LTC Lunch and Learn: Information as a therapy, 1 May 2015
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Information as a Therapy
Friday 1 May 2015
12.30pm – 1.30pm
Mark DumanMRPharmS Director, Monmouth Partners
&
Beverley MatthewsLTC Programme Lead, NHS Improving Quality
Beverley Matthews
LTC Programme LeadNHS Improving Quality
Beverley.matthews@nhsiq.nhs.uk
www.england.nhs.uk
LTC Year of Care Commissioning
Programme:
4
• 5 Early Implementer sites
• 35 Fast Followers
• Whole Population Datasets
• Implementation Guide
• Simulation Modelling
• Specialist Support Team
www.england.nhs.uk
LTC Framework Improvement
Programme:
5
Organisational &
Clinical
Processes
Informed and
engaged patients
and carers
Health & Care
Professionals
committed to
partnership
working
Commissioning
• Information and
technology
• Case finding & risk
stratification
• Care Planning
• Safety and
Experience
• Guidelines,
evidence and
national audits
• Care Delivery
• Self Management
• Information and
Technology
• Group and Peer
Support
• Care Planning
• Policies for carers
• Voluntary sector
patient & carer
support
• HSC Integration
• Multi Disciplinary
Teams
• Culture
• Workforce
• Technology
• Care Co-
ordination
• Care Planning
• Needs
Assessment and
Planning
• Joint
Commissioning
• Metrics and
Evaluation
• Service User and
Public Involvement
• Contracting and
Procurement
• Care Planning
• Tools and Levers
The table below sets out some of the key components needed to deliver the central
aim for LTC Framework - Person Centred Coordinated Care
Long Term Conditions Dashboardhttp://ccgtools.england.nhs.uk/ltcdashboard/flash/atlas.html
Long Term Conditions House of Care Toolkithttp://www.nhsiq.nhs.uk/improvement-programmes/long-term-conditions-and-integrated-care/long-term-conditions-improvement-programme/house-of-care-toolkit.aspx
Simulation Modelhttp://www.simul8.com/viewer/download.htm
#LTCyearofcare #LTCimprovement @NHSIQ
Tools and Resources:
For registration details, email LTC@nhsiq.nhs.uk
LTC Lunch & Learn Series
….coming soon…
Date Webinar Hosted by Bev Matthews &
6 May 2015
12:30 – 13:30
Prevention & Effective Interventions in
Frailty
Helen Lyndon
Nurse Consultant Older People, Clinical
Lead Frailty, NHS England
27 May 2015
12:30 – 13:30
Primary Care Workforce for the 21 Century
Webinar
Sharon Lee
Primary Care Workforce Facilitator
South Kent Coast CCG
4 June 2015
12.30 – 13.30
Home Checks/Prevention Peter O’Reilly & Geoff Harris
Manchester Fire & Rescue Service
9 June 2015
12 noon – 1pm
Health 1000 Rob Meaker
Barking, Havering & Redbridge
Information as a Therapy
• Understanding what is meant by information for patients.
• Personalising the experience of information provision.
• Integrating information provision into healthcare delivery.
• The need for culture change to make “information therapy” a reality.
Today’s Learning Outcomes
Learning topics
• Understanding what is meant by information for
patients
• Personalising the experience of information
provision
• Integrating information provision into
healthcare delivery
• The need for culture change to make
"information therapy“ a reality.
Types of information
1. Wellbeing & Lifestyle – diet, activity, etc
2. General Clinical – diagnosis, prognosis,
treatment, etc
3. Information to facilitate evidence-based
Patient Choice
4. Access/ Service – directions, waiting times,
support, benefits, quality
Enlarged Prostate For the following questions, please mark your views on the scalebelow each question. There are no correct (or incorrect) answers.
Q. How important is it to you to retain your ability to have erections?A. 1 2 3 4 5not important very importantat all
Q. How important is it to you to avoid wearing pads to deal with leaking urine?A. 1 2 3 4 5not important very importantat all
Q. How important is it to you to avoid problems with the bowel?A. 1 2 3 4 5not important very importantat all
Shared Decision Making
Board Game
• Action Zone! is a board game about epilepsy and the brain created for children aged 5 years and above.
• It enables them to learn more about epilepsy and to understand that children with epilepsy can do many of the things that other children can do
• Players win tokens by answering the questions correctly as they move closer to the Brain. The winner is the person with the most tokens.
Key Points: Information as a Therapy
• Quality product(s)
• One size does not fit all – Tailor information
• Elicit behaviour change/ action
• Train staff it’s “Education”
• Consider Design
• Evaluate Impact
“We see things as we are, not as they are” *
*Talmud Berachot 55b
Person Patient Condition Treatment ‘X’
‘Soft/ Social’ ‘Hard/ Medical’
Person/ Society
‘Professional/ System’
‘A Personalised Health Service’
Past Medical History
Current Medication
Ethnicity/ Communication
Preferences
Health Literacy
Medicines Beliefs
Health Beliefs
“A poison”
“A miracle
cure”
Motivation
Beyond Health
‘Activated' Patients Lower Costs
Users
Individuals
www.kingsfund.org.uk/publications/supporting-people-manage-their-health, May 2014
1. Clinicians
Despite concerted efforts to tackle
the “effectiveness of consultations
between patients and clinicians,”
the biggest problem is the
“reluctance of clinical staff to
provide active support for patient
engagement.”
RCGP, Sep 11
34
“Patients will need better information if they are going to improve their
lifestyle, manage their disease, and participate in complex decisions
about treatment.
Better health-literacy education in schools will help, as will better-
written health materials and well-trained educators for patients.
But a great deal could be accomplished if doctors and other health
professionals took time, at the end of each consultation, to make
sure the patient had understood the key points discussed, and that
they felt free to ask questions.”
Taking health literacy seriously. The Lancet 2005; 366:95
Care Plan: Getting from A to…?
1 million patients in the UK 2013 Doctor-Patient Survey
64% of them said they were as “involved in healthcare as
they wanted to be”
But only 3% had a care plan
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