Advertisement

Risk Driven Care Pathways in Publicly Funded Care

  • Eric RooneyEmail author
Chapter
  • 11 Downloads

Abstract

Increasingly, governments are looking at how they make most effective use of the resources that are allocated to health systems. There has always been a consideration of need and demand in this approach, but traditionally the focus has been on treatment for disease once it is present. Arguments both economic and moral have been advanced for predicting and preventing disease as an effective and complementary approach. The ability to do this hinges on our understanding of the aetiology and progression of diseases, and within that the contributing risk factors. In order to reduce variation in outcomes and drive evidence-based care, identification of risk factors is increasingly being embedded within care pathways. These risk-driven care pathways acknowledge the common risk factors which exist across a range of oral and general diseases and are encouraging self-care from patients. This is leading to a widespread policy change towards bringing health and social care professionals together integrated systems to meet the prevention and treatment needs of their local populations.

References

  1. 1.
    Licchetta M, Stelmach M. Fiscal sustainability and public spending on health. Office for Budget Responsibility OBR; 2016. https://obr.uk/docs/dlm_uploads/Health-FSAP.pdf.
  2. 2.
    Wanless D. Securing our future health: taking a long-term view final report. HM Treasury; 2002. https://www.yearofcare.co.uk/sites/default/files/images/Wanless.pdf.
  3. 3.
    Marmot M. Fair society, healthy lives, the marmot review February 2010. https://www.parliament.uk/documents/fair-society-healthy-lives-full-report.pdf.
  4. 4.
    Steele J, O’Sullivan I. Adult dental health survey 2009. 1st ed. The Health and Social Care Information Centre; 2011. https://digital.nhs.uk/data-and-information/publications/statistical/adult-dental-health-survey/adult-dental-health-survey-2009-summary-report-and-thematic-series.
  5. 5.
  6. 6.
    Public Health England. National Dental Epidemiology Programme for England: oral health survey of five-year-old children 2017 - A report on the inequalities found in prevalence and severity of dental decay. Available from http://www.nwph.net/dentalhealth/201617Survey5yearoldchildren/NDEP%20for%20England%20OH%20Survey%205yr%202017%20Report%20Gateway%20Approved%20v2.pdf.
  7. 7.
    Patel R. The State of Oral Health in Europe-Report commissioned by the platform for better oral health in Europe, 2012. http://www.oralhealthplatform.eu/wp-content/uploads/2015/09/Report-the-State-of-Oral-Health-in-Europe.pdf.
  8. 8.
    World Health Organization. Regional Office for Europe. The European health report 2015 Copenhagen - Targets and beyond – reaching new frontiers in evidence. http://www.euro.who.int/__data/assets/pdf_file/0008/284750/EHR_High_EN_WEB.pdf?ua=1.
  9. 9.
  10. 10.
    McDaid D. Promoting health, preventing disease. Open University Press; 2015. http://www.euro.who.int/__data/assets/pdf_file/0006/283695/Promoting-Health-Preventing-Disease-Economic-Case.pdf?ua=1.
  11. 11.
    McDonagh M, et al. A systematic review of public water fluoridation, NHS Centre for Reviews and Dissemination. University of York; 2000. https://www.york.ac.uk/media/crd/crdreport18.pdf.
  12. 12.
    Public Health England. Water fluoridation: health monitoring report for England. 2018. https://www.gov.uk/government/publications/water-fluoridation-health-monitoring-report-for-england-2018.
  13. 13.
    Public Health England. Delivering better oral health: an evidence-based toolkit for prevention. 3rd ed. London: Crown; 2017.Google Scholar
  14. 14.
    NHS Scotland. Childsmile – improving the oral health of children in Scotland. http://www.child-smile.org.uk/index.aspx.
  15. 15.
    Vanhaecht K, Sermeus W, Peers J, Deneckere S, Lodewijckx C, Leigheb F, et al. The European quality of care pathway (EQCP) study: history, project management & approach. Int J Cancer. 2010;14(2):52–6.Google Scholar
  16. 16.
    Rooney E. Developing care pathways-lessons from the Steele Review implementation in England. Gerodontology. 2014;31(Suppl 1):52–9.CrossRefGoogle Scholar
  17. 17.
  18. 18.
  19. 19.
    Steele J, Rooney E, Clarke J, Wilson T. An independent review of NHS dental services in England. Department of Health; 2009 http://webarchive.nationalarchives.gov.uk/+/dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_101137?IdcService=GET_FILE&dID=198219&Rendition=Web.
  20. 20.
    Rooney E. Dental Contract Reform - Evaluation of the first year of prototyping 2016-2017. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/709555/evaluation-report-2016-2017.pdf.
  21. 21.
  22. 22.
    NICE. Behaviour change: individual approaches, Public health guideline [PH49] Published date: January 2014. https://www.nice.org.uk/guidance/PH49.
  23. 23.
    Primary Care Home [Internet]. National Association of Primary Care. 2017. Available from http://www.napc.co.uk/primary-care-home.
  24. 24.
    National Association of Primary Care. Primary care home: exploring the potential for dental care to add value. Jan 2018. http://napc.co.uk/wp-content/uploads/2018/01/Dental-care-and-PCH.pdf.
  25. 25.
    Watt RG. Personal communication modified from: From victim blaming to upstream action: tackling the social determinants of oral health inequalities. Community Dent Oral Epidemiol. 2007;35:1–11.Google Scholar
  26. 26.
    Kings Fund. Making sense of integrated care systems. https://www.kingsfund.org.uk/publications/making-sense-integrated-care-systems.

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Dental Public HealthPublic Health EnglandNorth WestUK
  2. 2.Dental and Oral Health PolicyUniversity of Central LancashirePrestonUK

Personalised recommendations