"Changing Clinical Care" adopts a fresh, nursing and patient-centred approach to systemisation to aid patients and their carers. The evidence-based methodology outlines real-world experiences in various sectors of healthcare including primary care, cardiac services, general surgery, and care of long term conditions. It sheds light on possible difficulties and examines the key lessons learnt in providing effective systemisation including common problems, pit-falls and effective solutions. It includes high profile prologues by Dame Carol Black, (Past President, Royal College of Physicians of England) Dr David Colin-Thome (National Clinical Director for Primary Care, Department of Health, England) and Professor Alison Kitson (Executive Director, Royal College of Nursing). This book is ideal for all healthcare professionals interested in systemising the delivery of care. It is also of great interest to healthcare policy makers and shapers, and academics and researchers.
Part one: Concepts and contexts. Conceptualising and practising the systematisation of care. Systematisation and health policy. Using a systems perspective to improve healthcare processes. Empowering nursing and patient centred healthcare through the systematisation of clinical work. Using data to inform systematised approaches to care delivery. Part two: Experiences. Searching for systematisation - and its impact. Pathways in general surgery. A multidisciplinary process approach to cardiac services. Systematising the care of long term conditions: the year of care model. A year of care pathway for COPD: problems, pitfalls and solutions from practice. Making primary care systematic: successful cardiac care. Assessing the content and quality of pathways. The organisational elements of systematisation: the Otago experience. The place of the executive in the systematisation of clinical work: the experience of the Royal National. Hospital for Rheumatic Diseases. Networks and communities of practice: systematising collaboration. Part three: Implications. Changing clinical care and workforce development. Systematisation of clinical care and health capital planning. Systematisation and structures of authority. Systematisation in theory and practice.