Carpe diem Dr Paul Zollinger-Read, May 2011

The King’s Fund’s ten priorities for commissioners

• self-management• primary prevention• secondary prevention• managing ambulatory conditions• integrating mental and physical health care

The King’s Fund ten priorities for commissioners

• care co-ordination and integration• end-of-life care• medicines management• managing elective activity• managing emergency activity

Enablers

• post-industrial primary care• integrated care• systematic and proactive management of

long-term conditions• empowerment of patients• population management

Primary care

• co-ordination and signposting• become the navigator to steer patients• no longer act as the sole reactive care giver• new deal with patients• measure performance, improving care standards,

and transparent reporting

Integrated care organisations

• cross-organisational• capitated budget• governance models• across care pathways

The Bigger Picture

• be clear on decision-making process• risk management• strategic oversight• learn and build on clinical networks• power of relationships

ZR’s First Law

SP = (C * I ) CR

SP = sustained performanceC = capabilitiesI = incentivesCR = constructive relationships

Healthy organisations

• Strong correlation between ‘healthy organisations’ and performance

– set clear, medium-term health aspirations

– strive for a baseline of good health

– involve a broad leadership coalition, develop followership

The challenge for consortia

‘Relationships between practices must be built on shared values and vision, trust, respect and collaboration. As well as requiring leadership from the consortium, this will require member practices to have time, patience and commitment.’Report on primary care quality, The King’s Fund 2010

Carpe Diem

10 + 5