Rory’s Always On Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. The current model for treating Parkinson’s is broken - on that there is general agreement amongst both patients and doctors. It involves an annual trip to the hospital (and in some parts of the country “annual” is optimistic) to see a neurologist who has just enough time to put you through a few exercises to assess your rate of decline, tweak your medication and send you on your way.
This is really interesting. I’m currently going through a similar sort of process with a digital concussion service we’re trying to get funding for to develop further. From going to conferences and talking to ISCs and commissioners, it very much seems to be that even if an intervention improves patient experience and patient care, if it doesn’t release cash now, in this current year, then it’s u likely to be a priority for any given commissioning group.
I’m sure changes such as the home based care you describe, which sounds very close to PIFU (patient initiated follow up) which has been a big buzz word for a while but not really materialised, will come in eventually. But the problem is that so many interventions are valuable but they just don’t save money now. As a result I’m sure there are so many great interventions out there not being funded.
Healthcare in uk and its funding will change enormously. No other nation funds healthcare using the Prussian model from 1870 as uk does. AI will bring changes almost unthinkable in size and scope too.
This is really interesting. I’m currently going through a similar sort of process with a digital concussion service we’re trying to get funding for to develop further. From going to conferences and talking to ISCs and commissioners, it very much seems to be that even if an intervention improves patient experience and patient care, if it doesn’t release cash now, in this current year, then it’s u likely to be a priority for any given commissioning group.
I’m sure changes such as the home based care you describe, which sounds very close to PIFU (patient initiated follow up) which has been a big buzz word for a while but not really materialised, will come in eventually. But the problem is that so many interventions are valuable but they just don’t save money now. As a result I’m sure there are so many great interventions out there not being funded.
Healthcare in uk and its funding will change enormously. No other nation funds healthcare using the Prussian model from 1870 as uk does. AI will bring changes almost unthinkable in size and scope too.