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Building a Health Service Fit for the Future

Building a Health Service Fit for the Future. NHS Highland Board 7 June 2005. Background. Commissioned April 2004 Advisory Group appointed, chaired by David Kerr Pro-active – not a reaction to campaigns A long term planning horizon across the whole range of health care.

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Building a Health Service Fit for the Future

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  1. Building a Health Service Fit for the Future NHS Highland Board 7 June 2005

  2. Background • Commissioned April 2004 • Advisory Group appointed, chaired by David Kerr • Pro-active – not a reaction to campaigns • A long term planning horizon across the whole range of health care.

  3. The need for change 3 key factors • Ageing population • Growth in chronic disease • Growth in emergency hospital admission

  4. An ageing population

  5. Chronic diseases are more common with age

  6. Growth in emergency admissions

  7. Older people admitted to hospital more frequently

  8. A small number of heavy users

  9. Implications • Existing focus on hospital care needs to change • Need to actively manage the most vulnerable in the community • Doing more of the same not the answer

  10. A public process • Town hall meetings – urban and rural, 2000 people attended • ‘Keep in touch group’ – about 300 people, Email and newsletters • Front line forum – interactive sessions with front-line staff.

  11. Key questions • Can we keep services as local as possible? • What services will people have to travel to receive and why? • How can we provide safe and sustainable services that will support rural communities? • How can we get access to quicker treatment? • How can we reduce health inequalities?

  12. Key questions (cont’d) • How can we improve how the NHS is managed and how the money is spent? • How can we give the public and patients a voice in changing how we provide health services? • How can we integrate the key parts of the health service? • How can we empower front-line staff to improve service delivery? • How can we improve standards and drive up quality?

  13. Main recommendations • Systematic management of long term conditions • Anticipatory care in deprived areas • Support for self care • National IT system • CHPs as means to shift balance of care

  14. Recommendations (cont’d) • Local emergency care in “Community Casualty Units” • Stream planned care to DTCs and manage referral to cut waiting • Concentrate specialised care for clinical benefit • Regional planning of hospital services • Networks of rural hospitals

  15. Remote and ruralrecommendations • Extended primary care • A resilient system of urgent care • The rural general hospital

  16. Executive response • Report handed over on 25 May • Statement to Parliament set out initial response welcoming the broad thrust of the report • Full implementation plan developed prior to parliamentary debate in September

  17. Response- key messages • A decade of work – long term not quick fix • A basis for consensus • A good fit with Executive’s priorities – will help make further progress on waiting, inequalities, service improvement • Implementation starts now

  18. Response – immediate actions • All future decisions on service change to be informed by the National framework • Immediate priority to be given to implementing proposals that will; - reduce waiting, - reduce inequalities, - promote change, and - ensure delivery.

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