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Clinical Strategy Review

Clinical Strategy Review. Why?. Our Orkney Our Health - outdated Redesign progress Orkney Health & Care Outline Business Case New technology, new opportunities New team Empowered middle managers Clinicians willing to engage Remote and Rural recommendations

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Clinical Strategy Review

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  1. Clinical Strategy Review

  2. Why? • Our Orkney Our Health - outdated • Redesign progress • Orkney Health & Care • Outline Business Case • New technology, new opportunities • New team • Empowered middle managers • Clinicians willing to engage • Remote and Rural recommendations • Efficiency and Productivity framework • Reduce unwarranted variation • Need to understand how we spend our money

  3. Vision for Clinical Services • People of Orkney to have health and wellbeing by having access to quality services which enable them to: • participate in preventative and anticipatory care • Have access to appropriate treatment, including emergency services

  4. Clinical Strategy - the priorities • National policy frameworks and direction • Financial future • Continue to deliver safe, effective and person centred care • Create sustainability • Recommendations from Remote and Rural Implementation Group • Respond to changing demography

  5. Required for:- • Informing the Finance Strategy • Informing the Property Strategy • Informing the Workforce Strategy • Driving the OBC • Informing the SLAs required • Agreement on what can/can’t be provided • Agreement on how/where services delivered

  6. What won’t change • Patient safety as top priority • Planning for sustainability • Community Services embedded in OH&C • Reliance on Mainland Scotland Health Boards for some services • Need for integration with our partners – OIC, SAS, NHS 24 etc

  7. Rural General Hospital R&R definition • Emergency centre for the community • More advanced level of diagnostics • Level 2+ facility • First line management of emergency admissions 24/7 • Provide range of outpatient, day case, inpatient and rehabilitation services

  8. Primary Care ServicesR& R definition • Integrated - team and location • Partnership approach between agencies and multidisciplinary teams • Co-located where possible • Preventative care • Anticipatory care • Emergency response

  9. Corporate Themes and Priorities • Optimise Resource Utilisation • Improve Health whilst Improving Inequalities • Delivering Service Modernisation whilst improving patient experience • Be an effective and safe organisation

  10. Efficiency and Productivity7 cost reduction workstreams • Evidence based care • Preventative and early intervention • Outpatients, community & primary care • Acute flow and capacity management • Workforce productivity • Prescribing, procurement, support/shared services • Service redesign, innovation and transformation

  11. Evidence Based Care • Disinvestment • Thresholds • NHS Evidence • NICE/SIGN/QIS • Patient Safety

  12. Will provide consistent and clear understanding of service delivery • Pharmacy Strategy • Primary Care Strategy, including:- - OOH (including SAS, NHS 24) - Enhanced Services - QoF - Isles Network of Care • Community Services Model (OH&C) • Secondary Care Model

  13. Will give us clarity on • SLA requirements • UNPACs • IPTR

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