The Transformed Health System

The Programme of Care

It is highly appropriate for a hospital to provide specialist inpatient care for a whole population or a GP practice to provide primary care to its entire population/ “list” of patients.  However at Programmes for Health we feel it is not appropriate for the health of The Frail Elderly or the health of Children with Long Term Disability or People with Musculoskeletal Disease to be managed outside of a well organised integrated Programme of Care.

The Accountable Lead Provider

To deliver an integrated and transformed Programme of Care there has to be Leadership and there has to be Accountability!

The Responsive GP practice

It is important that people with a perceived urgent clinical need are able to access clinical assessment and advice quickly. In order to do this efficiently and effectively there are 3 essential stages:

1. Call Handling – in order to ascertain if a clinical issue or non-clinical/ administrative

2. Clinical Triage by a senior clinician

3. Clinical assessment and management, either remotely or face to face depending on the outcome of 2

Dr Laitner led the introduction of the urgent care system in his practice and supported others

The Redesigned Pathway

Whilst it is important to assess health need at the population and patient cohort level it is also important to ensure that any disease based pathway has all the appropriate elements in place and that most I’m importantly escalation between levels of the pathway namely self care, primary care, specialist ambulatory care and inpatient care are well managed by senior clinicians at each stage.

Dr Laitner has supported providers and commissioners, including the Department of Health in redesigning pathways of care.

The New Patient Experience

Society has often treated the patient as a passive recipient of care. However in order to improve the outcomes, safety and experience of care it is essential that as well as the patient being treated as a person with dignity, respect and compassion they are also supported to be actively involved in their care and decisions about their care. This is an area of healthcare that Dr Laitner has been actively involved at a national, regional and local level.