Kent & Medway Learning Network Launch event for PCT Top Teams 29 th January 2004 Edna Robinson Chief...
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![Page 1: Kent & Medway Learning Network Launch event for PCT Top Teams 29 th January 2004 Edna Robinson Chief Executive Salford Primary Care Trust National Lead,](https://reader036.fdocuments.in/reader036/viewer/2022082917/5515168c550346a87d8b4d36/html5/thumbnails/1.jpg)
Kent & Medway Learning Network
Launch event for PCT Top Teams
29th January 2004Edna RobinsonChief Executive
Salford Primary Care TrustNational Lead, Chief Executive’s Network,
NatPaCT
![Page 2: Kent & Medway Learning Network Launch event for PCT Top Teams 29 th January 2004 Edna Robinson Chief Executive Salford Primary Care Trust National Lead,](https://reader036.fdocuments.in/reader036/viewer/2022082917/5515168c550346a87d8b4d36/html5/thumbnails/2.jpg)
Leadership
Public sector leadership requires stewardship towards quality
outcomes for the consumer, not people who will be diverted by organisational interests, or a
political point in time.
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• Very successful year in getting more people through the current system
• ‘Freedom’ is a state of mind, structures are usually an excuse for lack of creative thinking
• ‘Booking is king’. Understand demand and waiting will be resolved
• Different purchasing and provider arrangements are required for managed care and urgent care
• New NHS organisations are urgently needed
• Central leadership and control reflects risk averse system
Anywhere health economy
![Page 4: Kent & Medway Learning Network Launch event for PCT Top Teams 29 th January 2004 Edna Robinson Chief Executive Salford Primary Care Trust National Lead,](https://reader036.fdocuments.in/reader036/viewer/2022082917/5515168c550346a87d8b4d36/html5/thumbnails/4.jpg)
• Areas of urban and rural poverty may drive different solutions than self starting communities
• Local authorities must influence new organisational solutions as much as the NHS
Anywhere health economy
• Money is only flexible at the margins as NHS ‘consumers’ have already bought the bricks and mortar of their local NHS system
• Primary Care organisations want to do far more than buy treatments from others
• Private sector will draw in resources if the public sector remains incompetent
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Anywhere health economy
The Daily Agenda
AccessWaiting TimesUrgent BedsDiagnostics
Clinical Governance
ResourcesInsufficient
developments
Uncapped DemandA&E Waits
Out of hours services
GP surgeriesChronic Disease
Star RatingsTargets
NSFs
CHAI Reviews
FoundationTrusts
Network Developments
Preventable DiseaseSmoking
Mental Health
ICTData v
information
WorkforceAvailabilityNew Roles
New Contacts
Choice & Consumerism
PPIDilemma re: local services
Booking and Triage
Leadership
Performance
Delivery
DevelopmentRedesign
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Anywhere health economy
Our Current Responses
Doing Same Better
Doing More of Same
Innovating
Using Catalysts
Reforming operational systems “cleaning” reportable data
Additional capacityGrowing the workforce
NetworksTier 2% GP referrals
Modernisation Agency“Action On”TsarsEmergency Collaboratives
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Anywhere health economy
Return on Investment of Effort Turning Point?
Delivery/Performance
?
TIME
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New Agenda
• Understanding Demand
• Difficult Access – a thing of the past
• Skill Mix and Triage
• Trust, co-operation and interdependence
• Consumer influences solution – real choice
Anywhere health economy
• Networks not institutions
• Primary – secondary old speak