on your marks, · physiotherapists. designed healthcare? what would you choose? can we learn from...
TRANSCRIPT
On your Marks,Get set….
Integrate
Preparing for closer working between Health
and Social Care
Robert Packham MSc, BSc(Hons) MCSP SRP
Head of Healthcare Midlothian Health and Social Care Partnership
Good afternoon....
Midlothian….
Denmark
Overview• Designed Healthcare
• Dependence to interdependence
• Managing complexity
• Scope for Integrated Care
• Opportunities and Challenges for
Physiotherapists
Designed Healthcare?
What would you choose?
Can we learn from Manufacturing?
The last bastion of individualism..Richard Bohmer.
Task or Relationship?
Stages of Maturity“7 Habits of Highly Effective People”
Steven Covey
Healthcare is complex……
The Healthcare Challenge
Population
• Demography
• Expectations
• Behaviours
Technology
• Possibilities
• Costs
• Information
• Devolved to
Patients
Environment
• Workforce
• Economy
• Sustainability
• Broader health
determinants
• Politics
• Globalisation
But complexity does work…..
Four pathways??C
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Future Playground Future Playground
Comprehensive outcomes
• Patient Focused
• Acute, Primary, Tertiary Care
• NHS and Private Sector
• National Care Standards
– Adults
– Children and Young People
– Everyone
And integration includes….
• Health and Social Care
• Acute, Primary, Tertiary Health Care
• Public sector and voluntary organisations
• Private providers
• Patients and Carers
More than an illusion of progress?
• "We trained hard, but it seemed that every time we were
beginning to form up into teams, we would be reorganized. I
was to learn later in life that we tend to meet any new
situation by reorganizing; and a wonderful method it can be
for creating the illusion of progress while producing
confusion, inefficiency , and demoralization.”
Gaius Petronius Arbiter AD 69??
Charlton Ogburn, Jr. (1911-1998)
“Generalists do better than specialists -……….says expert!”
• Advantages
• Disadvantages
• A new way??
Patients/Carers at the centre….
Requires
• Experience to assess need comprehensively
• Confidence to know when to intervene
• Courage to extend boundaries of safe practice
• Ability to work through others
The Opportunities
• New Roles
• Traditional roles in new
settings
• Roles that bridge acute
and primary care
• Anticipatory Care
• More flexible working
The Challenges
• Succession planning for
New Roles
• Governance of roles in new
settings
• Clarity about uniqueness
• Meaningful and enjoyable
work
• More flexible working
In summary
• The world is changing
• Life is complex
• Interdependence is our goal
• Deep Generalism will define our future
• More flexible working will be required
