Breakout 2.3 Sue Nunn - A patient’s Experience Part of a set of presentations from NHS Improvement event: Better value, better outcomes held on Thursday 21 February 2013, Guoman Tower Hotel, London How to deliver quality and value in chronic care:sharing the learning from the respiratory programme

1. Sue Nunn
A patient’s
Experience
Page 1 The Young Foundation 2009

2. “Patients will get more choice and control,
backed by an information revolution, so that
services are more responsive to patients and
designed around them, rather than patients
having to fit around services. The principle
will be "no decisions about me without me".
Equity and excellence: Liberating the NHS -
Page 2 The Young Foundation 2009

3. What do I want?
• Expert advise to help me understand my condition Diagnosis
• Information on evidence, risks and benefits of
treatment
• Tools and information to help me self-manage
• Easy access to advice when I’m unwell
• Minimum trips to see Doctors / others
• Easy communication methods
• A sense of my long-term prognosis / disease trajectory
• To be treated like an intelligent partner not a passive
recipient
• Ideally access at a time convenient to me
Page 3 The Young Foundation 2009

4. Medical Chest Nurse??
Physio Sec Physician
Physio Sec
Radiologist
Physio
appts
Out-patient ?
Appts GP GP
reception Sec
Pharmacist GP in
practice
GP
GP out
of hours
CT scan of the chest: 6.6 mSv
Page 4 The Young Foundation 2009

5. Vision of Integrated Care
Page 5 The Young Foundation 2009

6. Value Framework
Health Value Cost
Outcomes =
£8320 – cost of Patient defined Health Outcomes
bundle of care Cost of delivering
6 monthly outpatients Outcomes
Until age 80
Porter ME; Lee TH NEJM 2010;363:2477-2481; 2481-2483
Page 6 The Young Foundation 2009

7. Patient-controlled
records
Page 7 The Young Foundation 2009

8. ABOUT US / Our products KREDIT
Kindness
Patient-controlled records
Respect
Two principles allow
integrated care across
CCGs: Empathy
1. The patient owns the
data, so they decide who
it goes to Dignity
2. PKB will integrate with
any other system so that
the data flows to Interest
wherever the patient
chooses
TRUST
Respiratory Teams’ Shared Values:
15
Whittington Health, London Respiratory Team and …
Page 8 The Young Foundation 2009

9. Questions
sue.nunn@youngfoundation.org
Page 9 The Young Foundation 2009