Thread by @Dochayter

Last webinar in series 1 for #AnticipatoryCare a great agenda evaluation and impact for this @AgeingWellNHS programme

The What How and Why ? of #AnticipatoryCare and 5 steps with 3 key enablers and a description of a personal journey through #AnticipatoryCare thanks @mattcarderNHS for your clear introduction. central to the journey a #personalisedcare approach with #Whatmatterstoyou

Now Dr Cathy Lines talking about evaluation and general elements. Evidence first and longer evaluations >4yrs showed positive change whereas shorter evaluations <2 yrs showed negative or no change and 4 areas for evaluation #Quadrupleaim

#AnticipatoryCare Now up Therese Lloyd from @HealthFdn quantative evaluation need to consider causal effect and counter factual measures and regression to the mean (like play your cards right) eg effect of MDT in @NEHFCCG rates of emergency admission before and after referral

MDT evaluations @HealthFdn report due in July Therese discussing preliminary findings showing higher rates of hospital use in the short term ? Due to #unmetneed #AnticipatoryCare and looking also at Overall admissions @NEHFCCG vs counter factual gap emerges in year 3-5

Implication - interventions have benefits but reduced hospital use not a given esp in short term. Need a realistic expectation. Implications for evaluation need enough time #AnticipatoryCare we need more data on outcomes that matter to patients

and now Q&A session on #AnticipatoryCare webinar on the 'cultural' and 'workforce' changes to support giving an example of our @AcademyFrimley and our #Frimley2020 programme missing cohort 4 today who are working on some of that cultural change @peterbibawy @MaggieWoods10

Now a question on measuring #Whatmatterstoyou experience measures a settlement posed by Tom Gentry from @age_uk 'understanding the success of intervention should include measure for capturing and realising patient's goals from care' #anticipatorycare

great example #AnticipatoryCare #culturechange from @AcademyFrimley supporting #Frimley2020Leadership which has been supporting cultural change for 4 years @peterbibawy @MaggieWoods10 @Ballysaxboo2 identifying role leaders in community health / care public sector & industry play