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Prudent Healthcare 2015 In partnership with Prudent Healthcare 2015 An International Summit #prudenthealthcare www.prudenthealthcare.wales Contents Ministerial Foreword Ministerial Foreword 3 Professor Mark Drakeford AM Minister for Health and Social Services Event Schedule 4 I would like to welcome you to our first international summit on prudent healthcare, here in Cardiff. I am delighted to also Partner Section (BMJ) 9 welcome Dr. Sandra Vernero, co-founder of the Slow Medicine movement, in Italy, and Dr. Fiona Godlee, editor-in-chief of the BMJ to Wales. Dr. Godlee will share some of the work from Speaker Biographies: 10 the BMJ’s Too Much Medicine campaign www.bmj.com/too- much-medicine, particularly about over-diagnosis and over- Rt. Hon. Carwyn Jones FM – First Minister 10 treatment. Together they will give us a European and a UK- wide perspective about what we call prudent healthcare Professor Mark Drakeford AM – Minister for Health and 11 in Wales. Social Services Wales is at the forefront of a growing global movement to provide a value-based approach to health and care, based on need and which incorporates the citizen’s voice in decisions Gillian Clarke 11 about healthcare and services. In Wales, the Bevan Commission www.bevancommission.org/home has developed a set of prudent healthcare principles to Dr. Fiona Godlee 12 help guide the future of our integrated health and care system. More information about these principles and how they are being put into practice in Wales is available on our dedicated and Dr. Sandra Vernero 12 interactive Making Prudent Healthcare Happen website www.prudenthealthcare.wales Prudent healthcare cannot be delivered by the actions of our health service – NHS Wales – Dr. Don Berwick 13 alone. Ensuring we get best value from our investments in healthcare, means we cannot just look at the symptoms of disease in isolation. We must also consider the related conditions, complications, and circumstances which contribute to a person’s ill health. This can only be Eddie Butler 13 achieved by adopting a public service approach, with meaningful partnerships between all sectors and with industry. I am therefore pleased the First Minister for Wales is opening this Morning Breakout Abstracts 14 summit. I look forward to hearing the progress in making prudent healthcare happen from across Wales Afternoon Breakout Abstracts 14 – everyone has a vital role to play in creating the right culture for our health and care services to flourish. Ideas Marketplace 19 I hope you find the day stimulating and interesting. Please make time today to take part and contribute to the prudent healthcare debate and the workshops and by signing the pledge wall either in person or by using the hashtag – #prudenthealthcare – highlighting the one thing you will do differently after today’s summit to make prudent healthcare happen. Professor Mark Drakeford AM Minister for Health and Social Services © Crown Copyright 2015 25225 2 Digital ISBN: 978-1-4734-4241-2 3 www.prudenthealthcare.wales Event Dr. Dominic Eggbeer Schedule Cardiff Metropolitan University’s International Centre for Design & Research (PDR) will provide a demonstration of how a partnership between academia, industry, and the health service is improving facial 08:30 – 09:15 Registration / refreshments reconstruction through 3D photometric scanning and prosthetic production with a piece of work funded by the Health Technology 09:15 – 09:25 Chair’s introduction – Eddie Butler and Tele-health Fund in which they partnered with ABMUHB and 09:30 – 09:50 First Minister’s address Photometrix Ltd. 09:50 – 10:20 Gillian Clarke, National Poet for Wales Why are public Chair: Professor Sir Mansel Aylward service partnerships 10:20 – 10:30 Disperse for breakout sessions The Chair of Public Health Wales and Bevan Commission will question crucial to achieving how we would start to understand whether the intended benefits of 10:30 – 11:30 Morning breakout sessions prudent healthcare? following the prudent healthcare principles are being delivered. Individual examples of prudent healthcare happening in Wales, drawing Presenters: on work from phase 1 and 2 workshops, existing case study examples, and chapter contributors to Making Prudent Healthcare Happen. Dr. Tom Kelley The International Consortium for Health Outcomes Measurement Session theme Session facilitators (ICHOM) will provide a global perspective on assessing what really matters to patients, with practical examples from their working groups. Can the prudent Chair: Dr. Ruth Hussey OBE, Chief Medical Officer for Wales healthcare agenda Dr. Sally Lewis and Dr. Glyn Jones The Chief Medical Officer will provide a brief overview of why prudent improve the healthcare matters when thinking about managing chronic conditions. management