Measuring the Benefits of the Emergency Care Practitioner

Measuring the Benefits of the ECP (Emergency Care Practitioner)"Measuring the Benefits" looks at the evidence for urgent care practitioners caring for patients effectively. It compares paramedics and advanced paramedics (in research from USA, Canada, Australia and Europe) with advanced nurse practitioners and ECPs (in UK pilots). The evidence is overwhelming - there are no shortcuts to delivering better care. Paramedics and advanced paramedics don't have the confidence nor training to diagnose, treat and refer a significant number of patients away from Accident & Emergency safely; result is they aren't cost-effective. More highly trained practitioners can provide immediate care and reduce the further care that patients require (as well as reducing the number of times a patient is asked the same questions, time in the system getting nothing done, transport, etc) to such an extent that they pay for their extra training in 2 years. This report also presents the first evidence that ECPs reduce admissions to hospital, which dramatically changes their cost-effectiveness from an RoI of around 2 years to one closer to 18 months on the basis of two common conditions. Download the report from http://minney.org/Publications/SfH_ECP_32pp_Measuring_the_Benefits.pdf

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A moral dimension to consulting

Moral dilemmaIt's easy to assume that all of our decisions are purely rational, but they rarely if ever are rational.  And they always have consequences for others, usually consequences that we think we could not have predicted.

But consultants are not here to make decisions, only to provide information and advice.  Does this somehow absolve us from a moral responsibility?

 

The Ten Commandments in Professional Services (6-10)

Interpreting God's Commandments

I've written previously about applying the first five commandments to Professional Services.  Here I show how Do Not Murder, Do Not Steal and so on are just as relevant commandments in the nuance and subtlety of modern life as they ever were.

Read on - and there's an invitation to comment!

The 10 Commandments in Professional Services (1-5)

Keywords:

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)

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

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 . . .