Long Term Condition scenarios

Progressive Chronic Kidney Disease

In this scenario – using a fictional patient, Abdul – we examine a progressive chronic kidney disease (CKD) care pathway, comparing a sub-optimal but typical scenario against an ideal pathway. At each stage we have modelled the costs of care, not only financial to the local health economy, but also the impact on Abdul and his family’s outcomes and experience.

Multimorbidity

In this scenario – using a fictional patient, Clara – we examine a multimorbidity care pathway, comparing a sub-optimal but typical scenario to an optimal pathway. At each stage we have modelled the costs of care, both financially to the commissioner and personally and emotionally to Clara and her family.

Colorectal Cancer

In this scenario – using a fictional patient, Katie and her family – we examine the advanced colorectal cancer pathway, comparing a sub-optimal but typical scenario against an ideal pathway for an individual diagnosed with metastatic cancer who requires palliative care through to the end of life. At each stage, we have modelled the costs of care, both financial to the commissioner and also the impact on Katie and her family’s outcomes and experience.

Parkinson’s

In this scenario – using a fictional patient, Sarah along with her husband, Ian – we examine a Parkinson’s pathway from the initial first symptoms and diagnosis through to end of life care. We compare a sub-optimal but typical scenario against an ideal pathway.  At each stage we have modelled the costs of care, both financial to the commissioner but also the impact on Sarah and her family’s outcomes and experience.

Ed Richfield, Consultant in Geriatric Medicine at Leeds Teaching Hospitals NHS Trust, provides an overview of Parkinson’s disease in relation to NHS RightCare and using the RightCare approach.

Dementia

In this scenario – using a fictional patient, Tom – we examine a dementia care pathway, comparing a sub-optimal but not atypical scenario against an ideal pathway. At each stage we have modelled the costs of care, to the commissioner and the impact on the person and their family’s outcomes and experience.

The scenario is available as a full narrative and two summary slide packs are also included as appendices.

Osteoporosis

In this scenario – using a fictional patient – Susan – we examine an Osteoporosis care pathway, comparing a sub-optimal but typical scenario against an ideal pathway. At each stage we have modelled the costs of care to commissioners and describe the impact of sub-optimal care and ideal care on the outcomes and experience of ‘Susan’.

This scenario has been developed in partnership with the National Osteoporosis Society and is available as a full narrative document and two summary slide packs.

Wound care

In this scenario – using a fictional patient, Betty – we examine a wound care pathway, comparing a sub-optimal but typical scenario against an ideal pathway. At each stage we have modelled the costs of care, both financial to the commissioner but also the impact on the person and their family’s outcomes and experience.

The scenario is available as a full narrative document and two summary slide packs:

Frailty

In this scenario – using a fictional patient, Janet – we examine a frailty care pathway, comparing a sub-optimal but typical scenario against an ideal pathway. At each stage we have modelled the costs of care, both financial to the commissioner but also the impact on the person and their family’s outcomes and experience.

The scenario is available as a full narrative document and two summary slide packs:

Diabetes

In this original scenario – using a fictional patient, Paul Adams – we examine a diabetes pathway, comparing a sub-optimal but typical scenario against an ideal pathway. At each stage we have modelled the costs of care, both financial to the commissioner but also the impact on the person and their family’s outcomes and experience.

The scenario is available as a full narrative document and a summary slide pack: