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Effective

Providing services based on scientific knowledge

The strategy will continue to focus on primary prevention of health problems, shifting the balance of care to prevention and early intervention.

The strategy will identify and reduce inappropriate variation in clinical practice, and in provision of care packages and treatments across all healthcare pathways so that the best care is consistently provided by the right person in the appropriate place at the right time.

The strategy will also implement proposals to improve standards of care for long-term conditions and acute care in hospital, in the community and through supported self-management.

    • Initial Improvement Interventions for the Delivery of Effective Care

      Initial improvement interventions will be:

      • Preventative and anticipatory approaches, building on and extending initiatives such as Keep Well/Well North, alcohol brief interventions and smoking cessation;
      • Implement the Long-term Conditions Action Plan;
      • Initiating a process of refreshing the suite of care pathways in close collaboration between secondary and primary care with clear prioritisation;
      • Introduce and share Anticipatory Care Plans for 5 per cent of the population most at risk of hospital admission;
      • Implement the major national strategies; Better Cancer Care, Mental Health Primary Care, Heart Disease and Stroke, Dementia and Living and Dying Well;
      • Establish the appropriate healthcare skills and roles required to deliver high quality healthcare, and, through the use of the NHSScotland Career Framework and local/national workforce planning, establish plans to reshape the workforce accordingly;
      • Ensure all our GP enhanced services are fit for the purposes of this strategy;
      • Implement the Strategic Options framework for emergency response in remote and rural areas;
      • Leading Better Care implemented across all Boards by December 2010;
      • Implement the Releasing Time to Care approach across acute and community teams in all Boards; and
      • Ensure high impact Efficiency and Productivity approaches are implemented reliably - (e.g. disinvestment, reduce harmful and wasteful variation ( GP referrals, hospital length of stay, prescribing etc)).