Improving Value in the Care of Older Patients Award - HSJ Value Awards 2019
Ageing populations have created unsustainable pressures on the NHS, these are widely publicised and there are many initiatives looking to solve the resulting issues. Better more integrated care across social, healthcare and local government boundaries and working with primary and community care organisations to ensure elderly patients get the treatment where they are rather than in hospitals will improve the patient experience, increase capacity for providers and ultimately offer value for money for the taxpayer.
By working together care organisations can also provide increased value through identifying the specific risks to individual patients. Whether in mental health or cognitive ability, mobility and frailty or dignity and end of life care, value can be achieved for all parties through collaboration, integration and planning. Reduction in variation and application of GIRFT ideals should also be considered with geriatric care.
This award will recognise those who are finding successful solutions to this difficult challenge and so improving the value of healthcare provision. We are interested in projects that include prevention in the first instance, as well as examples of good care once an older person has entered the care system. It is likely entries will involve a strong element of integration, with cross-organisation and sector working. Entrants can be a group or organisations or lead organisation from the NHS or other stakeholder organisation.
- A clear rationale for the project including the context and challenges faced. This should include the impact on patient experience, financial burden and ability of care organisations to deliver services.
- An explanation of how it aimed to achieve improved value in the care of older people
- An explanation of how the project plan was informed by existing best practice or evidence
- An evident commitment to improving the lives of older people, and maintaining health
- A demonstrable focus on patient safety alongside efficiency improvements
- An approach that is demonstrably whole-person, considering a full range of factors
Evidence the project has led to improved value in the care of older people. This should include a quantitative aspect – for instance: reduced falls rates, fewer long-term admissions to care homes, fewer emergency attendances, reductions in the number of delayed transfers of care and enhanced treatment pathways for more chronic or long-term conditions – and can also include qualitative outcomes such as patient experience measures.
Solutions that work across organisations and sectors, how they can be adopted and what efforts are being made to share best practice. Judges are looking for initiatives that are demonstrably or potentially scalable and replicable, helping others to reduce variation.
Clear evidence the redesign has improved value in the care of older people. Of interest will be projects that have simultaneously delivered financial savings and improved patient experience – creating value for taxpayers and patients alike. Qualitative evidence of improved value should be supplied and could include patient feedback, testimonials from stakeholders and staff.
Detailed information on the various organisation involved in the planning and implementation of improving value for older patients. How were parties engaged and what was the structure? What measures were put in place for each team and how has engagement continued past initial improvements.