Transforming Services, Changing Lives Interim Case for Change 1
A journey to improve services for the whole community We are here Publish final Case for Change Around 150 Engage with Produce Case for Change (not clinicians further 1,500 staff developed an and public solutions) and interim Case for explore and agree Change joint priorities to improve local services April-June Oct onwards July - Sept The programme will: • describe the current state of services • identify if change is needed to improve services for patients • begin to develop a shared vision of how we can improve services 2
The organisations involved • Newham Waltham Forest • Tower Hamlets • Barts Health and east • Homerton • Waltham Forest London Clinical Commissioning Acute trusts Groups (CCGs) Patient and Public Reference Group (PPRG), consisting of representatives from Healthwatch, hospital and CCG patient groups Community and Other • NHS England mental health commissioners • Barking and • East London trusts Dagenham CCG Foundation Trust • City and Hackney • North East CCG • Redbridge CCG London • Local authorities Foundation Trust 3
Barts Health and Homerton Whipps Cross Homerton General hospital (500 beds) with General hospital (589 beds) with A&E/UCC (79,000 attendances), A&E/UCC (112,000 attendances), maternity (5,500 births) plus specialist maternity (4,980 births) plus some care in obstetrics, neonatology, fetal specialisms supporting the older medicine, fertility, bariatric surgery and population, including hyperbaric services neuro-rehabilitation Newham University Hospital London Chest General hospital (452 beds) with Specialised heart attack centre and A&E/UCC (87,000 attendances), cardiovascular and respiratory centre maternity (6,850 births) plus specialisms (103 beds). in fertility and diabetes St Bartholomew’s Specialist centre for cancer, cardiovascular disease, fertility and Mile End Hospital endocrinology (250 beds). Minor injuries unit for non-emergency cases. Community hospital health centre The Royal London providing a range of inpatient (64 beds) Teaching hospital (747 beds) with a full and outpatient services. These include range of general acute services, family planning, termination of A&E/UCC (101,000 attendances), pregnancy and rehabilitation. maternity (5,500 births) plus specialist services including paediatrics, obstetrics, neonatal critical care, major trauma, hyper-acute stroke care, cancer, neurosurgery, dental hospital. 4
A range of primary, community and mental health services • Varying degrees of single-handed practices (6-29%) • Different models of mental health and community service provision • More than 150 opticians, approximately 190 dental practices and almost 350 pharmacies. We are not making the best use of local health care services and resources 5
Our vision for the NHS in East London 1 Improves health and prevents The NHS working with an need for health services People supported to manage active local authority and their own health, self-care voluntary sector to and use their NHS services improve health, reduce appropriately. Back-up by health inequalities and high quality and responsive prevent the need for primary care services health services 2 Long term conditions When need arises, ensures right Rare / dangerous / which are actively managed complex needs best care , right time , right place with patients to reduce the treated by a specialist need for unplanned care Acute episodes of care treated efficiently according to severity / urgency Enhanced primary and community Specialised services Local hospital services care services 6
Good health, excellent disease management and a speedy recovery if you become ill is everyone’s responsibility Patients: behavioural change and self- Treatment and management care Schools, businesses: health education, health promotion and early identification Prevention Improved health Local councils and public health: housing, transport, quality of life, environment, health Clinicians, healthcare assistants, therapists and other staff: advice, early diagnosis and support to self-care 7
Our work has identified a number of drivers for change … 8
Together we can achieve… Great health and health outcomes for people in East London, such as: Patients reporting improvements in People supported to manage their their quality of life long term condition in the community as a result of health care interventions Patients More people reporting an surviving life People supported excellent threatening events to die at home such as stroke, where it is their experience heart attack or choice to do so when accessing major trauma healthcare 9
To know more If you would like to discuss any elements of this draft case for change, please contact our team on: Tel: 020 3688 1678 Email: tscl@nelcsu.nhs.uk www.transformingservices.org.uk
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