Title: Enthusiasts, sceptics and paternalists'
1Enthusiasts, sceptics and paternalists.
- Clinical engagement with choosing and booking
- Dr Simon Walford
- Senior Medical Advisor, DH
2Changing behaviour
Pre-cognitive
Cognitive
Planning Recruitment
CHANGE
Benefit Reinforcement
3Changing behaviour
Pre-cognitive
Cognitive
Planning Recruitment
CHANGE
Benefit Reinforcement
4What is clinical engagement?
5Clinicians who are genuinely engaged with their
organisation..
- know they are fully informed about its priorities
and - are able to influence its agenda.
- They share its aims and are committed to helping
achieve them.
6Three groups of GPs
- Enthusiasts
- A lot of patients delegate that responsibility
to the GP but increasingly more patients want to
be involved in that decision, they want to be
empowered with information. My experience is
slightly different in that Im all for this. I
would like to be able to complete the whole
episode in one consultation - Sceptics
- It needs to be Here are the options., These are
the ones I wouldnt touch with a bargepole.
These are the three youre left with, do your
research, I cant be responsible for this. Ill
do a referral for you, but again the buck stops
with you, in a way - Paternalists
- My consulting methods will be very directive in
terms of I would say to the patient you have a
choice but if I was you, if I was in your
situation I would go here and I would say to
them go for it - Rosen, Florin Hutt. Kings fund 2006
7Clinicians who are genuinely engaged with their
organisation..
- know they are fully informed about its priorities
and - Are the clinicians talking sense?
- are able to influence its agenda.
- They share its aims and are committed to helping
achieve them.
8The structure of provider services
Consultant Clinic
Specialty
Black Box
Consultant Clinic
9The structure of provider services
Cataract
Consultant Clinic
Glaucoma
Ophthalmology
Cornea
Consultant Clinic
Diabetic Medical Retina
10The structure of provider services
Cataract
Consultant Clinic
Glaucoma
Ophthalmology
Cornea
Consultant Clinic
Diabetic Medical Retina
11The structure of provider services
Cataract
Consultant Clinic
Glaucoma
Ophthalmology
Cornea
Consultant Clinic
Diabetic Medical Retina
12The structure of provider services
Cataract
Consultant Clinic
Ophthalmology
Glaucoma
Cornea
Consultant Clinic
Diabetic Medical Retina
Pregnancy and maternal
Diabetic Medicine
Consultant Clinic
Podiatry and foot
13The structure of provider services
Cataract
Consultant Clinic
Ophthalmology
Glaucoma
Cornea
Consultant Clinic
Diabetic Medical Retina
Pregnancy and maternal
Diabetic Medicine
Consultant Clinic
Podiatry and foot
14The structure of provider services
Cataract
Consultant Clinic
Ophthalmology
Glaucoma
Cornea
GP
Consultant Clinic
Diabetic Medical Retina
Pregnancy and maternal
Diabetic Medicine
Consultant Clinic
Podiatry and foot
15The structure of provider services
Cataract
Consultant Clinic
Ophthalmology
Glaucoma
Cornea
GP
Consultant Clinic
Diabetic Medical Retina
Pregnancy and maternal
Diabetic Medicine
Consultant Clinic
Podiatry and foot
16The structure of provider services
Cataract
Consultant Clinic
Ophthalmology
Glaucoma
Cornea
GP
Consultant Clinic
Diabetic Medical Retina
Pregnancy and maternal
Diabetic Medicine
Consultant Clinic
Podiatry and foot
17Clinicians who are genuinely engaged with their
organisation..
- know they are fully informed about its priorities
and - Are the clinicians talking sense?
- are able to influence its agenda.
- Is the organisation, listening?
- They share its aims and are committed to helping
achieve them.
18National Specialty Reference Group
- Professor Angus Wallace
- Professor of Orthopaedics, Nottingham
University - Neal Mortimer
- South Devon Healthcare NHS Trust
- Sarah Dutton
- DoS support for East of England SHA
- Doscontent-bulletin_at_nhs.net
-
19National Specialty Reference Group
- Improvements made to governance, membership and
way of working - Greater transparency about rationale for changes
- Prior to the end of March 2007, will review
- General Clinic Types
- Services for Children and use of the Paediatric
Clinic Type - Field names for Specialty and Clinic Type
- Release Gastroenterology and General Medicine
- Will begin the phasing out of unused Clinic
Types
20Is yours?
- Facilitative management
- Responsive IT support
- User Groups
21Clinicians who are genuinely engaged with their
organisation..
- know they are fully informed about its priorities
and - Are the clinicians talking sense?
- are able to influence its agenda.
- Is the organisation, listening?
- They share its aims and are committed to helping
achieve them. - Is there a constructive dialogue?
22Balancing Interests in DoS
- Desktop tool for General Practitioner
- Shop window for Providers Specialists
- Consistent and equitable framework for
Commissioners - Route to information for patients
23Best Practice
- Clinical Service owns its Directory
- Service seeks Primary Care Review and feedback
- Service monitors cancellations, rebookings and
DNAs - Service feeds back to NSRG via new machinery
24Materials to help
- New Guides and Tools
- National Support Team
- National User Groups
- The big picture