1 / 35

Clinical strategy third stakeholder event

Clinical strategy third stakeholder event. 26 May 2011. Welcome. Stephen Eames Chief Executive. Today’s agenda. Introduction Clinical vision, outline strategy “Speed-dating” discussions Plenary. Strategic direction. Patient centred Integrated provider Sustaining local services

alexa-brooks
Download Presentation

Clinical strategy third stakeholder event

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. Clinical strategythird stakeholder event 26 May 2011

  2. Welcome Stephen Eames Chief Executive

  3. Today’s agenda • Introduction • Clinical vision, outline strategy • “Speed-dating” discussions • Plenary

  4. Strategic direction • Patient centred • Integrated provider • Sustaining local services • Developing centres of excellence at each site

  5. Clinical vision, outline strategy Robin Mitchell Medical Director

  6. Our clinical vision – an opportunity “to shift the centre of gravity from hospital to community and develop fully integrated care pathways”.

  7. OUR VISION

  8. Challenges: • Workforce availability • Training arrangements • Delivery quality standards

  9. Trust position: Current consultant led maternity model sustainable to 2014 Need 2 consultant maternity sites to maintain accessibility Further development needed for midwife led care Integration of child health with local authorities, taking more care into the community

  10. Action: • Work with PCT and GP commissioners and stakeholders to plan long term strategy to retain this position beyond 2014

  11. Challenges: • Choice and competition • Specialisation driving centralisation • Workforce

  12. Trust position: • We have the critical mass to develop each hospital as centre of excellence in a distinctive range of specialties, supported by more community based services

  13. Action: • Work with commissioners and stakeholders on plans to develop our specialist services

  14. Core of work on clinical strategy • Care closer to home • Integrating services • Working with commissioners and stakeholders • Views of patients and members

  15. Workstreams • Long term conditions • Care of older people • Women and children • Acute medicine and emergency care • Surgery • End of life care

  16. “More routine services in the community” “Delivering care through integrated pathways” “Single point of access” “Embedded health improvement” “Raising standards in hospital care” What people have said

  17. What we want to achieve Patient experience Patient outcomes OD & workforce Efficiency • Clinical synergies • Improving patient outcomes • Better patient experience • Organisational development and workforce • Greater efficiency

  18. Since last time • Further developed proposals based on your feedback • Engagement with staff, FT members and governors • Discussions with GP consortia

  19. What we want to do today • Endorsement of proposals by today’s meeting • Consider the issues arising for stakeholders and how we continue to work together

  20. Workshop – speed dating Emma Shipley

  21. Speed dating discussions • An opportunity to find out about all the workstreams • Service models • Proposals and quick wins • Synergy benefits • And consider: • Is the direction of travel right? • Are there any omissions? • Impact on stakeholders • Next priorities

  22. Key questions for discussions • Are the proposals taking us in the right direction? • Are there any omissions from our quick wins? • How may these proposals impact on you/your organisation? • What would be your next priority areas for development? • Are we engaging effectively with you? • How can we work with you to take forward?

  23. Feedback from workstreams

  24. Care closer to home • Right direction! • Caution- not hospital avoidance at all costs! • This is not a quick win BUT some pathways will be • Impact – educating patients re this different model • Monitor impact on social care • Fear factor – people feel safe in hospital • Priorities – single point of access and 111 • Communication with public • Overarching strategy masterplan – interdependencies • Nursing home care • Engagement – we are here! But what about the people who aren’t here! • Pleased that plan considers neighbouring areas • GPs need to be part of the work now – don’t forget mental healtha nd learning disability

  25. Surgery • Right direction! • Understand need to centralise some services to meet standards BUT also strategies for closer to home • Communication – people outside understanding the pathway • District nurses – pull on them should not compromise GP services • Resources need to follow the patient

  26. Older people • Right direction – proposals well received! • Communication – directory of service • Want to be communicated with • Single point of access!

  27. Women and children • Right direction with integration and poorly children! • Supportive to parents • Opportunities for joint working • More engagement needed with GPs re education • Link of health visiting and surgeries • Single point of access

  28. A&E/urgent care • Right direction esp re front of house and prioritising to patients most in need! • Capacity in primary care – taking account of GP capacity where we assess patients as needing to go back to primary care • Impact of 7 day working esp around OT • Paediatric environment • Links with mental health and learning disability • Links with OOH social care • Need for significant communications with public to change attitude to managing your condition OOH

  29. Long term conditions • Right direction! • Accessibility, communirty based, involving existing specialists • Omissions – how to manage multiple LTCs • Aftercare – needs to be more robust • What about where acute is provided by another trust? • Priorities – IT! Common register, using RAPA or similar • Engage GPs more – go to clinical leads group? • Voluntary organisations

  30. End of life • Support for direction – caution re the single point of access • Don’t overmedicalise, esp in hospices • Omissions – reconfiguration of resources, cultural shifts, OOH • Impact – align to 111, local authorities, hospices • Priorities – mental health and learning disability, dementia • Communication – positive, would like copies of pathways

  31. General • Issues re neighbouring trusts • Consider where proposals might need more investment, and whether there is a need to prioritise • Care closer to home pilots in Durham – Darlington would like to consider whether it is the right model there

  32. What will success look like? • Community services delivered from newer, more accessible environments? • Well coordinated care from the time of referral, minimum waits, reassessments or disruptions? • Good feedback, quality audits and financial risk ratings from our patients and regulators? • Robust specialist services within County Durham and Darlington? • More choice on where to have treatment?

  33. Next steps Stephen Eames Chief Executive

  34. What we plan to do next • Develop proposals with • Patients/users • PCT commissioners • GP consortia • Local authorities

  35. Thank you! www.cddft.nhs.uk

More Related