>>Leslie Bainbridge: I think designing a care pathway is very very complex, I think you
need a lot of patience because when you get your right people, when you find your clinical
engagement superstars they’ve all got a lot to say, but it’s about drawing all of
that good evidence for practice, people who can talk about safety quality and experience,
people who don’t only talk about experience of the people who receive care but the people
who are delivering the care so the work force as well, I think you need all of those components
to design a care pathway but let your start and finish point reflect good evidence.
>>Dr. Richard Croft: I think it is essential we engage with frontline practitioners because
they are the people that are going to be doing all the work and there’s no point in us
having discussions within our pathways of care working group if we can’t take some
of that energy and enthusiasm back out into the community and actually make some real
changes in the way that people are working so it’s really important that we can get
that clear message out of the boardroom and into the community.
>>Christine McGorie: I think that the work we are doing is helping to deliver better
patient care because the linking up of primary and secondary care is much better than it
has been. The focus has always been for to link health and social care together and the
way it’s being delivered is you’ve got all disciplines coming together rather than
the medical team doing it one way, the social team doing it another way, it’s now all
linked together, so you look at people’s needs more holistically and not just looking
at the medical need, you’re looking at the lifestyles the families, everything else that’s
needed to deliver good and proactive care and its working well because everyone is being
listened to and that’s their visions and what they see is taken on board and acted on.
>>Helena Maddock: I think the link between strategy and what we do on a day to day basis
is that we are trying to provide a better quality of care for everybody in a care home
and within our jobs we are trying to provide a better level of care for each older person
that we come across, what we’ve tried to do with this programme is share a very patient
centred approach and try to educate people as to looking first at the person and what
their individual needs are rather than how they fit into your individual boxes it makes
it much more holistic and streamlined for the patient, our whole ethos is about getting
people to come together around that person so that we can bring together all the things
that they need in one place and with the MDTS we do that bringing together health physical
health, other agencies, therapists, it’s a bit like an MDT for each individual person
rather than one care setting.
>>Karen Franks: yeah and I’d agree very much that the holistic
ethos and trying to regard everybody as part of the care team around that individual so
it’s not just about doctors and nurses from primary and secondary care, it’s very much
about the people working in the care home it’s about the individual and their family
and that the strategy that we’re trying to do is bring everybody together in that
sort of mind-set.
>>John Buttery: Obviously strategies is critical because we’re talking about delivering long
term change we’ve got an ageing population and a greater reliance on care homes that
much more people with advanced level of frailty and mental health issues like dementia so
what this group is doing through the vanguard is actually translating high level strategy
into specific actions, changing the way nurses work, changing the way GPs work, changing
the way care homes work, creating champions within care homes to relate back to the teams
and also how the voluntary sector fits within that and one of the key themes about making
strategy live is this phrase that we’ve coined which is moving into either a care
home or a nursing home is just a change of address and that’s what we need to think
about, it’s just a change of address and the services that people had before, they
still need them.
>>Lynne Shaw: I think it would be really beneficial for other care systems to adopt this approach
to system redesign and service delivery because we all know that we’re living in a really
challenging time when we have a growing aging population and a very limited public purse
and I think that you can only really spend that money once and we’ve got to spend it
really wisely so by pooling our energy and resources and the skills of the clinical staff
right at the front line together to think together and design services together then
we are going to get the best outcomes for patients but also importantly making sure
that we deliver value services.