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Creating the right environment challenge

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20 Ideas
72 Votes
23 Comments
44 Participants

How can primary care and system partners work together to best meet the health needs of people in their local areas?

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If people are motivated change will come.

So many initiatives and reorganisations come and go without making very much difference to the people who live and work in the communities we are part of. To my mind this is largely because of a failure to engage the abundant talent and passion that sits within our workforce. If you are busy, overwhelmed or burnt-out change is challenging, even more so if it is being externally driven and you are cynical about the reasons for change. This is the environment we are working in....

2 Score
Comments 1

Year of Care – enhancing and combining long term condition reviews in primary care

Current reviews for long term conditions in primary care have become tick-box and driven by the quality and outcomes framework (QOF) leaving little opportunity for patients to air their agenda, identify their goals and develop plans for self-management with the health care professional. The Year of Care approach, which has been implemented across many health communities, seeks to combine long term condition reviews for people with single and multiple long-term conditions. It puts in...

2 Score
Comments 0

Novating Primary Care Contracts to local Hospital Trusts

One of the challenges has been the integration of secondary care work with primary care work. Too many different systems and different processes. Also in primary care there's always the challenge to reduce costs by trying to get specialist secondary care out into the community, and then costing and development of work has been a barrier. Another issue is the integration of IT systems and referral management.  If GMS contracts were novated to Hospitals this will help remove commissioning...

-1 Score
Comments 0

Medically unexplained symptoms and patients with anxiety

25 % of our patients that attend have anxiety another 25% have medically unexplained symptoms patients need helped with understanding and managing their anxiety without having to go to the GP.  MUS patients that attend primary care, A+E outpatients are generating lots of tests , scans  and clinical appointments throughout the healthcare system. All clinical and non clinical staff need  training on how to help patients with MUS 

0 Score
Comments 0

Improving mouth care for hospitalised children

Good mouth care for children in hospital is important because poor health is strongly associated with malnutrition and hydration  and this can affect a patient's recovery. There are also certain groups of children who are more at risk of developing mouth related problems due to one or a combination of medical, cognitive or physical disability. Mini Mouth Care Matters is a training initiative aimed at improving the oral health of children in hospitals. Children in hospital are generally...

1 Score
Comments 0

"Better Care Navigation and Utilisation of workforce in primary care, through collaboration and integration"

Primary care needs to be utilised in its fullest and not be restricted to place I.E General practice. A wider spectrum of health care providers including Optometrist, Dentists, Pharmacists, Care in the community, etc need to be aware of working better together and signpost patients to the appropriate services within these settings reduced work flow to GP and secondary care. Patient and practitioner knowledge of services in holistic primary care is key. We need to "GET IT RIGHT FIRST IN...

1 Score
Comments 1

Supra-PCN organisations

PCNs are a useful size to work together, but often too small to really have the economies of scale to support natural populations like towns. They are also too small to benefit from dedicated HR/data professionals. I think that we need to support supra-PCN organisations such as federations. These can employ ARRS roles for several PCNs and hold the supervision responsibility as well as deliver back office functions at scale, freeing PCNs up for the clinical matters.

2 Score
Comments 0

Creating enhanced pathways for children with dental disease within primary care

The child population of Greater Manchester have generally poor oral health and languish at the bottom of most oral health statistic tables. Of course poor oral health like most health components is strongly associated with deprivation - so this situation is not surprising? How can we support access to care within primary care and in the community to reduce the requirement for hospital GA care ( mostly extractions) or more expensive secondary care services ? How can we provide accessible...

2 Score
Comments 0

Eliminate 'them and us' mentality

A true integrated care system means putting the needs of the patient at the centre. Therefore integrating public/ population health into primary care could be a way to really listen to the needs of the populations we serve. Using behavioural insights to really understand what the primary needs of our population are will help to reduce waste (time/money) and improve trust with out patients and efficiency in service design, development and delivery.

3 Score
Comments 1
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Root system transformation efforts in a sense of belonging

System transformation is inherently relational: It depends on our ability to work with others to enable change. Leadership for transformation means creating a sense of belonging for everyone involved in the change.   A sense of belonging moves us away from a view of the world that is “us” versus “them” to one where everyone belongs and can play a part. The more people we can help to feel included in our new system, the more power we create to change things....

8 Score
Comments 1
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