STEP BY STEP, BUILDING STRONGER HEALTHCARE SYSTEMS
The result: a series of pilot programmes that demonstrate the power of concrete solutions to improve the sustainability of healthcare systems. Each programme falls under at least one of the three pillars of sustainable healthcare: prevention and early intervention, patient empowerment and reorganisation of care delivery. The most successful pilots are scaled up and every project proves that even small changes have the potential to make a big impact. The power of pilot programmes is that they serve as examples; models that can be adapted to different countries, languages and health systems.
- Austria – Psoriasis Patient Coaches
- Belgium – Activ84worK
- Canada – Alberta gets Fit for Work
- Denmark – A Solution Catalogue with nine solutions
- Finland – Advancing Healthcare Sustainability
- France – Carmelia
- Germany – The “Simply Irreplaceable!” Initiative
- Greece – Instituting National Health Insurance
- Greece – Re-organising Emergency Hospital Care
- Ireland – A Journey of Innovation & Partnership
- Israel – Reboot – AbbVie Innovation Forum
- Italy – A Micro-Simulation Model
- Netherlands – Towards more Effective Treatments
- Norway – “We Care!” A Work/Life Balance Initiative
- Poland – “Healthy – Active – Constructive”
- Portugal – IS2 Portugal Sustainable Health Initiative
- Romania – The “Hands with Life” Initiative
- Slovakia – A study to facilitate patient education
- Spain – Fit for Life: Living longer, Living Better
- Sweden – A Solutions Catalogue
- Sweden: IBD Home – Patient disease self-monitoring
- Switzerland – Development for Hospitals: A Manual
- Turkey – Gaziantep University Early Arthritis Clinic
- UK – The Hepatitis C Partnership
- UK – The Shared Decision-Making Tool
- UK – Early Intervention Clinic for MSDs
UK – The Shared Decision-Making Tool
The UK is facing a growing challenge in terms of the health of its workforce. Every year almost a million workers take sick leave of over a month in length and more than 300,000 people permanently leave their employment due to illness or injury (1). The situation is becoming critical; it is estimated that almost 21 million people of working-age will have at least one long-term health condition by 2030 (2).
A system-wide cultural shift is needed throughout the NHS and the public health system, recognising the therapeutic benefits associated with employment and identifying work as an important health outcome. Continuous engagement of patients in conversations about the relationship between their health and work will be essential in achieving this cultural shift and in helping people with long-term conditions remain in employment.
AbbVie is supporting the development of a new shared decision-making (SDM) tool, led by Professor Debbie Cohen at Cardiff University. The SDM tool has been designed to aid and improve conversations and decisions about health and work between patients and their healthcare professionals. A specific area of focus relates to how Fit Notes are completed, especially the adjustments box.
By facilitating better conversations, for example around the patient’s wants, concerns and needs around their ability to work, this project aims to help optimise the management of their long-term condition and ultimately support people in achieving their goals.
Status: The development of the SDM tool is progressing smoothly, with the first prototype already reviewed by experts. The tool is currently being piloted in both primary and secondary care settings in more than 15 centres across England and Wales, including the first early intervention clinic for people with a musculoskeletal condition in Leeds (for more information, please see ‘Sustainable Healthcare Pilot 3: Early Intervention Clinic for Musculoskeletal Disorders’). The results of these pilots will be evaluated in 2017.
Anticipated outcomes: Real world data will be collected on the value of the tool to both individuals and clinicians by analysing changes in outcomes in given localities. Once evaluated, it is hoped that the tool will sit alongside and support the existing 36 therapy based SDM tools for long-term conditions and that it will be used by clinicians in multiple settings across the NHS to help guide conversations about health and work.
(1) Department for Work and Pensions, A million workers off sick for more than a month, February 2014 Available: https://www.gov.uk/government/news/a-million-workers-off-sick-for-more-than-a-month [accessed August 2016]
(2) The Work Foundation, Management of long term conditions- The Work Foundation’s submission to the Health Committee, Available at: http://www.theworkfoundation.com/DownloadPublication/Report/358_LTCHealthselectcommitteesubmission.pdf [accessed August 2016]
AXCOR151990(1) – Date of Preparation: August 2016
Spotlight on Prevention: When, Who and How?
Unhealthy lifestyles and lack of physical activity are key factors in the development of chronic diseases. Early prevention and diagnosis, better education, and above all collaboration among governments, patient organizations, and industry are crucial to prevent chronic diseases from arising.