The issue of the patient perspective came up a few times during the conversation. Jeremy Taylor (National Voices) commented that "much discussion around integrated care focusses on funding, organisations and policy levers - important, but need to focus on individuals too", which is true. I suggested that the most important question is "what does integrated care mean to patients?", because after all we are supposed to trying to move away from services that suit providers, to services that suit patients! This was illustrated nicely by Simon Chapman who commented "'out of hours' hopelessly provider focused, 'whose hours are you talking about?", which sums it up well!
Dame Elizabeth Fradd made some fantastic points during the hour. She also commented that "Limited knowledge of the patient's social life limits quality of care", echoing the holistic approach that patients crave under the buzz word of "integration". She also said that "more time needed to talk, reflect and consider the needs of the whole person." I absolutely love this quote from her, which is so true, and places such meaningful value on communication:
All in all, it was a great Twitter conversation, thank you to The King's Fund and National Voices for the tweets. As much as I love discussing all these topics, I would like to see some tangible change soon . . . I am a patient after all!