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Specialised Services Specifications Compliance Programme

Specialised Services Specifications Compliance Programme. For Senate BNSSSG Area Team November 2013. 1. Validation process . 120 National Specifications were published in July Trust self-assessment process Outcomes: Compliant – Derogate until compliant - Exit

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Specialised Services Specifications Compliance Programme

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  1. Specialised Services Specifications Compliance Programme For Senate BNSSSG Area Team November 2013

  2. 1. Validation process • 120 National Specifications were published in July • Trust self-assessment process • Outcomes: Compliant – Derogate until compliant - Exit • Checked by team and SCN’s, Triangulated with quality feedback (QSG etc.) • CCGs asked to support engagement and validation,

  3. 2a. Emerging findings - Providers • Independent & Mental Health providers mainly compliant • There is a need for stronger definition and specification of shared care arrangements – need to focus on the spokes • Anxieties over the cumulative effect on DGHs of services being centralised

  4. 2b. Emerging findings - Services • Children's services key across the SW • Cardiac, numbers of cases and 24/7 coverage • Emergency Vascular • Cancer, common theme multiple providers within one pathway - who is responsible? • Spinal surgery • Severe Asthma emerging as a theme • Many where there seem to be a lot of providers – is this desirable? A more complete briefing is attached

  5. 4c. Emerging findings - CCGs • Children's services - all • Cancer services - all • Neurorehabilition - all • Cluster of Cardiac provision concerns for BGSW area • DC&IoS, Cancer services being a theme • Less issues for BNSSSG area as closer proximity to largest specialist providers, but service may move between UHB and NBT &common themes will apply • Numbers of cases / population bases being a theme that could effect local provision

  6. 6. Considerations & Implications for today • Provider impact, will this tip the balance? • The role of hub and spoke to retain centre quality care locally – commissioned through the hub. • Impact on population basis, such as Cornwall and Isles of Scilly and Wiltshire. • Logistics of derogation, how to make it meaningful • Strategic consideration for a number of services required, may not be short term resolutions – need clinical leadership • How we demonstrate to the populations this is about improving the quality of services provided to them

  7. 7. Conclusion and next steps • So • There will need to be changes and decisions regarding how to manage the elements presented here • Hence the question to the Senate

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