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ANNUAL REPORT
2005 - 2006- continued
Patients Forum Meetings
2005 - 06
Summary of
Presentations
Good Medical
Practice Review - Consultation
Speaker: Farkhanda Maqbool,
General Medical Council
November 2005
Why Review?
Ten years since
publication. Minor revisions in 1998 and 2001. Fundamenta
review to ensure it remains fit for purpose and reflects the 'right'
standards and principles of good practice.
We need to
understand...
-
What
is important to the public?
-
What
can realistically be expected of doctors?
-
What
standards are shared by the public and the profession (and which are
not)?
-
What
the professionand the public wants from the health services, now and
in the future?
Good
Medical Practice is...
-
A
positive statement (not 'bad' medical practice)
-
Core
guidance to doctors on standards expected of them
-
Accessible
to patients and the public
-
Provides
a statement to patients and the public of what they can expect of
their doctors
Good
Medical Practice is also important because it...
-
Informs
the medical curriculum and is taught in undergraduate courses
-
Provides
a 'benchmark' to consider doctors' fitness to practice when
complaints are made to the GMC
-
Provides
a framework for NHS appraisal and in the future revalidation
Whose
Standards?
Developing
the guidance through extensive consultation, including with doctors,
other health professionals, patient and public groups, the general
public, service providers (like the NHS) and legal/medical defence
advisers.
Choice,
Devolution & Equity
Speaker:
Jessica Allen, Institute for Public Policy Research
January
2006
Key
Messages
-
Current
choice policy could increase inequities if it is not geared towards
disadvantaged
-
Equitable,
progressive vision of choice could reduce inequities and achieve
wider benefits
-
Need
to develop choice in primary care and long-term conditions to meet
needs and preferences out of hospital
Choice
should aim to do more than create a market. The primary goal of
choice should be to improve outcomes and reduce inequalities.
Framework
for Progressive Choice
-
Build
meaningful choice throughout the system
-
Information,
targeted support, advocacy and transport
-
Harnessing
voluntary and community sector to support and to feedback the 'voice
of choice'
-
Develop
choice in primary care, more specialisation, more choice outside
hospital
-
Choice
throughout long-term condition care pathway, empower to self-manage
Project
Aims
-
Most
equitable implementation of patient choice
-
Development
of choice in the future
-
Contribute
to tackling health inequalities
-
Not
comparing choice vs planning
-
Not
'solving' health inequalities
Our
Health, Our Care, Our Say - a new direction for community services
Speaker:
Janice Shersby, Department of Health
March
2006
Most
contact with services occurs in the community:
86%
of patient contact occurs in the community - outside of hospitals
Everyday
there are thousands of contacts with community health and social care
The
Service Challenge
-
Insufficient
focus on prevention and education
-
Access
is unfair and inconvenient
-
Quality
is uneven
-
Care
often in expensive and remote settings
-
Services
don't work together for user
The
Public's Priorities
-
More
choice and control over their health and care
-
Promote
prevention and independence
-
Greater
convenience and easy access
-
Focus
on all their needs
-
Focus
on those in greatest need / greatest risk
The
People's Choices The four goals of the White Paper:
-
Better
prevention and earlier intervention for improved health and
well-being
-
More
choice, control and a stronger voice
-
Improve
access to community services and tackle inequalities
-
Better
support for people with longer term needs
How
are we going to make this change?
-
Inclusive
approach
-
Strengthened
voice arrangements
-
Pilot
and develop models
-
System
reforms
-
Shifting
resources into community and prevention
-
Workforce
development
-
Better
joining up of services at a local level, new outcomes framework
-
Encouraging
innovation and social enterprise
-
Allowing
different providers to compete and successful practices to expand
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