good article by Sam Everington on general practice http://t.co/Qk0iIs2ZZQ
— Chris Ham (@profchrisham) marzo 13, 2014
Director of King'sFund, Chris Ham’s tweet, takes us to Sam Everington’s article in
The Guardian, about new experiences of financing (commissioning)
towards community services deployed to address chronic complex
patients in their own homes, even in episodes of clinical
exacerbations, and thus avoiding likely unwise hospitalizations.
The landscape that
illustrates the article corresponds to the borough of Tower Hamlets,
a location where a program coordinated with family physicians, nurse
practitioners, social services, mental health specialists and other
community services is being developed. These Tower Hamlets’ teams,
when addressing complex chronic care patients have the capacity to
deploy home hospitalization services, according to individualized
treatment plans discussed and approved in the socio-clinical monthly
sessions.
According to
Everington, to enable this kind of experience of integration of
community services to flourish, funders should lose their fear of the
traditional contractual rigidities and should be able to support with
ad hoc contracts which, instead of relying on activities, would
reward coordination efforts and results’ improvements.
Complex chronic
patients need integrated services developed by enthusiastic
professionals and funded by collaborating administrators, or so the
experience shows.
Jordi Varela
Editor
Jordi Varela
Editor
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