The Fit for the Future Programme: an overview by Tony Bruce Senior Responsible Owner FftF Programme & Chief Executive Officer NHS North Staffordshire
Key Messages about this Programme BUSINESS CASE APPROVED Set out the clear frame for transformation IN 2007 within the Local Health Economy approved by Strategic Health Authority – released Private Finance Initiative monies IMPORTANCE One of the most significant transformation programmes in the West Midlands & nationally SUSTAINABLE SERVICES Success is fundamental to the long term future of local health services NEW CARE ENVIRONMENT Buildings are on track and on time SERVICE CHANGE Some delay now need to accelerate pace
Context Analysis The Burning Platform: 10 Months to 1 st phase of major service • transfers into new Acute PFI and 90 weeks for delivery of the economy wide service change plans. • Financial climate – commissioners and providers facing unprecedented challenges • Organisational Change - Need to stay focused on the delivery of service transformation, improved quality and productivity – aligning all to Quality, Innovation, Productivity and Prevention • A drive for care outside of hospital where this is safe, cost effective and affordable • Aligning the programme with the White Paper “Liberating the NHS” ie the new role of GPs as commissioners and Consortia and the role of Local Authorities in strengthening public health, improving health and wellbeing.
What is planned? • £400m PFI Acute Hospital - Single site, modern, 293 less beds 9 Community Facilities delivering range of services including diagnostics, assessment, outpatient clinics. • Re-specification of Community Beds to ensure effective step down of patients from the Acute Hospital, high quality provision across agreed pathways and better value services. • A strengthened Community Single Point of Care to support effective access to the range of community services including rapid response (2hrs) and access to intermediate care provision. • Strengthened Care coordination for patients with Long Term Conditions with access to specialist support when needed in specific disease groups eg Chronic Obstructive Pulmonary Disorder
4 Core Programmes Core Programme Part of Local Actions FftF LHE FftF LHE GPC Leads Health Director Clinician (awaiting Economy finalisation) 1. Admission Primary and Avoidance of non-elective Dawn Dave avoidance community care admissions led by PCTs Wickham Hughes 2. Acute length University Drive internal efficiencies Mark Mould Gavin of stay/ Hospital of and reduce length of stay Russell efficiency and North bed reduction Staffordshire 3. Community Community Improve Comm Hospital Chris Peter utilisation care Utilisation, improve Fearns Dawes community based response and capability. 4. Elective & Primary and Outpatients Redesign / Marcus John Outpatient community Shift and and management Warnes Oxtoby redesign of demand * A shared commitment & whole system approach
Progress at January 2011 • Bed Reduction Plan in on track for March 2011 = 99 beds • Acute Hospital making good progress reducing length of stay against best practice with no evidence of increased readmission eg #Neck of Femur from 11.5 to 6 days, Hip Replacement 10.7 to 5 days • Admission Avoidance – 2 major service changes were launched in October 2010 and include the Single Point of Care and Emergency Dept / Ambulatory Care • Community Beds/Places – All bed capacity is fully operational and providers are making progress in improving their efficient use of this bed based service and the better flow between the acute and community. • Outpatients – Finalising plans for redesign and care setting. Avoiding unnecessary appointments through use of clinical protocols etc.
New Hospital
New Facilities New Haywood Hospital Milehouse Primary Care Centre Bentilee Neighbourhood Centre
Recommend
More recommend
