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8.30
Registration and Coffee
9.30
Chair’s opening remarks
Dr Tony Snell, Medical Director
Birmingham and Black Country SHA
9.35
Why is chronic disease a national
strategic priority?
– Scale of health need
– A major factor in health
inequalities
– Multiple emergency admissions
– Little evidence of prediction
and prevention of admission
– Treatment often reactive
and uncoordinated
– We can do better
– SHA strategy for complex
CDM
David Nicholson CBE, Chief Executive,
Birmingham and Black County SHA
and Chair, NHS SYSTEM REFORM LEADERSHIP
GROUP, DEPARTMENT OF HEALTH
10.10
Discussion
10.15
Towards an intelligent health
system: The challenge of personalised,
anticipatory and preventive care
– International lessons
for chronic disease management
– PCTs’ new role in
promoting appropriate utilisation
– Getting inside the acute
medicine ‘black box’:
emergency admission or disorganised
care?
– Targeting upstream interventions
to maximise the clinical dividend
– Population risk stratification
tools
– Aligning nGMS and payment-by-results
incentives
Simon Stevens, President, European
Division UNITED HEALTH GROUP (EverCare)
& Visiting Professor of Health
Policy, London School of Economics
and ex POLICY ADVISER 10 DOWNING
STREET
10.50
Discussion
11.00 Coffee
11.20
Management of long term conditions
– the role of Primary Care
– General Practice based
management
– The role of the PCT in
managing the system
– Self care
– The public health aspects
Dr David Colin-Thomé, National
Clinical Director for Primary
Care DEPARTMENT OF HEALTH
11.55
Discussion
12.00 CASE STUDY
Primary Care Clinical Effectiveness
(PRICCE): The key to delivering
premium quality tier 2 level care.
– Background to the PRICCE
project
– What we have achieved
– How we did it
– The key principles that
come out of this success for future
quality delivery in Primary Care
Dr John Heather, GP and Associate
Medical Director EAST KENT COASTAL
TEACHING PCT
12.40
Discussion
12.50 Lunch |
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13.50
CASE STUDY
The vertical integration of consultants,
GPs and nurses to provide complex CDM
care in a community setting –
A Kaiser pilot in an area of high deprivation
– How the Acute Trust and PCT
have gone about developing the pilot
– What are the expected outcomes
– Chronic renal failure CDM programme
– How using a laboratory based information
tool can help identify and systematically
manage patients with CRF across the
primary/secondary care interface in
similar way to CHD managed care
Dr Hugh Rayner, Consultant in Renal
Medicine and Medical Director BIRMINGHAM
HEARTLANDS AND SOLIHULL NHS TRUST
14.25 CASE
STUDY
Managing Complex Care – The team
approach
– Team approach to Complex Care
Management
– Re-design of the whole system
– Project evaluation
– The implementation process
Dr Steve Cartwright, PEC Chair DUDLEY,
BEACON AND CASTLE PCT
15.00 CASE
STUDY
The nurse led model of EverCare
– Driver for change – what
the data told us
– Chronic diseases and their management
– The role of the nurse
– What’s in it for Secondary
Care
– Initial findings and next steps
How does
this EverCare pilot compare with ‘Community
Matron’ in the PSA targets? What
do PCTs have to do in order to deliver
PSA targets of:
– Community Matrons
– Reduction of 5% acute bed days.
Terry Mingay, Director of Health and
Social Care WALSALL TEACHING PCT
15.35 Discussion
15.40 Tea
16.00 Care management in chronic disease
– Systemic approaches to disease
management
– The importance of self management
– Developing a care management
approach
– Early experiences from the Haringey
tPCT project
– What can care management achieve
and how might this fit with NHS strategy?
John Procter, Programme Manager –
Team Health PFIZER
16.35 The
importance of self care and the EPP
to CDM
– The Department of Health’s
intention and reasoning
– Proposals for the future
– How self care will be delivered
– Why EPP and CDM?
– Who benefits from EPP
– Making EPP available for those
who need it
– Importance of concordance with
medicines management
– What else do we need to do?
Your chance to contribute to future
policy
Sarah Squire, Operational Director EPP
and Director of Patient Experience DEPARTMENT
OF HEALTH and David Mowat, Workstream
Manager Self Care DEPARTMENT OF HEALTH
17.15 Discussion
17.30 Chair’s closing remarks
Supported by Pfizer |
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