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2020 Vision Task (1. QUALITY OF CARE (Role of Primary Care (How? ((• …

- - - - • Implementation of the new GP contract with benefits fully explored and realised
        
        • 2020 Vision for expanded primary care developed
        
        • New models of ‘placed-based’ primary care developed including a model for remote primary care implemented and evaluated
  - - - • Further increase of safety in Scottish hospitals as measured by HSMR and HAI
        
        • New broader measure of safety developed to increase impact of improvement (SPSI)
        
        • Maternity, mental health and primary care components of the Scottish Patient Safety Programme implemented with measureable improvements
  - - - • Bill introduced to Parliament and gaining Royal Assent
      - • Preparatory work with NHS Boards, local authorities, third and independent sector partners and including development and delivery against new Single outcome Agreements and the building of effective Integrated Health and Social Care Partnerships
  - - - • Achieving a sustainable performance on 4-hour A&E waits by the end of december 2013
      - • Improving patient care in hospitals by increasing flow through the system
      - • Development of out of hospital care as part of the National unscheduled Care Action Plan
  - - - • Person-centred Health and Care Collaborative being implemented with measureable improvements locally in experience for patients, their carers and for staff
      - • Support and clear accessible information will be available to enable people and their carers to manage confidently at home and during times of transition
  - - - • Key pressure points in the entire patient pathway for most commonly occurring combinations of chronic-term illnesses will be identified and actions for how we address these will be agreed
      - • Through more detailed analysis of existing data, people will be identified as ‘at risk’ and anticipatory plans will be agreed
- - - - Providing a healthy living environment right from the get go sets the president for healthier living in later life and thus for old age.
    - - actions described in the early years collaborative include increasing free childcare substantially, offering free baby boxes to all Scottish children and educational resources. However this money has to come from somewhere.
    - - Seems unrealistic and a VERY LARGE TASK
    - - Could reduce inequality, lead to happier children who remain happy with aging
  - - - Investing in deprived areas
      - Telehealth facilities
    - - Investing in deprived areas aims to hopefully counteract the effects of benefit cuts for people with a lower socioeconomic status. this reduction in inequality may result in healthier aging for the overall population
    - - This may lead to reduced costs and workloads for hospitals.
    - - include financial concerns as this requires additional funding
  - - - Impact?
        
        Better co-ordination between health and social services prevents debates over who's budgets to use, enables a more seamless service and transition to the community allowing for better satisfaction from patients and improvements to quality of life
      - Challenges?
        
        overcoming profession based egos, communication between individuals/teams, understanding differences in training etc.
      - Cost?
        
        team-working to a higher degree could lower workloads overall and be more cost effective.
    - - Impact?
        
        Detecting cancer earlier on can minimize the often negative side effects associated with cancer such as treatments, physical changes, psychological issues etc and thus would enable healthier aging.
      - Challenges?
        
        raising awareness of signs of cancer and when to visit a GP.
      - Cost?
        
        expensive late stage cancer treatments and time would not be needed saving money
    - - Impact?
        
        By tackling alcohol, smoking and exercise everyone of all ages will be able to age more healthily
      - Cost?
        
        should reduce costs as there is less needless admissions and work for staff due to lifestyle based decisions that are easily preventable