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from Part II - The Present and the Future
Published online by Cambridge University Press: 24 June 2025
Benjamin R. Underwood and John Martin
This chapter describes the application of VBP principles in radically redesigning health services for the elderly. Extensive consultation revealed similar priorities for the public and third sector and professional stakeholders in that they preferred less fragmented services and to be cared for at home if possible. Patients wanted services to work as one team. Community services including district nursing, occupational therapy, physiotherapy, old age psychiatry, geriatrics, inpatient rehabilitation, psychiatric inpatient services, minor injury units, and a variety of specialist teams came under one organization, presenting a unique opportunity to integrate physical and mental healthcare. Feedback has been collected and reviewed by management so that the patients’ voices can continue to inform the evolution of these services, leading to excellent satisfaction rates.
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