Listening event: Ashford 6 July 2017 Dr Navin Kumta Ashford - - PowerPoint PPT Presentation
#KMlistens Listening event: Ashford 6 July 2017 Dr Navin Kumta Ashford Clinical Commissioning Group (CCG) Transforming health and social care in Kent and Medway is a partnership of all the NHS organisations in Kent and Medway, Kent County
Transforming health and social care in Kent and Medway is a partnership of all the NHS
together to develop and deliver the Sustainability and Transformation Plan for our area.
About 1.8 million people live in Kent and Medway. By 2031 this number will increase by almost a quarter, compared to 2011
By 2031
The number of people
by 20% in the next 5 years More people have long-term conditions like diabetes, lung and heart disease 1 in 4 people have a mental health problem at some point in their lives
Find out more about the challenges we face in our case for change booklet: www.kentandmedway.nhs.uk
As many as four in 10 emergency admissions to hospital could be avoided if the right care was available in the community
when they no longer need to be
We have real challenges recruiting enough GPs and practice nurses
Evidence shows that every day around 1,000 people in Kent and Medway are in a hospital bed
Doing much more to help you stay well so you don’t develop some of the illnesses we know can be caused by unhealthy lifestyles Redirecting more of our resources into local care services so we can offer more care out of hospital
Organising acute hospital services in the most efficient and effective way
Join your patient participation group, or the local health network, Healthwatch,
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by providing integrated support that works with you
training health, care and public sector professionals to give you tailored advice
such as diabetes
making sure you know what to do
Everyone has a role to play
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1,925 people responded to survey
300 people came to listening events in east Kent
Headlines from STP survey Oct-Dec 2017 and listening events analysis
Self care and self management, healthy living environment Care and support planning, case management, care navigation Diagnostics, specialist opinion, falls service, housing services, third sector
Promoting your
Promoting your
for health and care
Voluntary sector Community sector Physio Occupational therapist Telecare Equipment Telehealth GP Pharmacist Mental health team Discharge support Housing End of life Peer supporter Rapid response Community nurse Care planning and more… Enablement Rapid response Care navigator Case manager
Hospital - specialist care
KCC
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Dr David Hargroves Consultant Stroke Lead, East Kent Hospitals
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Bill, 52, is a police officer who smokes and has high blood
suddenly has difficulty speaking, starts drooling and his right hand is weak. His wife dials 999.
HOME
wife called 999
HOSPITAL
Within one hour
treats him with clot-busting drugs
Within four hours
which has 5 day a week consultant and therapy cover
Within 72 hours
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Bill has the best chance of survival and recovery because he is assessed quickly, diagnosed and treated by a highly specialist team available 24/7
HOME
FAST tool; takes him to A&E
his wife called 999
HOSPITAL
Within 30 minutes
appropriate, treats him with clot-busting drugs Within four hours
treats 600-1,500 strokes and provides 24/7 cover by stroke specialists, including daily specialist consultant and therapy input
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Douglas, 74, lives at home. He is unsteady on his feet and has seen his GP recently for injuries from falls. When he falls again, his wife dials 999. Day 1
but ends up staying in hospital Day 3
Day 5
Day 7
worsen
in a Community Hospital
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Douglas is seen by a specialist team and is home with the right care around him the same day
Day 1
specialist frailty senior doctor
home care needs
future care wishes
equipment and care in place to support his recovery
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What happens now
Mary, 73, lives alone. Severe hip pain means she struggles to climb the stairs and get in and
Mary to an orthopaedic surgeon.
decides she needs a hip operation
with the date for her operation in two months time
before because of an increased number
there is no bed available for her
prepared herself for the operation and arranged for her son who lives far away to care for her.
mixture of medical and surgical patients
does not benefit from full mobilisation programme because of insufficient cover over the weekend. As a result, Mary stays in hospital longer.
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Mary has her operation on time, is able to go home sooner and can get back on her feet again sooner.
doctor and nurse at a ‘one stop clinic’
agreed the same day, along with an estimated discharge date
after her operation as she’s been given an itinerary of who she will see each day on the ward
planned at the Elective Centre by a highly specialist team
a Friday, she goes home as planned, as all support services are available 24/7
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