NHS Future Forum calls on healthcare professionals to lead way on patient-centred care

Steve FieldThe NHS Future Forum has given its second set of reports to Health Secretary Andrew Lansley in which it sets out a series of recommendations to improve the quality of patient care and achieve better outcomes.

Future Forum Chair Professor Steve Field (pictured right) said:

‘We are making robust and ambitious recommendations to the NHS and to Government. We have heard an enormous amount of support for the shift to patient-centred care but also frustration that this has not yet been achieved. This must now become a reality for patients across England and health and social care professionals must lead the way.’

Download summary report

The government has responded to the Future Forum and accepted its recommendations.

Highlights from the Future Forum’s reports include:

Integration

  • Integration should be defined around the patient, not the system – outcomes, incentives and system rules (ie. competition and choice) need to be aligned accordingly.
  • Health and wellbeing boards should drive local integration – through a whole-population, strategic approach that addresses local priorities.
  • Local commissioners and providers should be given freedom and flexibility to ‘get on and do’ – through flexing payment flows and enabling planning over a longer term.

Download Integration report

Education and training

  • The new local education and training boards must have the governance in place to deliver strong partnerships across healthcare providers, academia and education.
  • Quality must be at the heart of education and training with systems in place at all levels to reward high quality education and embed continuing professional development.
  • There needs to be a review of the principles and aims of the Tooke Report into medical education.
  • A properly structured process to support individual nurse and midwife development in post-qualification career pathways should be developed nationally.

Download Education and training report

Information

  • Patients should have access to their online GP-held records by the end of this Parliament.
  • The NHS must move to using its IT systems to share data about individual patients and service users electronically in the interests of high quality care.
  • The Government should set a clear deadline within the current Parliament by which all information about clinical outcomes is put in the public domain.

Download Information report

NHS’s role in the public’s health

  • The NHS must do more to prevent poor health, so it can reduce health inequalities and continue to provide high quality care for future generations.
  • Every healthcare professional should make every contact count – use every contact with the public to help them improve their health. This should be a core staff responsibility in the NHS Constitution.
  • The NHS must do more to support the wellbeing of its own staff too, helping a workforce of 1.4 million to live healthily and spread healthy messages with family, friends and patients.

Download The NHS’s role in the public’s health report

Over four months the Forum listened to more than 12,000 people and attended more than 300 events. In this phase, the Forum set out to listen to more patients and carers and sought more input from local authorities, housing and social care providers.

In Health and wellbeing boards, Healthwatch, Local government, News, NHS, NHS Future Forum, Public health, Social care | Tagged , , , ,

7 Responses to NHS Future Forum calls on healthcare professionals to lead way on patient-centred care

  1. Helen Blackburn says:

    I started my training 40 yrs ago this year, I am still working in the NHS , I was trained the traditional way I DO NOT have a degree and at no time during my working life has a patient ever asked me if I had one, why ? because I have compassion and I like people I was trained well and I like my job,the training needs to be looked at scrap most of the matrons and give power back to the ward sister,all I can say is god help me when I need looking after !!!!

  2. Gill Evans says:

    I have been nursing now for forty years. When I was a young nurse the best carers (bedside nurses) were the SEN’s. They weren’t responsible for the running of the ward and had time to tend to all the patients personal requirements. The way I think nurse training would work best is all levels of candidates do 1 years training during which they learn about hygiene,(keeping the ward, equipment and patients clean, nails, hair, catheters etc.)nutrition,(understanding how to feed patients or enable patients to feed themselves, and what nutrition they require to improve their health).communication(being allocated time to talk to patients and their relatives,and learn how to pass on information to senior nurses, Doctors and other NHS staff). compassion learning to be patient and listen to anxious and upset people and showing they care about their problems. :- Basic skills. at the end of this year they qualify as HCA’s. If they wish and have the ability they go on to do a second year learning to do dressings and every day nursing skills. at the end of this year they qualify as a basic nurse. SEN. if they want to and have the ability they can go on to complete a degree and become team leaders. RN.This way, those nurses who are academic will have to learn some bedside manners and those who are not initally accademic would have the chance to progress if able.
    Having cared also for elderly parents in the last few years, I think a lot of compassionate basic nursing skills could be learnt from the Hospice movement. My father was very well looked after in the Hospice, he was happy there. My mother on the other hand had strokes and bad falls due to osteoporosis. Superficially you might say she was looked after, but I could go on for ages pointing out basic things that would have improved her care no end. I have been a community midwife, worked at The Royal Marsden hospital and am a practice nurse since it’s infancy. My daughter is about to embark on her nurse training and I hope she feels her training prepares her well, for her future career.

