LTC Lunch and Learn: Information as a therapy, 1 May 2015

WELCOME

Friday 1 May 2015 Webinar

Information as a Therapy

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

[email protected]

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 [email protected]

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

Information as a Therapy1st May 2015

@MarkDuman

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.

Information

Types

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

Government Portals

tinyurl.com/2msj82

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

Self Management /

Structured Patient Education

Technology

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.

“People”

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

Making it

Personal

“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’

Medicine/Drug

Poison

Pharmako (φάρμακο)

‘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

Patient Activation

KPMG

‘Activated' Patients Lower Costs

Users

Individuals

www.kingsfund.org.uk/publications/supporting-people-manage-their-health, May 2014

Integrating into

healthcare delivery

“Map of Medicine”

Information Prescription

Care Planning

Culture

Change

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

2. Payors/ Purchasers

Information: first line Rx

ww

w.p

ifo

nlin

e.o

rg.u

k

3. Public - Increase Expectations

Manager Patients/ Public

HealthSystem

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

In summary…

Problem Solution

Think EXPERIENCE, not process

Thank you