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Rethinking demand challenge

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49 Ideas
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82 Comments
80 Participants

When we think about elective recovery, we often focus on the “supply” side (more access, more clinicians, more equipment, more productivity etc).

But what actions can we take to change the pattern and/or nature of demand that means that people stay healthier and/or don’t need to visit or stay in the hospital?​

 

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Screen for Adverse Childhood Experiences (ACEs)

ACEs are childhood traumas such as; Sexual abuse, Physical abuse, Parent who is an alcoholic, Mother who is a domestic violence victim, etc. If a person had experienced four adverse experiences, compared with people with zero ACEs, they had a 240 percent greater risk of hepatitis, were 390 percent more likely to have chronic obstructive pulmonary disease (emphysema or chronic bronchitis), and a 240 percent higher risk of a sexually-transmitted disease. They were twice as likely to be...

0 Score
Comments 2

Provide adequate resources within the community to support specialist intervention within the community

Chronic disease management and simple surgical procedures requires major investment to provide specialist interevention that is nurse-led instead of Consultant delivered care within hospitals. This would reduce unneccesary referrals into sceondary care for interventions that could be provided by nurse consultants and specialists. With effective MDMs complex cases can be discussed.  With improved diagnostics within the community setting and clear care pathways for common conditions /...

1 Score
Comments 1

Automating routine clinical conversations with Dora

At Ufonia we are a small team of doctors, developers and engineers who are working hard to improve system efficiency so that patients, administrators and clinicians can all benefit. We aim to do this by releasing clinicians from repetitive activities in high volume and low complexity pathways, so they can spend time caring for patients directly.  The solution we have developed is Dora, the UK's first UKCA marked automated clinical assistant. Dora is driven by artificial intelligence...

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Comments 1

Self care in the community

Solving issues in healthcare requires the entire population to be part of the solution. Despite public health messaging around minor ailment, pharmacy first, there is still a lack of knowledge of how to look after ourselves and to engage properly with our health services . I believe this is due to how these messages are delivered. We should consider engaging with other organisations/ sectors to spread healthcare messages. For eg as a minimum a resource containing information such as, 1....

2 Score
Comments 1
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#SolvingTogether Launch session ideas

On the 4th April 13:00-14:00 Tim Ferris, Director of Transformation at NHS England and NHS Improvement. During the session the audience were split into breakout groups and focused on a challenge. Each challenge has two rooms focusing on it.  Here are some of the ideas that the audience came up with during the session.  Room 1: Make sure patient wants the procedure they’re on the list for - patient centred care Use theatres appropriately - low complexity cases could be seen in...

3 Score
Comments 0
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Rethink the referral process

A proportion of any outpatient appointments by speciality does not need to be seen by a specialist. An online assessment (more than triage) by a specialist can often provide a clinical outcome without the need for an outpatient appointment. This can be A&G or a treatment plan with the GP. 50% of Dermatology referrals can be treated this way. The remaining patients that require specialist treatment can be referred to their specific clinic. The virtual assessment process requires the...

1 Score
Comments 2

Medical staff to be able to raise concerns without fear of backlash.

If hospital staff see a certain area covered by a GP surgery has more people coming in critical from manageable conditions then that should trigger an investigation, RD&E nurse: 'When people come in critical from manageable conditions we joke are they from Honiton' why hasn't this been addressed, why hasn't this situation been raised, if so why did it not trigger someone at NHS England to look in to the complaints against Honiton surgery to see the pattern of what's going on? If many...

3 Score
Comments 2

111 to be able to prescribe.

111 should be able to prescribe if the patient had prescription before and basic pain killers to stop the escalation of the patients need for a hospital visit, someone shouldn't be critical before treated. The aim should be to keep people who are long term sick at home when they know the symptoms are what they are diagnosed with, A&E is not the place to support chronically sick people. 

4 Score
Comments 3

Chronic patient- different approach

If a patient visits there GP for the same issue more than 5 times they then should get a dedicated chronic illness doctor who gives them more time and evaluation and has to set up a plan to investigate and tackle the problem before being lost in the system.

3 Score
Comments 1

A&E staff shift ending change

A&E staff 30mins before the end of their shift should not be responsible for new incoming patients as handover during initial assessment can cause mistakes and the assumption they did things they didn't by incoming doctor.  

1 Score
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