Page 78 - Hospital Authority Convention 2018

Plenary Sessions Plenary Sessions
HOSPITAL AUTHORITY CONVENTION 2018

P1.1 Chronic Disease Management 10:45 Convention Hall & Theatre 1

Collaboration among Healthcare Workers and between Health and Social Sectors in the UK
Finlay of Llandaff I
House of Lords, UK
The UK has been rated first in the world in the Quality of Death index from the Economist’s Health unit (supported by the Ling
Foundation). Although the UK was the founding home of the modern hospice movement, yet there is more to be done in the
UK to ensure that patients and their families have a dignified, comfortable, fulfilling time as life draws to a close.

Many major life-threatening illness follow a somewhat relapsing and remitting pathway, often leaving the patient depleted of
energy after each relapse. Take the cancer patient who undergoes chemotherapy and or radiotherapy. Such treatments can
feel punishing, resulting in fatigue and an inability to work. When the situation is palliative, a major challenge for families is
how best to provide long term care during the weeks and months before the final phase of an illness.

For the patient, fears about their future can be magnified by the difficulties of adapting to living with uncertainty. Advance
care planning rests on the legal frameworks in the Mental Capacity Act of ‘Advance Statements of Wishes’ and ‘Advance
Decisions to Refuse Treatment’. But many patients are reluctant to openly plan their final phase, changing their minds about
their care preferences as unexpected events that arise.
Monday, 7 May 2018 Initiatives in the UK include volunteers becoming increasingly important part of an informal support networks, through
The costs of social care can erode capital funds and continuity of care becomes increasingly important as a person becomes
frailer. If support is inadequate the full burden falls on families.

schemes such as ‘Compassionate Communities’ and ‘Help Force’ in hospitals, yet the greater number of people involved, the
more crucial good information transfer becomes between all collaborators.

P1.2 Chronic Disease Management 10:45 Convention Hall & Theatre 1

Healthcare System in Sweden: Integrated Care Model and Patient Centred Approach
Henriks G
Learning and Innovation, Qulturum, Sweden

Uncertainty and new demands for change characterise the agenda in Sweden within everyone in social sectors and
practitioners as well as academics and it may signify that we are living. “As slowly as it goes today, it will never go ahead”.

In order to manage and lead healthcare systems in this fast changing world, we need strategies for health, integrated care
models and co-production models that ensure the organisation’s current stability, but which simultaneously develops an
adaptive ability to work on a long-term and systematic basis with different approaches and methods to use the resources
best possible. The healthcare systems need an adaptive ability to quickly change and follow the development of society,
technology and competence.
Success factors are the systems basic values, process re-engineering work and competence renewal but also a macro and
micro system that support the same integration ideas. Person centred process engineering; connectivity and team-based
clinical groups are key concepts in the Swedish systems work with the work. Three cornerstones for the management system
at all levels are patient experience, clinical results and the resources used.

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