    • Helen Lambert says:

      I entirely agree with this plan. I have a very similar one. The training at level 1 should be entirely hospital based. This would foster a sense of camaraderie and belonging. There should be no one working in our hospitals who hasn’t undergone some basic training which is not the case at present. It would also sort the sheep from the goats. Many people think they would like to be nurses but find the reality of excreta, vomit and blood etc not to mention the occasional aggression and ingratitude not to their liking. These people would deselect themselves before undertaking an expensive university education.

  3. Rupert Fawdry says:

    Please will someone read our article in the JRSM Oct 2011
    “Data Re-entry overload: time for a paradigm shift in maternity (and all shared care) IT”

    The NHS Future Forum still seems to believe that “Computers are Magic” !!

    Has any of the Workstream members ever had any understanding of time and cost involved in writing software or creating databases.

    If they had they would have accepted the unavoidable fact that the best inter-operative record is a paper record held by real life patients – as we have achieved in maternity care throughout the UK.

    When will it be accepted that computer records are like separate rigid incompatible railway systems; never like flexible road networks.

    As an unavoidable result electronic “Interoperability” of the kind envisaged in this report is never going to be affordable.

    We will however be able, at last, to make some significant progress only if we use a Wiki website approach towards standardising more and more sets of standardised questions and all allowable answers as is being attempted in the http://www.eepdwiki.org.uk website

  4. Stanley Davison says:

    It is essentially a wishlist, but mostly in keeping with what is required if we are to breakthrough on the issues of integration. If it is driven through without proper and close liason and partnership of patient/public and professionals, it will fail, and probably regress to some old bad times. It was an easy one for the Secretary of State for Health to accept (the report).

  5. Monica Dennis says:

    This is an English document which outlines some significant points about nursing. However, they presumably will only apply to England. This seems to be at odds with the fact that nure education curriculum is set for the whole of the UK by the NMC?

  6. savio gaspar says:

    I am an inner city gp and advanced trainer working in Birmingham , currently a Board member of Birmingham Clinical Commissioning Group.

    I am concerned at the RCGPs view of the health service proposed changes as it may well disengage many gps in my area who I am visiting suggesting simpler ways to work.

    These are my three suggestions to save the NHS which I have put into place and am sharing with my CCG colleagues :

    1 Advice and guidance – this could replace referral management centres , it has started to be used by gps and has been endorsed by consultants at most local hospitals in my area.
    Using it promotes greater use of IT in primary care and will also lead to a single efficient referral system in secondary care where there are a lot of wasted resources.I have had a very good response from consultants using this service and it has already saved two thirds of new outpatients in the cases i have used it for across different specialties.The average time taken to receive a response electronically via choose and book is three days , patients are very appreciative of this service aswell.

    2.Using a diagnostic route as an alternative to new outpatient appointments – simple to do , just investigate your patient with abdo/gynae/headache problems , hips,knees, shoulder and back problems, etc with the appropriate test: XR/USS/CT/MRI
    If result shows pathology then refer to secondary care , if negative then use orthopaedic triage/advice and guidance/conservative treatment as needed.

    In my practice an audit of the above showed that of 51 tests ordered , 39 were normal so saved a new outpatient , of 12 referred 8 were listed for surgery at the first appointment , so both new and follow appointments were saved , but more importantly this is a better route for patients .

    Direct electronic access to CT/MRI exists at most hospitals in Birmingham and , we are working on the remaining one !

    3. Use live data( casualty attendances, outpatient reports waiting for a follow up , current admissions, results which haven’t reached your surgery yet ) freely available from hospital webpages at local trusts to identify and educate patients about appropriate use of casualty while it is recent in their memory
    This also allows us to identify coding errors swiftly to ensure accurate information about patient activity is recorded by secondary care coding departments.

    If the above ideas are adopted there will be contracting issues to be met and necessary variations.

    I have discussed these ideas with both primary and secondary care colleagues in various specialties at different times this year and have had very positive feedback , the main comment being ” more gps need to to do this and systems would run more efficiently”

    I do not believe the above ideas compromise the GP – patient relationship, it will enhance it if we all make simple changes in the consulting room!