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© Focused FM – A brand name of HFC Ltd.
The True Care Pathway
A look at the patient experience A look at the patient experience within the Healthcare Sectorwithin the Healthcare SectorSchools presentationSchools presentation
Martin FaganMartin Fagan
Martin Fagan
Trained as a Biochemist/Toxicologist with a specialisation in Forensics.Trained Emergency Medical TechnicianWorked in Pharma; medical informatics; Public sector; Healthcare managementMore recently on contract to the NHSC &Healthcare Facilities Consortium as acting CEOTrustee of two medical charities
Community HeartBeat Trust
Healthcare Facilities Consortium
Spin out from NHSCredits 4 CleaningFacilities management software
Eclipse & Apollo & Monitor
FM Document exchangeShare good practice
BenchmarkingWelsh cleaning benchmarkingMental health benchmarkingOriginal designers of ERICWorkshops and training
Create awareness of the ‘true NHS’Helping school leavers understand
NHS and gain careers in the NHSHelp identify the non-clinical roles
It’s not just Drs and Nurses!
Seek opportunitiesUnderstand the ‘care pathway’ is not just ‘clinical’.
Schools programme
Care pathways
Care pathways are a methodology for the decision making and organization of care for a well-
defined group of patients during a well-defined period.
The aim of a care pathway is to enhance the quality of care by improving patient outcomes, promoting patient safety, increasing
patient satisfaction, and optimizing the use of resources
Defining characteristics of care pathways includes:�An explicit statement of the goals and key elements of care based on evidence, best practice, and patient expectations; �The facilitation of the communication, coordination of roles, and sequencing the activities of the multidisciplinary care team, patients and their relatives; �The documentation, monitoring, and evaluation of variances and outcomes; and the identification of the appropriate resources. �
The aim of a care pathway is to enhance the quality of care by improving patient outcomes, promoting patient safety, increasing
patient satisfaction, and optimizing the use of resources
Questions?
How do we achieve this over time?How do we ensure continuity?Is clinical the only ‘Care pathway’?
Most Care Pathways designed by clinicians
Is not ‘Quality of Care’
dependent upon many non-clinical factors?
The aim of a care pathway is to enhance the quality of care by improving patient outcomes, promoting patient safety, increasing
patient satisfaction, and optimizing the use of resources
Care Pathways and Career Pathways
July 2009 workshop –
Sheffield HallamThe NHS needs a steady state of new staff
30% turnover in some sector
Career pathways neededDevelopment needsGeneral public view NHS as ‘Drs and Nurses’
Current unemployment?
Total unemployed: 2.53 million –
a 17 year high
Youth unemployment 20.6% roughly 1 in 5
974,000 16 to 24 year olds out of work500,000 job vacancies
Figures for January 2011
The NHS doesn’t exist –
as a single organisationIt can be likened to a franchiseIt comprises many individual and autonomous organisationsThey sometimes work togetherOften they do not
What is ‘the NHS’
What is ‘the NHS’
Department(s) of Health (incl E&FM)Health Authorities/Health BoardsPrimary Care TrustsAcute, Community & Mental HealthGP and other surgeriesFoundation TrustsDevolved governments
The NHS =
Your Hospital visit
Who made the visit happen?How did you get there?How did you find your way?Who made sure it was clean
and safe?
The Patient Journey
Pre-visit informationArriving at the premises
Emergency or routine
Roadway inCar ParkingEntrance Foyer
Reception
Who is involved?
The Patient Journey
Waiting AreaSeatingFood & DrinkShopsInformation SystemsSecurity
Clinical Areas
Who is involved?
The Patient Journey
Up to this point 100% of the experience has been down to the staff of the Estates and Facilities DepartmentsClinical Areas
Who is involved?
The Patient Journey
Post ClinicalBlood TestsLaboratoriesX-Ray (imaging)PhysiotherapyOccupational TherapyCounsellingChaplaincy
Who is involved?
The Patient Journey
Who is involved?
Follow upAdministration/Medical SecretariesVoluntaryHospital TransportHome help/Carer servicesCare Homes/Hospices
In the background…
The Patient Journey
Who is involved?
Non Hospital ServicesDentistryOphthalmologyChiropractorAudiologyMacmillan…. etc
A wide range of non doctor & nurse employment opportunities
White Paper -
Equity and Excellence: Liberating the NHS
Cutting bureaucracy and administrative costs 5.3
So our first task is to increase the proportion of resource available for front-line services, by cutting the costs of health bureaucracy. Over the past decade, layers of national and regional organisations have accumulated, resulting in excessive bureaucracy, inefficiency and duplication. The Government will therefore impose the largest reduction in administrative costs in NHS history. Over the next four years we will reduce the NHS’s management costs by more than 45%.
BUT WHAT DOES THIS MEAN?
Driving Cost Improvement
The NHS Budget is going to be increased by around 0.7% paNHS Inflation is around 8% (using a median of available indicators)This shows a growing deficit of around 7% paGrowth in “front line”
of 10%
Means 10% more use of facilities
WHY?
Driving Cost Improvement
0
5
10
15
20
25
30
35
2004 2005 2006 2007 2008 2009 2010
CleaningCosts £/m2
MRSABloodstreamInfections100/qtr
Cleaning Costs against MRSA incidence
The aim of a care pathway is to enhance the quality of care by improving patient outcomes, promoting patient safety, increasing patient satisfaction, and optimizing the use of resources …
It is not just Doctors and Nurses!
Where to find out about jobs
NewspapersCareers adviceJob centreHospital web sitesMonster.co.ukNHS Jobs & other specialised websites
Where to find out about jobs
From the HFC Web Site
Where to find out about jobsFrom the HFC Web Site
Where to find out about jobsFrom the NHS Jobs Web Site
The aim of a care pathway is to enhance the quality of care by improving patient outcomes, promoting patient safety, increasing patient satisfaction, and optimizing the use of resources …
Clinical, non-clinical, and in particular … Facilities
The True Care Pathway
The NHS is a teamInvolves clinical and non-clinicalHigh proportion of patient experience is non-clinicalNon-clinical has increasingly important part to play in outcomesFacilities is the ‘Heart of Healthcare’!
© Focused FM – A brand name of HFC Ltd.
Schools presentation The True Care Pathway
Thank you!Martin Fagan
Tel: 07967 699612
Email:[email protected]
