This talk explores a new and refreshing approach to how we understand and improve healthcare systems. Hamish Dibley outlines his alternative approach to realising better healthcare services at less cost. It begins with looking at healthcare not from a conventional activity perspective, but from a person-centred one.

Abstract
The NHS must change the way it operates to effectively meet future challenges. The starting point for improved services at less cost rests on more intelligent use of data to inform future performance improvement through system and service redesign.

Hamish Dibley will talk about his work in applying genuine patient-centred principles to healthcare analysis and service design. This alternative approach – The Humanising Healthcare Methodology – to realising better healthcare services and less cost begins with looking at healthcare not from an activity perspective but from a person-centred one. Unlike existing practice, the work establishes time-series data to interpret the true nature of person demand for acute services, to better understand the root cause(s) of service challenges facing commissioners and providers alike.

Understanding patient demand is the first step in arriving at intelligent system and service redesign solutions around patient cohorts. This informs a more integrated and preventive system that will successfully alter the nature and consumption curve for care and reduce costs across the system.

This radical and elegant approach provides for innovative thinking as to how to propose future improvement schemes, not only to reduce patient demand but also to better respond to, and therefore manage, such demand. This latter aim requires proof of concepts to test new approaches and processes with a small cohort of patients.

This work serves to inform and constructively challenge current cost and quality improvement programme plans, as well as provide the basis for healthcare integration. Moreover, this way of working provides a better approach to overcoming the principal performance challenges facing all healthcare economies – A&E breaches, delayed transfers of care, and waiting time lists for planned care.