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9t hFebr uar y2018

t a r t mea ndf ul lmer ol e sa v a i l a bl e . tl e a s ee ma i l y ourr e s umet o: t r i s h. c our t ne y @bea c onhos pi t a l . i ephone012936094 orv i s i tbea c onhos pi t a l . i e/ c a r eer s

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Usi ngDi gi t alTool st oAt t ai nAccount abl e Car ei nMul t i pl eCar eSet t i ngs Li nk i ngdat abet weenc ar es et t i ngshasbeenoneoft hebi gges t c hal l engesf ac i ngc l i ni c i ansi nt he21s tc ent ur y .Ev enwher e v al uabl edat ai sav ai l abl e,i ti sof t ens t i l l i nac c es s i bl et omanyof t hepeopl ewhoneedi t ,att het i met hatt heyneedi t .Thi si s of t ent hec as eev enwi t hi nas i ngl eor gani s at i on. As i l oedi nf r as t r uc t ur e,dat as ec ur i t yc onc er ns ,pat i entc ons ent andmanyot herc hal l engi ngi s s uesar eal l bar r i er smos t c l i ni c i answi l l bef ami l i arwi t h.Ov er l ay i ngal l oft hes ei st het as k ofs el ec t i ngt heper t i nenti nf or mat i onandens ur i ngi ti smanaged ormoni t or edwi t hi nt her i ghtc ar ec ont ex tandi nat i mel yway . Thef undament al i s s uer emai nst hatt hec l i ni c i ans ,bes tpl ac ed t opr ov i det hedat ahav et hel eas tt i met or ec or di t .Sadl ymos t ‘ Cl i ni c al i nf or mat i on’ i st her ef or ebas edonbi l l i ngc odesands o t hei nf or mat i oni sgener i catbes tandus ual l yqui t eunhel pf ul f r om ac l i ni c i an’ sper s pec t i v e,wheni tc omest omak i ngany s ens i bl edec i s i onsorobs er v at i onsaboutt r eat ment . Whet herwor k i ngi nPr i mar yCar e,Ac ut eCar e,Communi t yCar e oranyoneoft hemanys uppor ts er v i c est hatl i nkNHS or gani s at i onsands er v i c est oget her ,t heneedt owor kmor e c ol l abor at i v el yt odel i v ert hebes tpos s i bl eheal t hc ar et oal l pat i ent si nt hel oc al c ommuni t y ,i st hegol ds t andar dt hat ev er y onei nheal t hc ar ei ss t r i v i ngt oac hi ev e.Hi s t or i c al l y ,whi l s t wek nowqual i t yc ar ehasbeendel i v er ed,t her ehasbeenno eas ywayt oev i denc et hi s .Aswepr ogr es si nt oanNHSt hat needst odomor e,pr ov i demor eandi mpr ov eef f i c i enc i est o max i mi s er es our c eswher ev erpos s i bl e,t heabi l i t yt ol i nk di f f er entpr ov i der sandt hepat i enti nf or mat i onandr ec or ds behi ndt hem,bec omesnec es s ar yf ors uc c es s f ul heal t hc ar e out c omesandt hei mpr ov ementoft heov er al l qual i t yofc ar e del i v er edt oapat i ent . Cl i ni c al c ommi s s i oni nggr oups( CCG’ s )andl oc al aut hor i t i esar e begi nni ngt oadoptac c ount abl ec ar emodel s ;amor es t r at egi c wayofc ommi s s i oni ngc ar eandhol di ngheal t hc ar e or gani s at i onsandpr ov i der st oac c ountf ordel i v er i ngand i mpr ov i ngheal t hc ar eout c omest ot hos et heyt r eat . Cur r entc ommi s s i oni ngens ur est hats er v i c esar emetac c or di ng t owai t i ngt i mesandt r eat mentdeadl i nes ,butwhati st hebes t wayt omeas ur et heef f ec t i v enes sofanac c ount abl ec ar emodel andens ur eout c omesandr es ul t si mpr ov e? I ft hemodel enc ompas s esawhol enewappr oac ht hatgr oupsdi f f er entc ar e pr ov i der st oget her ,howdoy ouc ompar et heef f ec t i v enes sof t hes edi f f er ents er v i c esandi si tev enf ai rt oj udgeandpayc ar e pr ov i der si nt hi sway ,i ft heydon’ tpr ov i del i k ef orl i k es er v i c es ? Ones ol ut i oni st hei mpl ement at i onofpat i entr epor t edout c ome meas ur es( PROM’ s )andpat i entr epor t edex per i enc emeas ur es ( PREM’ s )ac r os sal l c ar es et t i ngs .Moni t or i ngofac ol l abor at i v e c ar emodel us i ngc l i ni c al out c omeswoul daf f or dt heCCG and t hec l i ni c i anst hems el v es ,ac ompl et eov er v i ewoft hec ar ea pat i entr ec ei v es .Wi t ht her i ghtdi gi t al s of t war e,power f ul enought oi nt er ac tbet weenal l c ar es et t i ngs ,meas ur i ng out c omeswoul dpr ov i demor et hanj us tat i c kboxs ol ut i ont o moni t or i ngc ommi s s i oni ngef f i c ac y ,butav al uabl eand meani ngf ul r ef l ec t i onoft hec ar ebei ngpr ov i ded.

