Making a case for an integrated care consultant: respiratory exemplar

Agenda• Introductions and what you want from the session (5)• Irem Patel, Integrated Care Consultant: the day job (7)• Melissa Heightman, Integrated Care SpR: the day job (7)• Reflections (10)• Discussion and prioritising of key themes

• Make introductions within London• Share examples and learning• Ask questions• Contribute to a BTS publication(s)

Purpose

Questions we may wish to answer

• WHY have these posts been created?• What problem(s) do they solve/tackle from the system, hospital, primary care,

commissioner and patient perspectives?• Vertical integration - what about horizontal integration?

• WHAT do they do?• How is their time spent to maximise their value?• How are they different from the gradual evolution of a respiratory consultant role?• Do they evolve as relationships build?

• What needs to be in place for them to work?• Environment • Contract • Job description• Support system• Opportunities to work with general practice (eg LES)

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Making a case for an integrated care consultant: respiratory, supported by BTS

•What does the individual need to have/demonstrate? • Experience• Capability• Behaviours• Motivation• Values• Beliefs• Identity

• How do you measure their value (Porter and Lee NEJM 2011)?• Qualitatively • Quantitatively

• What formal collaborations are possible in the role?• eg 2 physicians, physician/nurse, physician/physiotherapist

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Making a case for an integrated care consultant: respiratory, supported by BTS

•What are the enablers and barriers?• Shared information• Financial/other incentives• Contract mechanisms

•What could make it easier to have more?• If a trainee wanted to be one, how do they get started?• If a commissioner wanted to commission one, how do they get started?

• WHERE are they working now?