X5: Innovative approaches to anticipatory patient care and mental health

NHS Lothian is Scotland’s second-largest health board covering the City of Edinburgh and the surrounding counties that make up the Lothians.  Serving a population of 850,000 and with an annual operating budget of £1.6BN ($2.1 Bn USD), we are one of the UK’s largest healthcare providers. Our services range from tertiary and national hospital specialist services, primary care, mental health, public health, children’s services and many more.  Since 2016 we have partnered with four local councils through our Integrated Health and Social Care Joint Boards. Lothian started a highly ambitious Quality Management System programme in 2016 and formally agreed to a major acceleration over the coming five years, described within our Quality Strategy. This visit will demonstrate how person-centred, anticipatory care planning approaches are reducing Emergency Department attendances and acute bed days, including working with GP practices and care homes.

This visit will demonstrate innovative approaches to anticipatory patient care across a hospital, primary and community-based settings in Edinburgh and the surrounding area.  All the visits will be to sites formally recognised for the quality of care they provide through external awards and validation. These will include a visit to a dedicated ‘flow’ service to match care needs and services across Lothian, a variety of highly innovative programme using existing electronic record data and analytics to anticipate and plan care needs and a major whole-service programme of Quality Improvement focussed on Mental Health.