CCG’ sar et ur ni ngt oi nnov at i v et ec hnol ogypar t ner st odel i v er di gi t al s ol ut i onsands t eerc ommi s s i oni ngt owar dsan ac c ount abl ec ar emodel ,l ook i ngf orc ol l abor at i onbet weent he s er v i c est owor kt oget hert odel i v ert hedi f f er entel ement s .I n or dert oac hi ev et hi s ,whet heri nt heNHSori nt hepr i v at e s ec t or ,al l ar el ook i ngt opar t nerwi t hc ompani est hats pec i al i s e i ndi gi t al t ool st hatenabl es eaml es sc ol l abor at i ont hr oughout t hedi f f er entc ar es et t i ngs . I ft heov er al l obj ec t i v ei st oac hi ev es y s t em c ol l abor at i onand ov er al l l oc al popul at i onheal t h,t henc ommuni c at i onwi l l bek ey t odel i v er y .Sy s t emsneedt obef l ex i bl e,al l owi ngs eaml es s t r ans i t i oni ngofpat i enti nf or mat i onbet weenc ar egi v er sand al l owi ngc ont i nual moni t or i ngoft hepat i entbyal l par t i es , i r r el ev antofwhoi sdel i v er i ngc ar et ot hepat i ent .Mos t i mpor t ant l yt heyneedt obev er ys i mpl eandeas yf orc l i ni c i ans t or ec or ddat aandr emai npar toft hei rr egul arwor k s t r eam t o r educ eef f or tr at hert handupl i c at ei t . Anex ampl emaybet heus eofAmpl i t udepr oent er pr i s e™,a di gi t al c l i ni c al out c omespl at f or mc ur r ent l yus edi ns ec ondar y c ar et oc ol l ec tout c omes .Thev i s i oni s ,t hi sc anbeex t endedt o GPpr ac t i c esas s oc i at edwi t ht hehos pi t al c ur r ent l yus i ng Ampl i t ude,t ot r i ageapat i entatt heGPappoi nt ment .By ans wer i ngas etofs i mpl eques t i ons ,aGPwoul das s es st he bes tr out eofr ef er r al f ort hec l i ni c al pr obl em andens ur et he pat i enti sdi r ec t edt ot heappr opr i at ec l i ni c al t eam t odeal wi t h t hepr obl em.TheGPwoul dt hent r ans f ert heowner s hi poft hat pat i entt ot hec l i ni c i anandc ar ec oul dc ont i nue,howev er ,t hey woul ds t i l l r et ai nr eadonl yr i ght st oc ont i nual l ymoni t ort hei r pat i ent ’ spr ogr es sbas edont her el ev antout c omes( PROMs ) meas ur es .Whent hepat i enti sdi s c har gedbac kt ot heGPor c ommuni t ys er v i c es ,t heowner s hi pi sonc eagai nt r ans f er r ed, butal l par t i esi nv ol v edr et ai nt her i ght st omoni t orhowpat i ent s r ec ov er . Thi si nt er c onnec t edwayofc ol l abor at i v el yt r eat i ngapat i entnot onl ybenef i t st hepat i entr ec ei v i ngc ar ebutwi l l hav es i gni f i c ant pos i t i v eef f ec t sonor gani s at i onsdel i v er i ngt hec ar e,whowi l l s eeas i gni f i c antr educ t i oni nt headmi ni s t r at i v ewor k s ur r oundi ngt hepr oc es s i ngofpat i ent sandt her ef or es ee f i nanc i al r ewar ds .Ther ei sl i t t l ei nputr equi r edf r om t hec l i ni c al t eamsasopt i ons ,c hoi c esandques t i onsar eal r eadypr el oaded andar es el ec t edatt het i met hatt heyar es eei ngt hepat i ent , meani ngt hati tf i t si nwi t ht hec l i ni c i an’ sdai l yr out i ne.Whent hi s i sc ombi nedwi t ht her egi s t r yi nt er c hangef unc t i onal i t y ,al l owi ng t heupl oadofPROM’ sdat adi r ec t l yt or egi s t r i es ,f ur t heradmi n andr es our c eef f i c i enc i esc anbemade,f ur t herr educ i ng dupl i c at i onofdat aent r yf orc l i ni c i ansorpat i ent s . Woul dyoul i ket of i ndoutmor e? Thet eam atAmpl i t ude Cl i ni calOut comesar ehappyt odi scussanyquest i onsyou mayhaveorpr ovi deademonst r at i onofhow t hesof t war e canassi styourheal t hcar eor gani sat i on,si mpl yemai l i nf o@ampl i t udecl i ni cal . com,cal l03330146363and r ef er encet hi sar t i cl eorvi si twww. ampl i t udecl i ni cal . com f ormor ei nf or mat i on.

