1 / 27

Welcome to NHS Wirral

Welcome to NHS Wirral. Kathy Doran Chief Executive. *. Welcome to Wirral - setting the scene. Our progress since November 2008. An overview of our strategic plan - ‘plan on a page’. Our key achievements since November 2008. Looking ahead: what do we still need to do?.

akamu
Download Presentation

Welcome to NHS Wirral

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Welcome to NHS Wirral Kathy DoranChief Executive

  2. * Welcome to Wirral - setting the scene Our progress since November 2008 An overview of our strategic plan - ‘plan on a page’ Our key achievements since November 2008 Looking ahead: what do we still need to do?

  3. 11 year gap in life expectancy between most and least affluent wards Wirral has a wide variation in terms of health outcomes

  4. The challenge to the partners is… Higher rates of teenage pregnancy and higher rates of births to lone mothers Children experiencing twice as much dental decay and five times as many accidental injuries High rates of people claiming sickness benefit because of mental health problems Far higher levels of smoking, inactivity, poor diet and alcohol/drug misuse Poorer access to servicesowing to lack of transport, poor literacy levels, acceptance of a poorer state of health Far higher rates of type 2 diabetes, COPD, cancer and CVD

  5. Working Together for a Cheshire & Wirral Partnership Healthier Future LocalAuthority Third sector Public WUTH

  6. Welcome to Wirral - setting the scene * Our progress since November 2008 An overview of our strategic plan - ‘plan on a page’ Our key achievements since November 2008 Looking ahead: what do we still need to do?

  7. “Substantialimprovement inpatient experience” “Partnershipswith meaningare now in place” “All round commissioning capability” “Clinicalleadership andengagement” “Extensivehealthcarereform” “Broad rangeand granularityof information” Quotes from 2008 panel

  8. Initial partnership working 2009/10 First draft of strategic plan Consultation with partners, the public and clinicians Development of strategic plan goals initiatives 2008 Prioritisation of initiatives Launch of evaluation process 2007 Reassessment Strategic Plan Refresh: the process

  9. Evaluation criteria • Access Strategic Fit Cost effectiveness Governance legal/clinical • Financial Impact Assessed needs • Achievability Evidence based • Acceptability • Effect on Inequalities

  10. Acute Sector 30 providers Mental Health and Learning Disability 23 providers Community and Intermediate Services 47 providers (voluntary/third sector 37 providers) Primary Care 232 independent contractors Total number of providers 332 The Provider Landscape Irish Sea River Mersey River Dee

  11. New services Existing providers Hospice at Home for Children(Claire House) Home from Hospital (Voluntary & Community Action Wirral) Carers outreach (Alzheimer’s Society) Ophthalmology (Spa) Dermatology/ENT (Peninsula Health) Balancing collaboration and plurality New providers Early onset dementia service (Cheshire & Wirral Partnership) Multi-systemic therapyfor young people (CAMHS at Cheshire & Wirral Partnership) Lifestyle and weight management service (NHS Wirral provider arm) Stroke Support Service (WUTH) Integrated respiratory service(WUTH & Primary Care)

  12. Welcome to Wirral - setting the scene Our progress since November 2008 * An overview of our strategic plan - ‘plan on a page’ Our key achievements since November 2008 Looking ahead: what do we still need to do?

  13. To involve and empower people To target inequalities through effective partnerships To ensure excellence in our health services To be a high reputation, high performance organisation Vision Key Health Needs Prioritised Investments Overall Impact/Outcomes Health Trainer Network Fall prevention service Community detoxification service Weight management service Health in schools service Social Marketing End of Life programme Home oxygen service Hyper acute stroke service Primary Care mental health service Reducing the gap Increased life expectancy Rate of hospital admissions per 100,000 for alcohol related harm Childhood obesity at reception Under 18 conception rate Smoking quitters All causes of cancer mortality Spirometry testing in primary care Percentage of stroke admissions given a brain scan within 24 hours Hospital admissions caused by intended or deliberate injuries Outcomes Focus on children and older people Health Needs Enabling strategies Clinical Engagement Patient and Public Involvement Premises Evidence based Risk Promoting Evaluation development Market management People and Organisationaldevelopment Quality Health Inequality Life Expectancy Alcohol Obesity Sexual Health Smoking Cancer COPD CVD Mental Health

  14. Welcome to Wirral - setting the scene Our progress since November 2008 An overview of our strategic plan - ‘plan on a page’ * Our key achievements since November 2008 Looking ahead: what do we still need to do?

