#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 Council and Medway Council. We are working together to develop and deliver the Sustainability and Transformation Plan for our area .
#KMlistens About today • Introductions • Format Agenda • Why services need to change • What you have told us so far • Our model for change • Questions and answers • Table discussions
Challenges in Kent and Medway Our population is growing About 1.8 million people live in Kent and Medway. By 2031 this number will increase by almost a quarter, compared to 2011 + 414,000 By 2031 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 The number of people over the age of 70 will rise by 20% in the next 5 years
Challenges in Kent and Medway As many as four in 10 emergency Evidence shows that every day admissions to hospital around 1,000 people in Kent and could be avoided if Medway are in a hospital bed the right care was when they no longer need to be available in the community We have real challenges recruiting enough GPs and practice nurses Find out more about the challenges we face in our case for change booklet: www.kentandmedway.nhs.uk
What’s our model? Doing much more to help you stay well so Helping you you don’t develop some of the illnesses we stay well know can be caused by unhealthy lifestyles Redirecting more of our Doing more out resources into local care services so we can offer more of hospital care out of hospital Organising acute hospital services in the most Making acute services efficient and effective way more effective
Listening to you Join your patient participation group, or the local health So far… network, Healthwatch, • Listening events or community group • Online survey • Focus group research • Patient and Public Advisory Group • Patient groups and Lay Members on every Clinical Commissioning Group (CCG) • Healthwatch reports and advice • Roadshows • Local engagement • Emails, presentations, letters, social media Get involved: www.kentandmedway.nhs.uk
7 DRAFT WORK IN PROGRESS Prevention – helping you stay healthy
8 DRAFT WORK IN PROGRESS Prevention – we will: • Help you to improve your health by providing integrated support that works with you • Use every contact with you to check how you are, training health, care and public sector professionals to give you tailored advice • Help you quit smoking • Help you live well with your health conditions such as diabetes • Help you if your health problem flares up making sure you know what to do • Encourage you to get into the best possible shape before surgery Everyone has a role to play
9 DRAFT WORK IN PROGRESS #KMlistens Local care (care not in a main hospital)
What you say you want for local care… • More end of life care and dementia care • More support with healthy lifestyles • Health and social care working together • More services alongside GPs • More services near or in people’s homes • More support for family carers • To see the same person regularly • Faster and easier appointments 1,925 people 300 people came to responded to listening events in east Kent survey
Your main concerns are… • Having to travel further for some care • Are there enough staff ? • Mental health services • Social care services • Funding Headlines from STP survey Oct-Dec 2017 and listening events analysis
Our aims for local care • prevent ill health by helping people stay well • deliver excellent care, closer to home, by connecting the care you get from the NHS, social care, community and voluntary organisations • give local people the right support to look after themselves when diagnosed with a condition • intervene earlier before people need to go to hospital.
KCC Changing social care - joining up with local care Promoting your Promoting your Joined-up team wellbeing independence for health and care GP Enablement Pharmacist Voluntary sector Physio Hospital - Rapid Mental health team Occupational response specialist Discharge support Community sector therapist Care Housing care Telecare navigator End of life Equipment Case Peer supporter Telehealth manager Rapid response Community nurse Care planning and more… Self care and self management, healthy living environment Plus Care and support planning, case management, care navigation Diagnostics, specialist opinion, falls service, housing services, third sector
An example: meet Dorothy Dorothy’s care now In the future • Inconsistent and • Consistent and well- overlapped organised • Decided without her • Decided with her involvement • Simple to access • Difficult to access • Focussed on her • Focused only on her • Assessed by an expert health needs without • Only assessed by a going to hospital specialist when she visits hospital
Our 8 ambitions for Dorothy and those like her
How it will work in Ashford • Ashford Clinical Providers – more joined-up working • Joined-up nursing service – eg wound care, catheter care • Specialist GPs – eg cardiology, diabetes • Community geriatricians • Specialist clinics at local level • Health and social care joined-up teams • Links to voluntary sector • Improved access to minor injuries services
How it will work in Ashford 17
So, the future for local care… 8 • More self-care thanks to better tools, information and services • Connected care from NHS, social care and voluntary sector • More treatments locally • Fewer hospital visits
19 DRAFT WORK IN PROGRESS #KMlistens Hospital care Dr David Hargroves Consultant Stroke Lead, East Kent Hospitals
20 DRAFT WORK IN PROGRESS Challenges in east Kent
21 DRAFT WORK IN PROGRESS What’s important to you • Y ou do n’t want to go to hospital if you don ’t need to • You want to go to specialist centres for the most specialist treatment • You want care as close to home as possible e.g. more outpatient appointments locally • You want us to improve discharge from hospital for people who need further care • You want people to talk to each other
22 DRAFT WORK IN PROGRESS Hospital care: care in a main hospital We aim to: • help you by preventing and speeding up hospital stays • only bring you to hospital if that is the best place for you • treat you sooner – with shorter waits for planned surgery and dedicated rehabilitation facilities • provide specialist, expert care when it’s needed – but not always in your closest hospital • get you home sooner with the right support to continue your recovery
23 DRAFT WORK IN PROGRESS Our early thinking
24 DRAFT WORK IN PROGRESS Four priorities 1. Stroke 2. Urgent and emergency care 3. Acute medical care 4. Planned orthopaedic care
25 DRAFT WORK IN PROGRESS 1. Improving stroke care
26 DRAFT WORK IN PROGRESS Bill’s story: now HOME • Paramedic assesses Bill; takes him to A&E • Bill arrives at hospital 90 minutes after his wife called 999 HOSPITAL • Bill’s brain is scanned immediately Within one hour • A consultant assesses Bill. If appropriate, treats him with clot-busting drugs Within four hours • Bill is transferred to a stroke unit Bill, 52, is a police officer who • The unit treats 350-500 strokes a year smokes and has high blood which has 5 day a week consultant and pressure. One evening, he therapy cover suddenly has difficulty • Bill’s ability to swallow is screened speaking , starts drooling and Within 72 hours his right hand is weak. His • Bill’s ability to swallow is fully assessed wife dials 999.
27 DRAFT WORK IN PROGRESS Bill’s story: future HOME • Paramedic assesses Bill at home using FAST tool; takes him to A&E • Bill arrives at hospital 90 minutes after his wife called 999 HOSPITAL • Bill’s brain is scanned immediately Within 30 minutes • A consultant assess Bill and if appropriate, treats him with clot-busting drugs Within four hours Bill has the best chance of • Bill is transferred to a stroke unit that survival and recovery treats 600-1,500 strokes and provides because he is assessed 24/7 cover by stroke specialists, including daily specialist consultant quickly, diagnosed and treated and therapy input by a highly specialist team • Bill’s ability to swallow is screened available 24/7
28 DRAFT WORK IN PROGRESS 2. Improving urgent and emergency care Current challenges Future benefits • More people than ever • More care available going to A&E closer to home • Longer waiting times • Better care in hospital • Poor patient experience • Getting you home sooner with support, if needed
Recommend
More recommend
