Meeting the needs of local people: our clinical priorities in Kent and Medway Dr Diana Hamilton-Fairley, Medical Director, Medway Foundation Trust, and Co-Chair Kent and Medway STP Clinical Board @KMHealthandcare #KMconf2017 ww.slido.com #KMconf2017
1 Clinical Board 2016-2017 • Clinical Leaders from across the system • Published the case for change • 4 Workstreams Prevention Local Care Hospital Care Mental Health @KMHealthandcare #KMconf2017 ww.slido.com #KMconf2017
2 The case for change Prevention strategies being developed 1 There is a lack of focus on health promotion and prevention Local care model Primary care provision is extremely fragile in some areas 2 developed and There is a lack of integrated care and support for those with beginning 3 long term conditions implementation There are too many people using hospital beds who don’t 4 need to be there Models need to Local hospitals find it difficult to deliver services for some be Kent and 5 of the most seriously ill people Medway - wide Planned care is not delivered as efficiently and effectively as 6 it could be Needs focus to There are particular challenges in the provision of cancer consolidate 7 care ongoing work and People with mental ill health get poor health outcomes but develop care 8 struggle to access services models Case for change did not address children 9 Clinical Services could be run much more efficiently across Kent & productivity work 10 Medway underway @KMHealthandcare #KMconf2017 ww.slido.com #KMconf2017
3 Acute Trusts unable to meet National Standards Fully meets less than 2/3 of standards EKHUFT MFT MTW DGT Fully meets between 2/3 and Canterbury Tunbridge Maidstone Medway Maritime Margate QEQM, Ashford Darent 90% of standards WHH, Valley K&C, Wells Meet more than 90% of standards Service not provided Acute medicine Older people • Stroke, acute medicine and older people services appear to be A&E vulnerable Critical care T&O* • Vascular and A&E services are also Maternity potentially unsustainable Neonatal* • All the hospitals in Kent & Medway Paediatrics* are facing significant challenges in Emergency surgery meeting clinical standards Paediatric surgery* Note: 1 Quality standards for Stroke & Vascular have been taken from national Gynaecology guidance issued by the “South East Coast Clinical and Quality standards for stroke” and the “Vascular Society Guidelines, 2012”, as per the Case for Change documents for each of these specialties. Data has been extracted from the latest Stroke 1 SSNAP audit to identify whether hospitals are currently meeting clinical standards Vascular (IP) 1 @KMHealthandcare #KMconf2017 ww.slido.com #KMconf2017
4 Developing a strategy – addressing the 5YFV by improvement transformations Population Demographics C4C: Population Health Needs & Disease segmentation Action: tool + Growth frequency Health • Smoking Gap • Obesity 1 0 + 2 0 Determinants of Health prevention C4C: Standards, Action: Service Quality Deficit workforce • Vascular monitoring gaps • Stroke Care • EK Ortho Bed audit Gap New drugs, Gap: Innovation • EK U&EC technology, Innovation digital • Local care delivery E.g. Moving C4C: Model Action: Productivity care to effective hospital • Stroke home Financial • Orthopaedics Gap • Clinical Standardisation, Efficiencies C4C: Right care productivity centralisation Source: Carnall Farrar @KMHealthandcare #KMconf2017 ww.slido.com #KMconf2017
5 Clinical and Professional Board 2017-19 • Articulate a clear clinical strategy based on an engaged and widely agreed vision • All approaches will consider prevention, wellbeing, holistic care and be co-designed • Need a coherent pan regional clinical strategy with consistent models of care • Agreed that pan Kent and Medway should concentrate on Prevention, Mental Health, Cancer, Children and Young people’s services @KMHealthandcare #KMconf2017 ww.slido.com #KMconf2017
6 Clinical and Professional Board to January 2018 1. Case for change – review, update and ensure it covers the needs of the population 2. Shared Kent and Medway Clinical Vision – develop an agreed shared vision 3. Models of care – develop high-level descriptions of care models @KMHealthandcare #KMconf2017 ww.slido.com #KMconf2017
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