  15. Involving and Empowering People: a new phlebotomy service A centralised service, not offering much flexibility for patients with long waiting times November 2008 Patient and GP feedback drives service review A practice and community based service offering greater patient flexibilityQuick scheduling of appointments, results within 48 hours Better quality = Lower cost March 2010

  16. 60,000 Wirral residents = CVD Health Check Year on Year of revascularisations 19,000 Wirral residents = CVD risk registers A community programme to support lifestyle change Early Supported Discharge Team Heart Centres provide diagnostic services and cardiac care closer to home Specialist Stroke Support Targeting Inequalities: achievements in Cardiovascular Health 50 lives saved over the next 5 years

  17. Identification and Engagement Specialist Care Rehab Harm Reduction Reintegration Social marketing campaign Community and Residential Detox Community Aftercare Projects x 5 Harm Reduction team Voluntary Sector Daycare & Aftercare Projects Rapid Response service (PCAU) Specialist Residential Rehab GPs and Pharmacy screening Criminal Justice Programme Dependent Drinkers Team Wirral Advocacy Services Advice line and website Hospital liaison nurses Community engagementteam (screening and brief intervention) Archway Resource Centre Hospital based engagement workers Homeless outreach project Private sector Mental Health FT Local council Primary care Voluntary sector Acute FT Ensure excellence in our health services: an integrated alcohol pathway

  18. the challenge June 2009 4-hour waiting time data inaccurate Performance at 85% Be a high performance, high reputation organisation: achieving the A&E 4-hour target

  19. 99.1% Q4 across the Health Economy Annual result for 2009/10 97.2% Across the Health Economy The current situation

  20. Be a high performance,high reputation organisation:reducing A&E attendances The current situation as at end of March 2010 attendances 6% against plan attendances 5.8% against 2008/9

  21. Single door triage at A&E……live from 10 May 2010 Initial results from pilot programme 4% of patients diverted to Primary Case Assessment Unit 3% of patients diverted direct to speciality 28% of patients diverted to All Day Health Centre 61% of patients diverted to A&E Minors 4% of patients diverted to A&E Majors 35% of patients diverted away from A&E

  22. Welcome to Wirral - setting the scene Our progress since November 2008 An overview of our strategic plan - ‘plan on a page’ Our key achievements since November 2008 * Looking ahead: what do we still need to do?

  23. 3 Planned Care Chief ExecutiveNHS Wirral Wirral Leadership Group 1 2 Public Health & Back Office Chief Executive Wirral Borough Council Urgent Care Chief ExecutiveWirral University Teaching Hospital 4 Mental Health Chief Executive Cheshire & Wirral Partnership 5 6 Older People Director of Adult Social Services Wirral Borough Council Children and Maternity Director of Children’s Services Wirral Borough Council 7 Communications and Engagement Chief Executive Clatterbridge Centre for Oncology

  24. A good starting position to deal with the financial challenges ahead A successful history of achieving statutory duties Use of Resources ‘Managing Finances’ = score 3 QIPP plans in place for short and medium term Identification of management and administrative support costs advanced

  25. Directors ofPublic Healthgroup National Institute ofHealth ResearchAdvisory Board C&MRenal Network NationalAdvisory Roleto C&M czar Network Board(co-ordinating networkactivities) National Assistive Technology AdvisoryGroup C&MDirector ofCommissioningGroup National PBR ExternalAdvisoryGroup NHS Wirralleadership rolein… DiabetesNetwork Critical Care Network City Region Healthier, SaferCommunities Board Host for PH Network - Greater Merseyside CMP DH Policy Groupsfor PrimaryCare NPDT Collaboratives Audit Commission Data Assurance Merseyside &Cheshire ResearchAlliance Mersey SportsPartnerships Map of Medicine C&M leadobesity &well-being ContinuingHealth Care CancerNetwork C&MPublic HealthNetwork National Financial Issues Group

  26. Welcome to NHS Wirral Kathy DoranChief Executive

More Related