TOCICO

Healthcare is a fundamental necessity of all societies. Yet most countries struggle with increasing demand and costs. Medicine continues to advance at a rate faster than we can afford to pay for. The management of healthcare delivery systems has not kept pace; we manage by instinct and not evidence. Fire-fighting endless crises and poor patient safety have become the norm. This presentation will follow the format of answering the following questions: 1. How can we get agreement on the need to change? This will start with a short summary of the trends in expenditure on healthcare across the globe. 2. What should we change? From this research I will derive the common core cloud and how it is playing out in different countries. 3. What to change to? I will then highlight the criteria for any solution, provide an insight into why TOC is a valid contender above many others for helping to resolve these issues and how alone it will be insufficient. I will then show the proposed direction of the solution through the high levels of a healthcare S&T tree and the results that have been achieved. This will be augmented by the personal story of a leading CEO in the NHS in the UK using the approach for over twenty years and the spectacular results that have been achieved in the UK and elsewhere.