Future Hospital: Caring for medical patients

Context and development

Why establish the Commission? ‘I was moved five times, all done at night time, some of them with nurses wheeling me down corridors with all the contents of my cabinet on my knee. It is very impersonal. You feel like a package.’ RCP Patient and Carer Network member

Why establish the Commission? Hospitals on the edge? Rising clinical demands Changing needs Fragmented care Out-of-hours care breakdown Medical workforce crisis

Aim of the Future Hospital Commission Identify new way of delivering hospital services: Come to patient Coordinated around patients’ needs (including for multiple conditions) Organised over seven days Reach beyond hospital walls Value patient experience as much as clinical outcome Deliver clear lines of responsibility for patient care

Constitution of the Commission Patients ManagersSocial care Nursing PhysiciansGPs Anaesthetists SurgeonsTrainees Health academicsPublic health and others

What does the report cover? Organisation of medical care and teams Education, training and deployment of medical staff Building a culture of compassion and respect Management, economics and leadership Information systems

Recommendations

New principles of acre Eleven principles of patient care, including: Patient experience valued as much as clinical effectiveness Clear responsibility for each patient’s care No wards moves unless necessary for clinical care Robust arrangements for transferring of care Self-care and health promotion facilitated. Care plans that reflects individual needs for all

Recommendations A new model Restructure of acute hospital care into a medical division with a ‘chief of medicine’ More doctors providing acute services and ‘general’ care Single electronic patient record viewable in hospital and community Coordinated specialist care Care coordinated by a single named consultant

Recommendations Expert assessment Specialist teams assessing patients at the ‘front door’. Patients ‘fast-tracked’ to specialist wards Seven day care Same access to treatment at a weekend as a weekday Medical teams work together from one day to next

Recommendations Seamless care Patients not moved unless clinical need demands it Medical teams working in the community Prevention and recovery Plans for patient leaving hospital set out when they are admitted Shared-decision making Responsibility Named consultant will responsible for clinical outcomes, safety and patient experience

Reaction and next steps

Reaction ‘Doctors propose cure for failures on wards’ Welcome to the hospital of the future ‘Most important statement about the future of British medicine for a generation’ ‘…bold and refreshing’ ‘the result could be a step change in the quality of care’

Realising the Future Hospital RCP Future Hospital Programme ( ) Consult Future Hospital partner sites Promote good practice - Future Hospital Journal Influence - identify levers in new structures Embed in existing RCP work

Questions?