Care Pathway

Why don't people appear to care? It's all about numbers

Care and Compassion - the Ombudsman's report on the elderlyThe Parliamentary Ombudsman for Health, Ann Abraham, today published a report containing 10 examples where care fails the elderly (jump to press release)

You can download a PDF of the Report "Care and Compassion" by clicking the title

New Care and Clinical Pathways

Our understanding of what works, and the demographic needs of a constantly changing population, means that the best care pathway of a few years ago is now inefficient and in need of change.

Practice-Based Commissioning - engaging GPs and the public

the problem PCTs have a requirement to get GP practices engaged with the commissioning process, for two reasons:

Long-Term conditions (Diabetes) – Value for Money.

Review of a diabetes Locally Enhanced Service which identified the cost-benefit of the LES and worked with GPs to improve this.

Process Redesign using Care Pathway Simulator

Simon Dodds, a surgeon in Good Hope Hospital, developed an excellent piece of software to model the flow of patients/service users through a care pathway given constraints of staffing, equipment and facilities.

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Recent Additions and Updates

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 . . .

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