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Patient care from a pathway perspective

Watch HSJ’s free online seminar to discover how commissioning to standard pathways can reduce costs and deliver better outcomes.

  • Duration: 45 minutes 
  • Cost: Free 
  • Available: Now

In Association with Ardentia

A BrightTALK Channel

Under pressure from the DH to contribute to the £20bn savings required across the NHS while maintaining or improving patient care, providers and commissioners are increasingly looking at patient care from a pathway perspective.

Commissioners are constantly looking to work with providers to treat patients in a more efficient way and get better value for money for the taxpayer. Many commissioning bodies are beginning to use the Map of Medicine to help define and localise best practice care journeys and determine the events they will commission along a pathway of care.

Commissioning on the basis of these agreed care journeys or protocols of care should reduce clinical variation on the provider side, reduce costs, increase productivity and achieve the best outcomes. Anything the trust delivers that falls outside the agreed protocol may be challenged or delivered at their own cost.

On the provider side, the goal is to understand the amount of clinical variation they have among their consultants and ensure that care is delivered in the most efficient and cost effective manner, while achieving the best outcomes.

Ardentia is leading the development of monitoring solutions in this area and can help providers and commissioners who want to look at patient care from a pathway perspective. The company can link data on patient events from different sources to create a pathway and then apply the associated costs and income, resulting in a costed care pathway where appropriate.

A pilot study at Derbyshire County PCT on pathways for cataracts and angina looked at the amount of clinical variation from standard protocols of care revealing that potential cost savings could be made.

This online seminar tackles the following

  • Is commissioning based on pathways the way of the future?
  • What should commissioners consider when defining pathways?
  • Will providers with the least clinical variation get the lion’s share of business?
  • What is the impact on providers of delivering along standard protocols of care?

Who should watch?

  • chief executives of PCTs, acute trusts and SHAs
  • directors of commissioning
  • PBC leads
  • directors of service redesign
  • chief information officers
  • directors of finance
  • directors of strategy
  • directors of clinical services

Readers' comments (3)

  • Sounds good in theory but whether it works in practice with reducing the costs is another thing!

    West Yorkshire

    Unsuitable or offensive?

  • There are real improvements in care with benefits tonthe patient. Care is delivered 'closer to home' and the improved care is more efficient - (Sic cheaper)
    Western Cheshire, Wirral, Cumbria, Newham, Devon, Sheffield, York, Notthighamnhave all used the Map of Medicine to support and enable modernisation, reconfiguration and delivering on the QIPP agenda. savings on a single pathway have supported the delivery of new ways of working and saved between £30k to £300k

    Unsuitable or offensive?

  • I agree with JW - Designing or improving patient pathways do work, reduce the inappropriate and unnecessary secondary care referrals (thus cost savings), as well as enhancing clinical skills in primary care. BUT requires a huge culture shift. Clinicians from primary and secondary care have to be involved right from the start; and patient education is essential to reassure them that they can have their care given by their GP practice and do not always have to be referred to a specialist team.

    Unsuitable or offensive?

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