1. Workforce Modelling for Paediatric Gastroenterology Paul Forte www.balanceofcare.com +44 7818 066653 ORAHS 2010, Genoa, Italy, 19-23 July 2010

2. Important issues… Need to make best use of an expensive resource: efficiency and effectiveness Quality of patient care – enabling ‘care close to home’ Managing care across organisational and professional boundaries Development of clinical networks and information flows

3. The Balance of Care Model for Paediatric Gastroenterology Paediatric Gastro patients Cystic Fibrosis Failure to thrive Small bowel Crohns

4. The Balance of Care Model for Paediatric Gastroenterology Paediatric Gastro patients Cystic Fibrosis Failure to thrive Small bowel Crohns Specialist nurse Paediatric nurse Voluntary & Private sector Health Service Municipality Dietitian Social worker Care worker Play specialist

5. The Balance of Care Model for Paediatric Gastroenterology Paediatric Gastro patients Cystic Fibrosis Failure to thrive Small bowel Crohns Specialist nurse Paediatric nurse Voluntary & Private sector Health Service Municipality Dietitian Social worker Care worker Play specialist Option 1 Option 2 Option 3

6. Example Care Options

7. An Example Scenario

8. Pilot Project Results Successful methodology for working with clinicians Description of patient categories Specification of workforce inputs Some initial quantification of demand and supply Local health economy focus Highlighting of data issues

9. Value of the Balance of Care Approach A workable ‘whole system’ approach for clinicians It is patient-focused: a view of the patient journey across organisational and professional boundaries Supports development of a local joint vision and strategy for service Communication and involvement of stakeholders - it enables meaningful dialogue