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ONEL JOSC 18 Jan 2011 Health for north east London update

ONEL JOSC 18 Jan 2011 Health for north east London update. Introduction. Overview and context Joint meeting of JCPCTs decision making - recap Independent Reconfiguration Panel – timeline and implications Priorities/next steps Response to JOSC. H4NEL overview and context.

chelsea-osborne
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ONEL JOSC 18 Jan 2011 Health for north east London update

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  1. ONEL JOSC 18 Jan 2011 Health for north east London update

  2. Introduction Overview and context Joint meeting of JCPCTs decision making - recap Independent Reconfiguration Panel – timeline and implications Priorities/next steps Response to JOSC

  3. H4NEL overview and context Programme proposals approved by JCPCT on 15th December 2010 subject to assurances Redbridge OSC decided to refer programme to Secretary of State on 4th January 2011 – likely to result in an IRP review From 1 April new INEL / ONEL commissioning structures take effect and GP commissioners increased role in line with White Paper.

  4. Decisions – urgent and emergency care and maternity • Reduce from six hospitals with A&E, urgent surgery, inpatient services, critical care and maternity delivery to five • Provide these services at The Royal London, Queen’s, Whipps Cross, Homerton and Newham • Enhance urgent care at all hospitals, with better and quicker access to tests, consultants and specialist advice • Develop ‘campus’ model of maternity care – with new midwifery-led unit at Queen’s.

  5. Decisions – vision for King George • King George to provide urgent care and extended range of walk-in and planned care services, including 24/7 short stay assessment and treatment services for adults and children. • Planned surgery to move from Queen’s to King George except where there are benefits in co-locating services or clinical need. • Other services to include: • Antenatal and postnatal care • Diagnostics - e.g. x-ray, ultrasound, ECG, pathology • Child health centre • Outpatient facilities and diagnostic services • Cancer day care (Cedar unit) • Renal (kidney) dialysis • Inpatient and day care rehabilitation services

  6. Decisions – children Provide more specialist care for children at The Royal London and Queen’s and improve the services available at other hospitals. Medical care Early senior assessment to reduce admissions and minimise unnecessary lengths of stay. Stronger links to be developed between hospital and community-based services. Children requiring inpatient care to be under the care of a designated paediatrician, even those admitted to an adult ward. Surgical care: Where safe and appropriate, surgery on children over six months can take place at any hospital in the sector (all hospitals to meet high standards). Transfer children under six months requiring surgery to The Royal London, except for minor ophthalmic surgery (at any hospital), and neonates already at Homerton. Transfer children requiring specialist care to The Royal London / improved services at Queen’s or another centre e.g. Great Ormond Street (as now).

  7. GP commissioner views GP commissioning boards approved the recommendations as the majority of GPs in inner and outer north east London support the vision, although had concerns about how the proposals would be implemented. Approvals were made subject to assurances that: GPs would be involved in developing detailed models, phasing of changes, timing of decisions and care pathways; and signing off ‘system readiness’

  8. Indicative timeline if programme referred to IRP OSC referral to Sec of State End Jan Up to 2 weeks SoS decide to send to IRP Mid Feb IRP decide whether warrants further investigation End Feb Up to 2 weeks SoS decision on IRP – intention to review publicised Early March Up to 2 weeks Programme sends paperwork to IRP IRP begin investigation Through April 1 month IRP complete investigation Through May 1 month Through June This is an indicative timeline only, and it could be that the IRP proceeds more quickly or more slowly. IRP complete report 1 month August? SoS decision 1 month

  9. Priorities/next steps Developing mechanisms to deliver changes that reflect changing commissioning context leadership role of GPs and partnership working with local authorities Establishing gateway assurance process Implementation planning including Developing clinical models further with focus on urgent /emergency care models for KGH & Queen’s and Maternity Detailed capital and activity modelling Develop benefits framework to measure performance and manage delivery of benefits Continued communications & engagement with patients, public and other stakeholders Continued clinical engagement and relationship with external scrutiny mechanisms

  10. Potential phases of change - Maternity and Newborn Care

  11. Potential phases of change - Urgent and Emergency Care

  12. Potential phases of change - King George Hospital Vision

  13. Summary of changes – children & young people

  14. Responding to JOSC Travel Mental health Birth registrations

  15. Responding to JOSC - travel We are working with the Travel Advisory Group on the priorities they have identified of: Bus routes (esp into Queen’s) Accessibility of key stations Car parking Information on access and travel

  16. Responding to JOSC - travel To date we have: Identified mechanisms for influencing bus routes Ascertained that there are firm, funded plans to improve accessibility of key stations Discussed aspects of car parking policies that the group might seek to influence Commenced baseline assessment of north east London NHS travel plans

  17. Responding to JOSC - travel Next steps will include: Supporting local gathering of evidence to submit regarding bus routes Seeking to provide the user perspective in planning accessibility improvements to stations by connecting LINks to this work Focusing on how the NHS can provide better information to patients and visitors on travel and access to services Support improvement to travel plans to good practice standards Full report of activities relating to travel will be provided by TAG including recommendations for future work in March.

  18. Responding to JOSC – mental health The JCPCTs accepted: The importance of mental health as central to improving health and wellbeing That opportunities to improve mental health would be found in implementation of changes (e.g. in urgent care services The need to support GP commissioners to continue with review and transformation of mental health services underway in north east London.

  19. Responding to JOSC – mental health Implementation of Health for north east London will include consideration of mental health needs of people using acute services – the interface issues especially urgent care It will not focus on improving mental health services for people outside of this group, these improvements will be driven forward by mental health commissioners in emerging commissioning structures, supported across London by CSL work

  20. Timeline overview JAN 2011 2008 – 2009 2009 – Mar 10 April – Dec 10 2011 2012 2013 – 2014 Barking Birthing centre to open. Queen’s midwifery-led unit to open Independent review Local clinicians develop proposals Consultation Analyse consultation feedback and revise proposals Develop detailed plans Queen’s A&E to be ‘system-ready’ Begin transfer of birthing from KGH Begin transfer of A&E from KGH

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