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Multiple challenges for hospitals
and healthcare in Europe
Charlotte Walker
Assistant Locality Manager
Primary, Community and Social Care – Llanelli
Acceptable trade-offs
Conte
xt
Context = policy, population health, community characteristics, other services etc.
The Determinants of World Class Health Care
Longley, M. (2012) The Best Configuration of Hospital Services for Wales: A Review of the Evidence. Cardiff: Welsh Institute for Health and Social Care
What do we know about Malta?
Population
of Malta
417,617
16% of the population are aged 65 years and over
359 churches
1.4 million tourists
Social
change -
Changing
family
dynamics
Free health care
Economic Challenge
Society is
Changing
Culture is becoming
more globalised
Demographic Challenges
Health and Social Care
Expectations are Increasing
Religion – societal change – Churches in hospital and home
GP Shopping – Registration with own GPFree Care – At point of delivery
Family dynamics – changing needsService expectations – individuals need to change
Scarce resources –
community care team
Focus on elderly institutions – everyone grows old
Increasing demand for beds –
strengthen bed management
Limited financial
commitment –
forward planning
Financial and political – not aligned
Financial planning –
under-allocation of fundsAgeing population –
fewer taxpayers
Culture is becoming more
globalised
Significant demographic changes
Challenge
of Societal
Change
Challenge of Demographic
Change
Challenge of Cultural ChangeChallenge of Economic
Change
12
Quality and Safety◦ Build upon the high standard services in community◦ Shift emphasis from beds to community◦ Improve use of ID◦ Public engagement
Access◦ Densely populated country enabling easy access to services◦ Demographic challenge – ‘Youth Brain Drain’ V Ageing Population◦ Acknowledgement and ownership of the ageing agenda
Workforce◦ Build upon competent & confident workforce with rich skill mix◦ Developing advanced skills in the community◦ Increase opportunities for younger population to limit ‘brain drain’ – training incentives
Cost◦ Robust integrated financial planning and control required◦ Added value through joint working (integration) and resultant increased capacity
M – Maltese cultureA – Ageing societyL – Learning environment
T – Transformational A – Active ageing This is my
Postcard from Malta we had a GREAT time!
Dankeschön
Aitäh
Tack
Grazzi Hafna
Diolch
Thank you!