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Putting the individual at the heart of the Enhanced Recovery pathway

Neil Betteridge Enhanced Recovery Patient and Public Adviser NHS Improving Quality spoke at today’s Enhanced Recovery conference on;

•    Enhancing quality of the patient experience
•    Involving patients and putting patients at the heart of enhanced recovery
•    Patients perspectives and moving forward

In his presentation Neil discussed how ER promotes a changing role for patients giving them a more active part to play in their recovery. 

Neil talked about how to make sure the passenger arrives well prepared for the journey. He started by telling the audience: “It's a bit of a cliché the whole thing about the patient journey, but it's hard not to think about it those terms.” He said enhanced recovery was promoting a changing role for patients.

“We all know we're moving at a fair old pace now from the traditional patriarchal view of the health service to a more general role for the patient in managing their healthcare.

“Arthritis care really introduce the structure of self-management into healthcare in the UK,” he said. “But now in more recent times, structured self management is on everybody's lips.

“It really is about the partnership approach, the concept of shared decision making, or at least dialogue so the patient and the healthcare professional are making an agreement on where do we want to get to.

“In terms of the information that is now available to patients, there is a lot of great stuff around and there's a lot that's not so great.”

He said healthcare professionals had a role in directing patients to the best information in order that they could take an active role in their own recovery.”

Neil said health professionals need to provide consistent messages across the whole pathway, and gave advice about how you can support the patient through their surgery and recovery and made reference to the NHS IQ publication ‘Fulfilling the Journey’

Neil said going forward the focus needs to be on: 
•    using patient experience of ER to continuously improve the service
•    making improvements according to what patients say
•    Listening, acting and communicating 

Neil’s full presentation is available for download at the end of this page.

Further information is available on the Enhanced Recovery Page of the NHS IQ website

Neil Betteridge
I developed juvenile arthritis when I was three years old which had a serious impact on my life for most of my childhood. I was lucky to recover most of my mobility as a teenager and went to the University of Liverpool to study English Literature, going on to complete a research degree on T.S. Eliot. Since then my career has been devoted to representing people living with serious health challenges or impairments.

I am currently the Patient and Public Adviser on the Enhanced Recovery Partnership, a role which grew out of a previous position as the Department of Health (England)’s Patient and Public Adviser on the national 18 Weeks programme. 

I also run my own company, Neil Betteridge Associates, offering high level advice on patient engagement and user involvement in developing services.

I have voluntary roles which include serving as Vice Chair of the Chronic Pain Policy Coalition; as a PPV representative on the current NHS England Clinical Reference Group on Specialised Pain; and International Liaison Officer, European League Against Rheumatism (EULAR).

My full time position for the last six years was that of Chief Executive of Arthritis Care, the largest organisation in the UK exclusively representing people with all forms of musculoskeletal conditions in the UK. 

From 2003-’09 I was the UK government’s adviser on disability and transport, through a ministerial appointment as Chair of the Disabled Persons Transport Advisory Committee (DPTAC); I was also Chair of the Arthritis and Musculoskeletal Alliance (ARMA), the umbrella body for MSK organisations in the UK; prior to that a trustee of the Long Term Conditions Alliance (now National Voices); and Chair of the Patient Involvement in NICE group.

Future events of interest:

British Association of Day Surgery Conference: Quality in Day Surgery
Thursday 20 November 2014 
ICO Conference Centre, London

National PROMs Summit 2014
Wednesday 3 December 2014 
Hallam Conference Centre, London

Measuring and Monitoring Quality
Tuesday 20 January 
ICO Conference Centre, London


Download: Neil Betteridge full presentation

2 October 2014

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