of Aneurin Bevan University Health Board, a strategic partner of ICHOM, will set out how an outcomes based approach is at the heart of chronic conditions? Presenters: their Clinical Effectiveness Programme, which is delivering significant Dr. Lindsay George and Dr. Fiona Kinghorn improvements in their services. Cardiff and Vale University Health Board will set out how they are using Why are public Chair: Darren Mepham the prudent healthcare to help the organisation confront one of the service partnerships The Chief Executive of Bridgend County Borough Council will set out biggest international public health issues – diabetes. crucial to achieving how making prudent healthcare happen will require meaningful and prudent healthcare? Andrew Crowder and Professor David Owens strong public service partnerships. The all Wales Diabetic Retinopathy service will describe how they are Presenters: leading the way in the United Kingdom, spearheading innovative approaches, and delivering measurable improvements to patient value. Julie Boothroyd and Eve Parkinson Monmouthshire County Borough Council will describe how work Chair: Mr. Hamish Laing Will innovation be undertaken in partnership with others to transform adult social care the driving force for The Medical Director of Abertawe Bro Morgannwg University Health has delivered results and is, in many ways, consistent with the prudent prudent healthcare? Board will argue that prudent healthcare will not happen without healthcare principles. innovation, citing the recent experience of his organisation. Samia Saeed Edmonds and Gareth Coles Presenters: Melanie Thomas MBE and Jane Fitzpatrick Leaders from the Valleys Steps social impact bond project will The all Wales Lymphoedema service will describe how innovation demonstrate how a new and innovative partnership model is aiming is as much about a continuous process of change, as pushing the to better meet patient’s needs by developing alternatives to prescribing boundaries through new techniques, including micro surgery. antidepressants. 4 5 www.prudenthealthcare.wales Will ‘Prudent Chair: Dr. Anthony Calland 4. What practical examples of early intervention and prevention should Clusters’ provide a we be replicating? Lessons from Cwm Taf occupational therapist A Bevan Commission Member and former GP, Dr Calland will explore pathway to primary Alyson Davies and the Bevan Commission’s Lucy Scowen. why strengthening primary care will be vital to the delivery of Prudent care success? Healthcare. 5. How can we make real our ambition for a truly cross-service approach to prudent healthcare? Lessons from Hafal’s Presenters: Matthew Pearce. Professor Ronan Lyons 6. How should the proposed Choosing Wisely Wales approach operate and move the prudent healthcare principles to practice? Lessons Swansea University will demonstrate how the Secure Anonymised from Dr. Paul Myers. Information Linkage Databank is helping people to plan at the cluster level, with a practical example from the Abertawe Bro Morgannwg Health Board area. Dr. Don Berwick video presentation Professor John Palmer Wales is at the cutting edge of a growing international movement to John has recently (February 2015) been appointed Interim Director of ensure patients get better outcomes and the NHS gets the best value Primary, Community & Mental Health Services at Cwm Taf University from investment in healthcare. Health Board.’ He will be talking about the primary care plan focused In this unique video to Prudent Healthcare 2015 Dr. Berwick shares 14:00 – 14:20 on primary care clusters and what the future for primary care in Wales his perspective on making prudent healthcare happen in Wales, from looks like through a prudent lens. the Institute of Healthcare Improvement in Massachusetts. Charting the opportunities and challenges that lie ahead, Dr Berwick focuses on some of the systemic and cultural implications to support prudent 11:30 – 12:00 Coffee break healthcare – with improved patient outcomes and continual learning at its heart. 12:00 – 13:00 Perspectives on prudent healthcare The BMJ’s Editor-in-chief Dr. Fiona Godlee 14:20 – 14:30 Disperse for breakout sessions Dr. Sandra Vernero – co-founder and vice-president of Italy’s Slow Medicine 14:30 – 15:30 Afternoon breakout sessions movement Mini question time style sessions with panel members including 13:00 – 13:55 Lunch break / Ideas marketplace session contributors to the Making Prudent Healthcare Happen website. Use the lunch break to continue the debate about making prudent healthcare The panels will be chaired by eminent members of Bevan happen by visiting the ideas market place. Hear from those leading Commissonand will test the extent to which prudent healthcare is programmes of work contributing to Prudent Healthcare
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