Patient level programmes

There are a variety of reasons for PCTs to develop patient level management programmes, for example:

• to streamline the full patient journey to achieve waiting times targets
• to respond to local health factors such as a significantly higher than average prevalence of a specific disease
• to collect better data to inform the commissioning cycle (for example relative referral rates and referral patterns)
• to provide improved patient care for specific diseases through better integration and coordination of all the various providers (including social services)
• to release resources for other uses through the proactive management of high risk/high cost patients (for example using the PARR model)

Bupa Health Dialog already has experience of running programmes in all these areas and can provide solutions to a PCT both locally and remotely. We don't have a standard product specification - we have a methodology for working with clients to develop a bespoke service to achieve exactly what you want.

What we can do for you

• Demand management: prior approval and utilisation management activity across a range of specialties, diseases and treatments. For example: mental health, back pain, critical care, cardiac disease, cancer, patients with chronic/multiple/long term conditions, long stay admissions. Case managers review all aspects of a case and liaise directly with clinicians to ensure best practice is followed.
• Care coordination - ensuring that patients with complex needs navigate the system effectively and information flows efficiently between care providers.
• Health coaching: helping patient with chronic and long term conditions self manage more effectively and maximise their quality of life.
• Drug compliance: communication with patients to ensure drugs are taken correctly.
• Referral management centres: support patients in organising appointments and collect information about referral patterns.

The benefits are:

• find out more about referral patterns amongst your GPs to enhance commissioning
• provide better service levels to patients generally - appointments, health information, general enquiries, choice of hospital and consultant
• take administrative burden away from clinicians
• manage specific high usage patients more effectively to reduce unnecessary admissions and improve quality of life

Next steps...

• Find out about other services available to you
• Send an email enquiry
• Contact us on 0845 600 3036