long term conditions – development of the current agenda and role of data analysis dr. peter...
TRANSCRIPT
![Page 1: Long Term Conditions – development of the current agenda and role of data analysis Dr. Peter Cansfield East Midlands Public Health Observatory](https://reader036.vdocuments.us/reader036/viewer/2022083007/56649e665503460f94b618a8/html5/thumbnails/1.jpg)
Long Term Long Term Conditions – Conditions –
development of the development of the current agenda and current agenda and role of data analysisrole of data analysis
Dr. Peter CansfieldEast Midlands Public Health Observatory
![Page 2: Long Term Conditions – development of the current agenda and role of data analysis Dr. Peter Cansfield East Midlands Public Health Observatory](https://reader036.vdocuments.us/reader036/viewer/2022083007/56649e665503460f94b618a8/html5/thumbnails/2.jpg)
National Information
60% of adults have a long term or chronic health problem
Up to 80% of GP consultations are with people with a long term condition (LTC)
Mostly minor conditions, but 5% of patients with LTC account
for 42% of hospital bed days
![Page 3: Long Term Conditions – development of the current agenda and role of data analysis Dr. Peter Cansfield East Midlands Public Health Observatory](https://reader036.vdocuments.us/reader036/viewer/2022083007/56649e665503460f94b618a8/html5/thumbnails/3.jpg)
% of Inpatients
Cu
mu
lati
ve %
of
inp
atie
nt
day
s
50% of inpatients account for 10% of all inpatient days
5% of inpatients account for 42% of all inpatient days
10% of inpatients account for 55% of all inpatient days
![Page 4: Long Term Conditions – development of the current agenda and role of data analysis Dr. Peter Cansfield East Midlands Public Health Observatory](https://reader036.vdocuments.us/reader036/viewer/2022083007/56649e665503460f94b618a8/html5/thumbnails/4.jpg)
What are LTCs?
N.B. Pyramid is not Egyptian
![Page 5: Long Term Conditions – development of the current agenda and role of data analysis Dr. Peter Cansfield East Midlands Public Health Observatory](https://reader036.vdocuments.us/reader036/viewer/2022083007/56649e665503460f94b618a8/html5/thumbnails/5.jpg)
New care models
Evercare Kaiser permente Unique Care / Castlefield Eldercare Etc… community matrons /
managers, personalised care management
![Page 6: Long Term Conditions – development of the current agenda and role of data analysis Dr. Peter Cansfield East Midlands Public Health Observatory](https://reader036.vdocuments.us/reader036/viewer/2022083007/56649e665503460f94b618a8/html5/thumbnails/6.jpg)
Drivers and Targets
Drivers– Improved care– Financial (PBR and unplanned admissions)
Targets– Community matrons – centrally determined
number for each health community– Reduce emergency admissions by 5% by
2008
![Page 7: Long Term Conditions – development of the current agenda and role of data analysis Dr. Peter Cansfield East Midlands Public Health Observatory](https://reader036.vdocuments.us/reader036/viewer/2022083007/56649e665503460f94b618a8/html5/thumbnails/7.jpg)
How can we predict which patients are ‘frequent
fliers’? United Health Care
– Jean Kings Fund –
Howard Dr. Foster – Steve Local (e.g. Risk
factor – Eldercare) – Hanna
![Page 8: Long Term Conditions – development of the current agenda and role of data analysis Dr. Peter Cansfield East Midlands Public Health Observatory](https://reader036.vdocuments.us/reader036/viewer/2022083007/56649e665503460f94b618a8/html5/thumbnails/8.jpg)
Questions Which risk assessment tool and why? What is the strength of evidence to
support one method over another? Models and the data required – a
pragmatic trade-off? Data access: How internal restrictions
on data overcome? Other practical difficulties? Value: should we take a view?