Care Design 2016

Focus on the point

by
Wendy Lane
Wendy Lane | Nov 17, 2015 | in #3 Manage for complexity

There is a real temptation for people here to become focussed on trying to refine segmentation and models to a level of detail that is not helpful. If we take the view that the patient is the expert in their life and what quality of that life means for them; our service professionals (health and social care) are experts in what options are available, then what we need to pull off is a meeting of minds so the patient can make the right choices for them. What we need from our care models is for them to be flexible to respond to the different choices and agile to add in new choices as they emerge.

In practice this needs not only care models designed to have the optimal range of skill sets built into them to run at maximum efficiency for a population, but also new leadership models. Systems leadership links in here (dispersed leadership with degrees of autonomy to innovate in local clinical teams, cross-sector/organisation models to hold each other to account, an enhanced commercial skill set in managers etc) alongside the activated community work in principle 2..

Heidi De Wolf Nov 17, 2015

Thank you Wendy, very thought-provoking.

I agree that we need choices, but the more acute the problem, the quicker I would wish to access the service. In other words, less choice at that point is better. While cross-organisational collaborations are key, we need to start defining  or re-defining the purpose of each level of health and care. There are many bridges to build across the network with respect for diverse perspectives on the same problem. Those working in Public Health may be better placed to engage communities, while acute remains best placed to respond. Systems leadership is not about making everything in the system the same, it is about uncovering the uniqueness for better collaborations, and so choice can be provided.

Wendy Lane Nov 17, 2015

Thanks Heidi. I agree, clearly with more acute problems what we often want is for someone to take control. Likewise some of our citizens are happy with someone taking control for them in less acute circumstances because they just don't feel they know what to do for the best. I guess what was at the back of my mind when I commented is that one size most definitely doesn't fit all. There is a lot we can learn from the valuing diversity work here, in a bid for us not to be too paternalistic or conversely assume more knowledge and confidence than is there.

Heidi De Wolf Nov 19, 2015

Wendy, so true, person-centred approaches is a continuous balancing act between equality and equity.

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