BSBV update for Kingston Clinical Commissioning Committee 7 February 2012 Dr Zoe Spyvee 1
What area does the review cover? Key Royal Marsden Chelsea and Westminster In South West London West Middlesex St Thomas’s Hospital Wandsworth Richmond Specialist centre South London and Maudsley NHS FoundationTrust King’s Lewisham Neighbouring Kingston SWL & St George's South West London Sutton & Mental Health Trust Merton Hospital Kingston St George's Specialist centre St Helier Elective centre Croydon Princess Royal (Bromley) SWL Elective Epsom Orthopaedic Centre Royal Marsden Croydon Health 2
The review is looking at six areas of care: 1. Planned care 2. Urgent, unscheduled and emergency care 3. Maternity and newborn care 4. Children’s services 5. Long-term conditions 6. End of life care 02/02/2012 3
The financial challenge facing the NHS in South West London • Funding for healthcare in South West London will increase by 2.5% each year • We know that the demands on local NHS services will increase by much more than this, for example: • the population is growing • as people live longer, there are more older people with high demands on the NHS • costs of advancing medicines, treatments and equipment 4
Budget • South West London’s four main hospital providers will have to deliver £370 million savings each year by 2016/17, a reduction of Acute & around 24% in their costs specialist Other services • 48% of the current budget of £2.3 billion is spent on acute and specialist) services 5
Key draft recommendations CWG Emerging recommendations that will drive hospital reconfiguration • Committed to Royal College consultant guidelines • Workforce issues suggest the most likely sustainable solution is 3 Maternity and obstetric units or we accept a different standard of service on Newborn different units. • Require access to acute hospital services • 16 hours a day consultant presence in line with College of Emergency Urgent, Medicine recommendations Unscheduled • Urgent Care centres to re-classify, redirect minor activity and Emergency • Emergency surgery standards • More children’s outpatients in a community setting • Paediatric consultant-led paediatric assessment units on all sites Children’s providing urgent care to children Services • Further consolidation of inpatient surgical care and specialist/tertiary care • Most likely sustainable solution is 2 Paediatric Inpatient Units 6 Ref : BOR/Briefing-007 Date: 11/11/2011 Author : BiGI Filepath : T:\NHS SWL\Strategy & Performance\Strategy\Meetings\JOSC and Local Authority meetings\JOSC Version: 0.1
Emerging CWG recommendations CWG Emerging recommendations that will drive hospital reconfiguration Long-term • Reductions in emergency admissions Conditions and • Reductions in emergency admissions for people with long term out of hours conditions through improved and coordinated care care • Elective centre (including or excluding orthopaedics) to separate planned from unplanned • Retain day cases locally Planned Care • Improve day case rate, improve theatre productivity, reduce length of stay • System changes to enable as many people as possible to die in the End of Life place of their choice 7 Ref : BOR/Briefing-007 Date: 11/11/2011 Author : BiGI Filepath : T:\NHS SWL\Strategy & Performance\Strategy\Meetings\JOSC and Local Authority meetings\JOSC Version: 0.1
Engaging local people • Initial public feedback in July 2011 – 2 meetings for residents 2 for stakeholders, patient representatives and LINks - feedback changed the clinical reports • Over 100 meetings with local community groups (e.g. colleges, charities, social groups), clinicians and Overview and Scrutiny Committees • Public meetings in each borough organised with Local Involvement Networks (LINks), public events in January on options appraisal methodology and extensive social media engagement • Patient and Public Advisory Group (PPAG) advising us on our approach. • Events in December for frontline GPs and practice nurses – support for case for change • Local councils have set up Joint Health Overview and Scrutiny Committee - due to meet in February 8
From here to the final decision: the main stages of the options appraisal process Models of care Up to 3,500 different options Need to filter 3,500 to about 20. Filters are based on ability to implement, feasibility, capacity, etc. 20 options are then scored using the criteria which you have helped us to weight The top scoring options (about 5) will be tested to check they are affordable and deliverable The top 2 or 3 options will form the basis of a full public consultation exercise
High level timeline Consider impact on finances, workforce and patient numbers • Further develop options for consideration and criteria for December 2011 Continuous public and stakeholder engagement assessing them • Engage clinicians, the public and stakeholders to decide January 2012 on options for formal consultation Clinical Working Groups consider feedback received from clinicians, stakeholders and the public • Final clinical reports February-May2012 • Get ready for public consultation in Summer to Autumn 2012 • Purdah from 22 March Later in 2012 • Public Consultation on future shape of services 10
Who’s involved from Kingston? GPs, community and hospital staff are represented on all five clinical working groups: Kingston Hospital NHS Trust Royal Borough of Kingston • Sarah Evans, Consultant Radiologist • Simon Pearce, Head of Community Care Services • Adrian Fawcett, Consultant General Surgeon • Dan Harris, Head of Emergency Medicine Your Healthcare • Matthew Oldfield, Acute Medicine Consultant • Caroline Yeats, Community Matron • Anna Dellaway, Head of Midwifery • Moira Ford, Board Lead Business Development, • Florence Wilcock, Specialist Lead for Obstetrics Performance and Assurance • Jane Wilson, Medical Director • Maggie Clancy, Lead Nurse Paediatrics • Andy Winrow, Consultant Paediatrician NHS Kingston • Naz Jivani, GP and PEC Chair • Jane Scarlett, Consultant in Public Health • Ruth Chapman, Child Protection Lead • Naeem Iqbal, PEC GP • Phil Moore, GP and PEC Vice Chair 11
We will continue to update the Clinical Commissioning Committee as the review moves forward Any questions? More information: • Web: www.southwestlondon.nhs.uk • Facebook: www.facebook.com/BetterServicesBetterValue • Twitter: @NHSSWLondon • Email: betterservices@swlondon.nhs.uk • Phone: 020 3458 5717 12
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