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using the above framework, and having balanced measures will make sure we don't over-industrialise the management of outcome-measurement, and allow us to demonstrate short, medium and long-term outcomes and population impact of any care processes

Caroline Poole
by Caroline Poole
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Caroline Poole

This redesign principle is littered with management speak. I work in the arena and don't fully understand its intention.  Are we talking co-production? Self-serve healthcare? Web facility?  Not sure ..... :/

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Caroline Poole

......and they can port that with them and allow access.  Amir Hannan sharing his practice for some years - but where's the evidence of spread at scale?  The patient is the one constant in the care pathway, paying more attention to enabling patient-held information will overcome many of the issues we face around inter-operability, border transfers, and clinical governance.  I'm still struggling to get my GP to "allow" me to view the information that is mine! Change in culture needed.  Why...

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Caroline Poole

Aside from systems and processes, a shift into a recovery/rehab mindset ensures discharge planning at the outset  will improve flow - important for those with life-long conditions who will need episodic support, but can be supported to greater levels of independent problem solving, with a greater emphasis on person-centred planning, supporting self-management, and shift away from paternalistic practices

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by Caroline Poole
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Caroline Poole

In my experience complexity often arises due to the nature of family dynamics; the number of organisation interfaces needed to be navigated; and the patient's locus of control.  Understanding wider determinants of health, and the impact of psychological and social wellbeing on health is vital. Unless we ask those questions at the outset, we might tend to over-medicalise, and miss the point. Thinking about medically unexplained symptoms.....how complex are those presentations, and what's...

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Important to pay attention to new skills and culture needed to mobilise on this principle.   Coulter et al (2008) state “ t oo often, the way in which clinicians and patients interact tends to promote passivity and dependence, instead of self-reliance, thus sapping patients’ self-confidence and undermining their ability to cope ” (p.5).  Need to ensure we focus on all 3 aspects: patients being open and willing to engage in co-production, clinicians being willing and skilled in...

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Caroline Poole

Thinking more broadly than medical diagnosis would really help. Do we stratify our populations into levels of activation? Do we differentiate the offer depending on where someone is at in relation to confidence, competence and motivation to engage and change?  Not only understanding their population health segment needs, but having a richer understanding of the conditions whereby they will flourish, depending on activation levels, seems a fundamental part of effective and person-centred...

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Caroline Poole
 

Caroline Poole

Manchester, United Kingdom

Joined this community on Oct 19, 2015

Your organisation
Pennine Care NHS Foundation Trust

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