Meeting the needs of local people: our clinical priorities in Kent - - PowerPoint PPT Presentation

@KMHealthandcare #KMconf2017 ww.slido.com #KMconf2017

Meeting the needs of local people: our clinical priorities in Kent and Medway

Dr Diana Hamilton-Fairley, Medical Director, Medway Foundation Trust, and Co-Chair Kent and Medway STP Clinical Board

1

@KMHealthandcare #KMconf2017 ww.slido.com #KMconf2017

Clinical Board 2016-2017

• Clinical Leaders from across the system
• Published the case for change
• 4 Workstreams

 Prevention  Local Care  Hospital Care  Mental Health

2

@KMHealthandcare #KMconf2017 ww.slido.com #KMconf2017

There is a lack of focus on health promotion and prevention There is a lack of integrated care and support for those with long term conditions Primary care provision is extremely fragile in some areas There are too many people using hospital beds who don’t need to be there Planned care is not delivered as efficiently and effectively as it could be Local hospitals find it difficult to deliver services for some

• f the most seriously ill people

There are particular challenges in the provision of cancer care Services could be run much more efficiently across Kent & Medway People with mental ill health get poor health outcomes but struggle to access services

2 1 3 4 5 6 7 8 9

Prevention strategies being developed Local care model developed and beginning implementation Models need to be Kent and Medway - wide Needs focus to consolidate

• ngoing work and

develop care models Case for change did not address children

10

Clinical productivity work underway

The case for change

3

@KMHealthandcare #KMconf2017 ww.slido.com #KMconf2017

Acute Trusts unable to meet National Standards

WHH, Ashford K&C, Canterbury QEQM, Margate Medway Maritime Maidstone Tunbridge Wells Darent Valley EKHUFT MFT MTW DGT

A&E Neonatal* Maternity Paediatrics* Emergency surgery Paediatric surgery* Gynaecology Older people Acute medicine Critical care T&O* Stroke1 Vascular (IP)1

• Stroke, acute medicine and older

people services appear to be vulnerable

• Vascular and A&E services are also

potentially unsustainable

• All the hospitals in Kent & Medway

are facing significant challenges in meeting clinical standards

Meet more than 90% of standards Fully meets between 2/3 and 90% of standards Fully meets less than 2/3 of standards Service not provided

Note: 1 Quality standards for Stroke & Vascular have been taken from national guidance issued by the “South East Coast Clinical and Quality standards for stroke” and the “Vascular Society Guidelines, 2012”, as per the Case for Change documents for each of these specialties. Data has been extracted from the latest SSNAP audit to identify whether hospitals are currently meeting clinical standards

4

@KMHealthandcare #KMconf2017 ww.slido.com #KMconf2017

Population Health Needs + Growth Health Gap Determinants of Health Care Gap Quality Deficit Innovation Productivity Efficiencies

Financial Gap

Demographics & Disease frequency 10 + 20 prevention Service monitoring New drugs, technology, delivery C4C: Standards, workforce gaps Bed audit Gap: Innovation digital

E.g. Moving care to effective home Standardisation, centralisation

C4C: Model hospital C4C: Right care

C4C: Population segmentation tool

Source: Carnall Farrar

Developing a strategy – addressing the 5YFV by improvement transformations

Action:

• Smoking
• Obesity

Action:

• Vascular
• Stroke
• EK Ortho
• EK U&EC
• Local care

Action:

• Stroke
• Orthopaedics
• Clinical

productivity

5

@KMHealthandcare #KMconf2017 ww.slido.com #KMconf2017

• Articulate a clear clinical strategy based on an

engaged and widely agreed vision

• All approaches will consider prevention,

wellbeing, holistic care and be co-designed

• Need a coherent pan regional clinical strategy

with consistent models of care

• Agreed that pan Kent and Medway should

concentrate on Prevention, Mental Health, Cancer, Children and Young people’s services

Clinical and Professional Board 2017-19

6

@KMHealthandcare #KMconf2017 ww.slido.com #KMconf2017

Clinical and Professional Board to January 2018

• 1. Case for change – review, update and ensure it covers the needs of

the population

• 2. Shared Kent and Medway Clinical Vision – develop an agreed

shared vision

• 3. Models of care – develop high-level descriptions of care models