Achieving high-quality care for people with complex needs

The King's Fund

Event highlights

Age-related chronic conditions absorb the largest, and growing, share of health care budgets. To address this, strategies of care co-ordination are needed to promote more cost-effective care through streamlining services. This conference explored how to co-ordinate care for people with complex chronic conditions and frail older people.

You can watch the speaker presentations below or download the presentations from the presentations tab above.

Presentations and talks from this conference

Pippa Gough gives her perspective on the care her parents have received, what good care looks like, and how and why care varies across the health service.

David Oliver, National Clinical Director for Older People at the Department of Health, discusses population ageing and attitudes to it, what older people and carers want and the solutions to providing better care.

Jill Maben, Director of the National Nursing Research Unit at King’s College London, highlights the findings of her study into the relationship between staff wellbeing and patient experience.

Ruth Poole, Group Clinical Director at Healthcare at Home, looks at why an engaged and supported workforce supports patient choice and control at home.

Dr Adrian Treloar explains how Greenwich and Bexley Advanced Dementia Services provide holistic and palliative care at home for people with advanced dementia.

Jo Stuttaford and Sue Dewar share how Midhurst Macmillan Service provides palliative care in the community via a consultant-led multi disciplinary team.

Angela Watwood shares how care is delivered closer to home and how the approach has helped avoid hospital admissions and reduce numbers entering long-term residential care.

Lisa Hill tells us more about Sandwell's integrated community service. The service uses care co-ordinators who work with individuals with a range of complex needs to help them navigate and access a wide variety of primary care-based mental health and wellbeing services.

Solveig Sansom explains more about South Devon and Torbay's predictive model and virtual ward.

More about this conference

In November 2011, The King's Fund invited academics, practitioners, policy-makers and representatives from patient and voluntary organisations to discuss the care of very old frail people with complex health problems. The Sir Roger Bannister Health Summit, which took place at Leeds Castle, focused on what needs to be done to build the confidence of vulnerable older patients with complex needs and their carers in the quality of care in hospital and at home.

The King's Fund is also currently undertaking a UK-based comparison of successful innovative care co-ordination programmes, funded by the Aetna Foundation. This project: aims to understand the key components of effective care co-ordination and the barriers and facilitators of successful implementation.

This conference brought these important pieces of work together and provided a platform for the continued discussion on how the health system can be developed to ensure that people with complex needs and conditions, especially frail older people, can be assured of receiving only high-quality care. It also acted as a platform to announce the successful case study sites for the Aetna Foundation research.



Session one: A whole system approach towards understanding and valuing the right kind of care and support

Welcome and introduction
Chris Ham, Chief Executive, The King's Fund

What is the right kind of care and support? A carer’s perspective
Pippa Gough, Carer

Age proofing care: how can we make sure the system is really fit for purpose?
Professor David Oliver, National Clinical Director for Older People, Department of Health

Shaping society to be positive about ageing and older people
Patricia Volland, Director, Social Work Leadership Institute, and Senior Vice President for Strategy and Business Development, The New York Academy of Medicine

Questions and discussion

Session two: Why staff experience and culture matter to care quality

Exploring the links between staff wellbeing and patients' experience of care
Jill Maben, Chair in Nursing Research and Director, National Nursing Research Unit, King's College London

Why an engaged and supported workforce supports patient choice and control at home
Ruth Poole, Group Clinical Director, Healthcare at Home

Improving front-line care for people with dementia
Justine Schneider, School of Sociology, Social Policy and Social Work, University of Nottingham

Better medical care in care homes
Professor Dr Finbarr Martin, President, British Geriatrics Society

Questions and discussion

Session three: Successful innovations in care co-ordination

Designing integrated systems of care for people with complex conditions
Professor Dennis Kodner, International Visiting Fellow, The King’s Fund and co-director of the Aetna Foundation Funded Research

Launch of the Aetna Foundation-Funded Research case study sites: a UK-based comparison of successful innovators in care co-ordination
  • Advanced dementia care at home: possible, effective and with good outcomes
    Dr Adrian Treloar, Consultant, Senior Lecturer in Old Age Psychiatry, and Clinical Director, Older People’s Mental Health Services, Oxleas NHS Foundation Trust
  • Midhurst Macmillan service
    Sue Dewar, Joint Service Lead, Macmillan, and Jo Stuttaford, Joint Service Lead, Sussex Community NHS Trust

  • Proactive case management using the predictive model and the virtual ward
    Solveig Sansom, Interim Senior Commissioning Manager, Community Services, and Jenny Turner, Practice Manager, Buckfastleigh Medical Centre, and Board Member, South Devon and Torbay Shadow Clinical Commissioning Group

  • Sandwell integrated primary care mental health and wellbeing service
    Lisa Hill, Primary Care Mental Health and Wellbeing Lead, Sandwell Primary Care Trust, NHS Black Country

  • Community care closer to home in Pembrokeshire
    Angela Watwood, Head of Community Health and Social Care Services, Pembrokeshire County Council and Hywel Dda Health Board

  • Questions and discussion

Session four: keynote address

  • Role of the board: delivering dignity and protecting the most vulnerable
    Dame Elisabeth Buggins, Chair, Birmingham Women's NHS Foundation Trust

  • Questions and discussion