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However, focusing care will not necessarily improve survival or reduce morbidity.
It was commonly expressed that focusing care exclusively on a single need, for example, good symptom management, is not enough to drive quality.
Healthcare organisations increasingly seek to improve quality by focusing care on patient needs and preferences, with 'patient-centeredness' recognised as a domain of quality in its own right [ 1- 3].
This is likely to reflect the fact that the diabetes foot clinic, by focusing care for this high-risk group of patients and by regular review and follow-up, is in the best position to ensure that cardiovascular risk reducing therapies are prescribed and used.
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Patterson says: "We call Focused Care the 'Macmillan Service for deprivation'.
Seven years on, Focused Care has expanded into eight practices.
The "culture change" movement, led by the Pioneer Network, has for more than a decade worked to focus care around the needs and expectations of residents themselves.
Audits of the 160 families receiving Focused Care over the four Hope Citadel surgeries show that they visit A&E 57% less in the year following intervention.
FFC-AC was implemented by a function focused care nurse champion and includes 3 components: (I) Environmental and Policy Assessments IIII) Education; and (III) Mentoring and Motivating.
However, we must focus care on the most urgent patients (e.g. emergencies and cancer) at a time of significantly increased demand.
Previously, an NHS review said surgery should stop at hospitals in Leeds, Leicester and London to focus care at fewer, larger sites, where medical expertise can be concentrated.
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