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Foodwast e KeyFact s -Foodwast ei sagl obali ssue. Accor di ngt ot heFoodand Agr i cul t ur eOr gani sat i onoft heUni t ed Nat i onsonet hi r doft hegl obalf ood pr oduct i oni sl ostorwast edannual l y . -I nt heUK,wet hr owaway7mi l l i on t onnesoff oodanddr i nkf r om our homesever yyear ,t hemaj or i t yof whi chcoul dhavebeeneat en. -Wast i ngt hi sf oodcost st heaver age househol di nt heUK£470ayear . -Br ead,f r ui tandveget abl esar et he mostcommonl yt hr ownawayf oods. Foodwast e-t hei ssue Wi t ht hegl obalpopul at i onsett or i se t oover9. 5bi l l i onby2050t her ear e hugepr essur esf aci ngt hewor l d’ s f oodsyst em.Wedonotyetknow whatt hef ut ur ewi l lbr i ngf orf ood,but wedoknowt hatbusi nessasusuali s notanopt i on. Wecanal lcont r i but et oabet t erf ood f ut ur ebyr educi ngt heamountoff ood wewast e.Smal lchangeswi l lmakea bi gdi f f er ence,andever yonecanpl ay t hei rpar t .Al most50% oft het ot al amountoff oodt hr ownawayi nt he UKcomesf r om ourhomes.

Ther ear et womai nr easonswhywe t hr owawaygoodf ood:webuyormake t oomuchorwedon' tusei ti nt i me. Checkoutourr eci pest ohel pyouavoi d f oodwast eandal wayseat ,cookor f r eezef oodbyt heusebydat e. Busi nesseshavear ol et opl ayi n r educi ngf oodwast et oo.WRAP r esear chshowst hatt heUK manuf act ur i ngandr et ai lsect orwast es 1. 9mi l l i ont onnesoff oodanddr i nka year ,1. 1mi l l i ont onnesi savoi dabl e. Whi chi swhywewi l lbespeaki ngt o busi nessest of i ndoutwhatt heyar e doi ngt or educef oodwast eandwhat mor ecanbedone. Foodwast er edi st r i but i on On6Jul y2016t heFSAhel dan i ndust r yr oundt abl eeventent i t l ed ' Addr essi ngt hechal l engesi nf ood wast er edi st r i but i on' .Theeventwas at t endedby50r epr esent at i vesf r om t her et ai l er ,char i t yandNGO sect or s. Thepr esent at i onsf r om t hi seventcan bef oundbel owandaf ul lnot eoft he meet i ngwi l lbepubl i shedshor t l y .

www. f ood. gov. uk/ newsupdat es/ campai gns/ f oodwast e

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