BSBV update for Kingston Clinical Commissioning Committee 7 February - - PowerPoint PPT Presentation

BSBV update for Kingston Clinical Commissioning Committee

7 February 2012 Dr Zoe Spyvee

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2 Lewisham

Hospital Specialist centre Elective centre

West Middlesex Chelsea and Westminster Royal Marsden Epsom St Thomas’s King’s Princess Royal (Bromley) St Helier Kingston Royal Marsden Croydon Health St George's

Neighbouring South West London

Key

Richmond Kingston Sutton & Merton Croydon Wandsworth

In South West London Specialist centre Hospital

SWL Elective Orthopaedic Centre SWL & St George's Mental Health Trust South London and Maudsley NHS FoundationTrust

What area does the review cover?

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

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The financial challenge facing the NHS in South West London

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• 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

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• South West London’s four main

hospital providers will have to deliver £370 million savings each year by 2016/17, a reduction of around 24% in their costs

• 48% of the current budget of

£2.3 billion is spent on acute and specialist) services

Budget

Acute & specialist Other services

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

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Key draft recommendations

Maternity and Newborn

• Committed to Royal College consultant guidelines
• Workforce issues suggest the most likely sustainable solution is 3
• bstetric units or we accept a different standard of service on

different units.

• Require access to acute hospital services

Urgent, Unscheduled and Emergency

• 16 hours a day consultant presence in line with College of Emergency

Medicine recommendations

• Urgent Care centres to re-classify, redirect minor activity
• Emergency surgery standards

Children’s Services

• More children’s outpatients in a community setting
• Paediatric consultant-led paediatric assessment units on all sites

providing urgent care to children

• Further consolidation of inpatient surgical care and specialist/tertiary

care

• Most likely sustainable solution is 2 Paediatric Inpatient Units

Emerging recommendations that will drive hospital reconfiguration CWG

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

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Emerging CWG recommendations

Long-term Conditions and

• ut of hours

care

• Reductions in emergency admissions
• Reductions in emergency admissions for people with long term

conditions through improved and coordinated care Planned Care

• Elective centre (including or excluding orthopaedics) to separate

planned from unplanned

• Retain day cases locally
• Improve day case rate, improve theatre productivity, reduce length
• f stay

Emerging recommendations that will drive hospital reconfiguration CWG End of Life

• System changes to enable as many people as possible to die in the

place of their choice

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

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• 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

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

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High level timeline

• Further develop options for consideration and criteria for

assessing them

• Engage clinicians, the public and stakeholders to decide
• n options for formal consultation

Clinical Working Groups consider feedback received from clinicians, stakeholders and the public

December 2011 January 2012

• Final clinical reports
• Get ready for public consultation in Summer to Autumn

2012

• Purdah from 22 March

February-May2012

• Public Consultation on future shape of services

Later in 2012

Continuous public and stakeholder engagement Consider impact on finances, workforce and patient numbers

Who’s involved from Kingston?

GPs, community and hospital staff are represented on all five clinical working groups: 11 Kingston Hospital NHS Trust

• Sarah Evans, Consultant Radiologist
• Adrian Fawcett, Consultant General Surgeon
• Dan Harris, Head of Emergency Medicine
• Matthew Oldfield, Acute Medicine Consultant
• Anna Dellaway, Head of Midwifery
• Florence Wilcock, Specialist Lead for Obstetrics
• 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

Royal Borough of Kingston

• Simon Pearce, Head of Community Care Services

Your Healthcare

• Caroline Yeats, Community Matron
• Moira Ford, Board Lead Business Development,

Performance and Assurance

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

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