Date post: | 14-Apr-2017 |
Category: |
Healthcare |
Upload: | wessexahsn |
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The Brief
• Scale of the problem• What are the trends?• The do nothing scenario• What is the innovation• What can the future look like?• The Challenges• Wessex
Scale of the problem• There are 15.4 million people with long term conditions and
prevalence is rising
• COPD alone accounts for >£1bn/yr, responsible for 13% of acute medical admissions
• Over 90% of patients with asthma and COPD unable to use their inhalers correctly
• Current PR programs £400-£600 /yr with limited penetration
• Diabetes predicted to rise to 5 million over next 5 yrs – average cost £2500 pp/yr
What are the trends?
• No improvement in inhaler technique in 40yrs• Rising hospital admissions• More complexities and more patients with co-
morbidities• Less money in the health service• Everything else in our lives is going digital but
the Health
• Double the rate in recovery of CAT scores during exacerbation
• All inhaler errors corrected in 95-98% patients
• On line PR with same outcomes as class based programs
• CAT score improvements 5-12
• Reduced exacerbations
• Reduced consultation time
COPD Example90% of patients unable to use therapy correctly
98% of patients using therapy correctly
150-200 patients per CCG receive face to face pulmonary rehab to completion at a cost of £200-@400 per head. Dropout rate 45-55%
1000s of patients receive pulmonary rehab for a lifetime with double the walking distance improvement achieved against standard class based programs
Limited access to specialist services Open 7 days a week including physiotherapy and psychology modules
Variation in the quality of care delivered. In some studies, 90% of clinicians failed to deliver correct inhaler education
Reduces inequality with an NHS approved set of educational modules and inhaler videos
Leads to the creation of an ever expanding clinical team with multiple touch points
Improves quality and reduces cost
Reactive health service Provides medical intelligence to manage the system efficiently
Challenges
Implementation
• Change• Clinicians• Organisational• Pathway changes necessary
Scaling
• CCG by CCG• STPs and Vanguards• 3rd Party• Champions