London Health Libraries Induction 15 th September 2008 The NHS in London Mandy Guest

1. London Health Libraries Induction 15th September 2008 The NHS in London Mandy Guest Knowledge Service Manager Islington Primary Care Trust London Health Libraries

2. London • 7.6 million population with 200 communities and 300 languages spoken • 250,000 health and care staff • 32 London Boroughs • Mayor + London Assembly = Greater London Authority London Health Libraries

3. NHS Londonis • the Strategic Health Authority (SHA) for London • plans healthcare for the population • responsible to the Department of Health London Health Libraries

4. NHS Trusts • 31 PCTs • 25 NHS Trusts (Acute hospitals) • 3 Mental Health Trusts • Ambulance service Trusts • (14 Foundation trusts (including 7 mental health) operate more independently and are regulated by Monitor) London Health Libraries

6. Primary Care • Primary care includes: • GP practices • Dentists, Opticians, Pharmacists • District Nursing and services in the local community • Physiotherapy, podiatry, speech and language therapy etc London Health Libraries

7. Primary Care Trusts • Primary Care Trusts (PCTs) are in charge of primary care and have a major role around commissioning secondary care, providing community care services. • PCTs are at the centre of the NHS and control 80% of the NHS budget. As they are local organisations, they are best positioned to understand the needs of their community. London Health Libraries

8. Commissioning • Practice based commissioning • WorldClassCommissioning • Specialised services commissioning Adding life to years and years to life London Health Libraries

9. Secondary and Tertiary care • Hospitals managed by 13 Foundation Trusts and 24 Acute Trusts • Mental Health Trusts • Ambulance Trust • Specialised services • Other providers for NHS patients including nursing homes London Health Libraries

10. Secondary care • Secondary care is known as acute health care and can be either elective care or emergency care. • Elective care means planned specialist medical care or surgery, usually following referral from a primary or community health professional such as a GP. London Health Libraries

11. Framework for London • Framework for London July 2007 (Darzi) • details how London's healthcare needs to change over the next ten years • 5 principles: • Services should be focused on individual needs and choices • Services should be localised where possible and regionalised where that improves the quality of care • There should be joined-up care and partnership working, maximising the contribution of the entire workforce • Prevention is better than cure • There must be a focus on reducing differences in health and healthcare

12. Framework for Action • 3 month consultation, ended 7th March 2008 • Roadshows etc • In mid-2008, a committee of PCTs considered the report and used it to make decisions on the issues being consulted upon. • Based on these decisions, the PCTs developed detailed proposals on services London Health Libraries

13. Specialist care Specialist centres will treat patients who have suffered a stroke or major trauma.  Around seven specialist stroke centres, and between three and six major trauma centres, will be developed.  Specialist care for children, and those who need complex emergency surgery, will also be delivered in dedicated units. London Health Libraries

14. Care closer to home • Patients with ‘long-term conditions’ such as diabetes and arthritis will be able to access more care locally, and be supported to better manage their conditions.  • More outpatient care, tests and minor procedures will be provided in the community, meaning fewer visits to hospital.  Londoners will also have better access to GPs out of hours • Polyclinic models will offer better services at more convenient times, by linking GP and other services London Health Libraries

15. Any questions? London Health Libraries