Elective Care Transformation Programme
An opportunity to look at elective care to move away from thinking speciality and appointments towards patient pathways and journeys. Always with the patient in the centre; to make outpatients and accessing care simple and efficient— Right place, right person, right time There will be some elements that will encompass the whole pathway and some that will be speciality specific, that’s OK; they will form part of the big picture. True transformation is not just about tweaking its about creating something different– this is an opportunity to really make a difference
5 Year Plan for Elective Care Transformation Programme Governance January 2019 Elective care model for West Suffolk fit for the future; built around Clinical 3. - Early assessment services, education and 4. Outpatient Intervention support based close to home by transformation & 1. Preventing illness 1. giving people more control over re-design (build their health and care they receive optimal and productivity) 2. Targeting resource to those who 2. Active cannot self help or use technology. support for 3. Use integrated health systems as self the default management January 2024 Current system does not value patient time 5. Technology that We have silo health care supports patients with a chasm forming and clinicians between systems and Little focus on population health Communication – Ambitious yet realistic
We need to Simplify Elective Care We need to stop treating the public’s time as a free resource Service reviews Demand management analysis Work with Elective Improvement Team from NHSI Work with Deloitte on demand and capacity Various CIPs Outpatient steering group 5
The Vision We will move to a new way of delivering care, aligned to the NHS Long Term Plan , and in doing so we will include in our planning, measures to: • Ensure better options, better support and properly joined up care at the right time in the optimal care setting. • Work to prevent health inequalities and increase prevention of ill health to allow people to remain healthy. • Ensure we improve care quality and outcomes • Ensure we support the national agenda to transform care by the use of innovative workforce optimisation • Support the national initiatives (Rightcare programme) around cardiovascular and respiratory conditions • Work to introduce digitally enable operating models to transform Outpatients and reduce patient visits and implement technological and digitally enabled care solutions • Support the reduction and elimination of 52 week waits at the Acute Trust
What does it mean really? 1. Prevention – keeping well Public health agenda, Early prevention for all, knowing where to go for support 2. Self Management – living well with illness and long term conditions Understanding & support self management, Assume self management is the default and is embedded into all interactions at a clinical level. Using technology to support me, but if I can’t how am I supported and how do I access what I need to access –Make it Easy, Attractive, Social and timely 3. Early Intervention – How can I stop my condition deteriorating, eliminating risk, support from Primary care Disease registers in Practices, risk elimination, understanding the benefit of knowledge about my condition, medicines management, self care 4 .Outpatient Transformation & re-design – Build optimal productivity Outpatient efficiency – are we getting the most out of every clinic every day, are our theatres productive, have we eliminated all waste? Are our processes efficient enough, how do we deal with cancellations, are patients in the Q safe, performance against 18 weeks, reducing wait times, supporting primary care with secondary care outcomes, Patient driven appointments for LTC’s 5. Technology that supports patients and clinicians Do I really need to be seen in hospital? referral reason, place, time, tele health, reducing follow ups
Turbo Charging the ECTP • Advice and Guidance • Pre-referral Guidance • Low Priority Procedures • Outsourcing • Video conferencing
All system partners across the alliance
What can I/should I do next? • Take the messages away—How can you help and support this programme? • Consider what this means to your service/patients/clients • Share the message where possible • What are you intending/considering delivering that could fit into this programme – tell us about it • What are we missing • How can you get more information?
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