* Nina White Commissioning and Redesign Lead Shropshire PCT/CCG 19.03.13 *Marketing *Data *Outcomes *Integrated care *Key actions * *Product *Price *Place *Promotion http://www.csp.org.uk/professionalunion/practice/your-business/overview-marketing * * * *Activity *Performance *Quality *Capacity *Demand *Value * * Clinical outcomes e.g EQ5DL and specialty specific measures * Process measures * Balancing metrics NHS outcomes Framework: Outcome domains 1. Preventing premature death Quality domains Clinical effectiveness 2.Enhance quality of life for people with long-term conditions 3.Helping recovery form illhelath and injury 4. Ensuring a positive experience of care 5.Treatment in a caring environment and protection from avoidable harm * Patient experience Safety Threshold Method of Measurement Consequence of breach Podiatry Health Questionnaire – Response to Walking/Getting About question Review Corrective Action Plan Disqualification if fail to implement Corrective Action Plan and/or consistently fail to meet/exceed the target Quality Requirement Improved mobility and independence for patients More than 50% (from a minimum sample of 35%) of patients reporting improved mobility as a result of podiatric treatment 50% Reduced foot pain More than 50% (from a minimum sample of 35%) of patients reporting reduced pain using the 11 point Visual Analogue (VAS) Scale 50% Improved foot health More than 70% of patients show an improvement in their foot health after treatment 70% Completed by the patient/carer prior to treatment and two weeks after treatment Podiatry Health Questionnaire – Response to Foot Pain question Completed by the patient/carer prior to treatment and two weeks after treatment Podiatry Objective Clinical Score (POCS) Objective score given by the podiatrist to reflect their judgement of the patient’s foot health Review Corrective Action Plan Disqualification if fail to implement Corrective Action Plan and/or consistently fail to meet/exceed the target Review Corrective Action Plan Disqualification if fail to implement Corrective Action Plan and/or consistently fail to meet/exceed the target * “The organisation and management of health services so that people get the care they need, when they need it, in ways that are user friendly, achieve the desired results and provide value for money.” World Health Organisation * Community Hospital GP Patient GP Patient AHP Hospital * *Every contact counts *Planning and preparation *Horizon scanning *Engagement *Leadership *