disease is 2.8% - twice the national average - and COPD is the second most common cause of hospital admission. Easington PBC cluster looked at unplanned care and identified COPD; we tackled the improvements in stages, starting with the exacerbations the patients experience. Easington COPD PosterNew care pathways have been developed for patients experiencing an exacerbation at home which they are now able to self manage, and for patients experiencing an exacerbation where the referring clinician can refer them for a combination of home management and rehabilitation. Patients like the new pathways and the empowerment they get, and they like being able to stay in their own homes with their friends and family nearby, rather than travelling to hospital. This project won the Partnership award from National Association of Primary Care in 2008 (awarded in December) and also won the overall NAPC award for 2008. Links to articles in the press can be found below

See also www.shinwellmedicalgroup.co.uk for Mr Joseph Chandy

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The 10 Commandments in Professional Services (1-5)

Submitted by Hugo_Minney on Thu, 02/02/2012 - 21:56

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Two greatest commandsThe Ten Commandments apply just as firmly in each aspect of our daily life as they apply to the whole of our lives.  I'm a management consultant, and on this page I explain how the first five of the Ten Commandments apply to management consulting and professional services.

Getting GPs involved in Clinical Commissioning Groups (CCG)

Submitted by Hugo_Minney on Sun, 01/29/2012 - 23:26

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Life in the YearsMost healthcare providers, in UK the same as everywhere else, get paid for each activity they do.  If someone needs care, they get paid.  If someone is well, they don’t.  So there isn’t much incentive (for the healthcare provider) to keep people well, even though it is much better for the person, much better for the nation, and much lower cost.  Minney.org Ltd is working with one CCG to generate enthusiasm and involvement, and the results are fairly successful….

Clinical Commissioning Groups and the NHS

Submitted by Hugo_Minney on Sun, 01/22/2012 - 16:34

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Commissioning Innovation

As we race forwards into clinical commissioning, there are lessons to be learnt from other people.  The latest book “The Innovator’s Prescription: A Disruptive Solution for Health Care” by Christensen, Grossman and Hwang points to some things we need to take account of. It makes good reading . . .

Getting GPs involved in GP Commissioning

Submitted by Hugo_Minney on Mon, 01/09/2012 - 23:07

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Clinical Commissioning Groups (CCG)GPs know the most about the patients registered with them, and have the biggest incentives to innovate and to commission better services. So why aren't they embracing Clinical Commissioning and using it to improve healthcare right across the country?

It could be any of a number of reasons, and we believe it's about understanding.  What's more, with our experience of doing exactly this (supporting GPs to get engaged), we can demonstrate how we've made a difference, and how it could work for other CCGs.

The Politics of CCGs

Submitted by Hugo_Minney on Tue, 01/03/2012 - 11:43

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Clinical Commissioning

Clinical Commissioning Groups (CCG), the organisations that will commission  healthcare for nearly 60million people across England at a value of around £70billion, are beginning to take shape.

They come in essentially three types, and if you want to supply healthcare to these CCGs, even if you are an established provider of healthcare, you need to understand what you are dealing with