www.pathtoexcellence.org.uk
A reminder of our case for change www.pathtoexcellence.org.uk 2
Helping people understand the issues www.pathtoexcellence.org.uk 3
Context and bigger picture www.pathtoexcellence.org.uk 4
Prevention www.pathtoexcellence.org.uk 5
Out of hospital www.pathtoexcellence.org.uk 6
Out of hospital • More specialist care in the community rather than hospital • Improving triage for routine GP appointments • Rethinking outpatient care www.pathtoexcellence.org.uk 7
Which hospital services are involved in Phase Two? www.pathtoexcellence.org.uk 8
What is the ambition? • Striving for ‘clinical excellence’ and best possible outcomes for patients • Better access to consultant-led specialist care 7 days a week • Reduce variations which currently exist in outcomes and experience • Creating hospital services which attract key staff to South Tyneside and Sunderland www.pathtoexcellence.org.uk 9
Quashing the rumours www.pathtoexcellence.org.uk 10
BUT … • We have to do things differently if we want to offer truly excellent services and the best possible clinical outcomes for each and every person • Currently rated ‘ requires improvement ’ in South Tyneside and ‘ good ’ in Sunderland • We want to be recognised nationally as ‘ OUTSTANDING ’ www.pathtoexcellence.org.uk 11
Phase Two – Story so far www.pathtoexcellence.org.uk 12
Feedback from staff www.pathtoexcellence.org.uk 13
Feedback from patients and public (June 2018) www.pathtoexcellence.org.uk 14
Feedback from patients and public (October 2018) www.pathtoexcellence.org.uk 15
Design process in reaching our working ideas www.pathtoexcellence.org.uk 16
Sharing our working ideas – some important caveats: • This is NOT formal public consultation • We are sharing our early thinking, learning from Phase One and in line with Consultation Institute best practice • Now entering a period of engagement to gather views to help influence future scenarios for formal public consultation www.pathtoexcellence.org.uk 17
Core hurdle criteria www.pathtoexcellence.org.uk 18
this will require capital investment Working idea: Least change www.pathtoexcellence.org.uk 19
this will require capital investment Working idea: Some change www.pathtoexcellence.org.uk 20
this will require capital investment Working idea: Greater change www.pathtoexcellence.org.uk 21
Planned care and outpatients What are we already doing? Specialty Number of appts now being delivered in South Tyneside Rheumatology Approx 350 Renal medicine Approx 580 Opthalmology Approx 600 Total Approx 1,500 www.pathtoexcellence.org.uk 22
this will require capital investment Clinical support services Demand for diagnostic imaging growing at 10% per year nationally across the NHS over the last decade: www.pathtoexcellence.org.uk 23
Plans for engagement activities • Directorate briefings and face to face conversations with hospital staff • Cross-site staff engagement events w/c 25 March • Public awareness / roadshow activity working with Healthwatch throughout March • Focus group activity with targeted patient groups • Core stakeholder meetings and briefings including local democratic involvement • GP engagement in March www.pathtoexcellence.org.uk 24
What happens next? Expected key milestones: www.pathtoexcellence.org.uk 25
Update on engagement April 2019
Covering • Reminder about 2018 activity • Update on 2019 activity so far • Next activity planned Some stats are still being finalised – full report pending www.pathtoexcellence.org.uk
Engagement activity type Target group Date Number of participants Report 1 – Path to Trust staff across all Field work 710 Excellence staff survey specialties December, Staff survey – quantitative January 2018 benchmarking survey to Report March gather staff opinions on 2018 what they feel are the issues Report 2 – patient Patients with lived Review and Emergency experience review – national experiences of: field work Department survey Emergency care review and local interviews carried out in 2016 sample size 598 Planned care and Desk review of nationally February 2018 Adult Inpatient survey available insight out patients Report March 2016 sample size Emergency surgery (Emergency Department 2018 1005 survey 2016) (Adult Inpatient survey 2016) Local facilitated Comments from NHS interviews total Choices number 126 Local facilitated interviews with patients Total number of responses included in www.pathtoexcellence.org.uk this report: 1804
Patients with lived Planned surgery Report 3 - Planned Field work surgery and outpatient experience of during May to and outpatient care – 583 care, and emergency care planned surgery June 2018 Two surveys targeting Emergency care and outpatient – 437 patients who had been care Report July Patients with lived in receipts of services 2018 in both hospitals – experience of Total respondents – 1,020 quantitative responses emergency care with some opportunity for qualitative responses Report 4 – staff Staff working in March 2018 198 staff engagement workshops – specialities participated Clinical support March 2018 across three Staff engagement services events Surgery, theatre workshops took place over three days to ask and critical care staff what they thought (including elective were the important and specialist issues around making services) Medicine and improvements to services, hope and emergency care www.pathtoexcellence.org.uk aspirations. members, healthwatch
Report 6 - draft case for General public Field work 1030 change engagement survey during November 2018 September, October 2018 Ten-week period of Report Report 5 – staff engagement Staff working in July 2018 200 engagement in public November 2018 workshops – July 2018 specialities areas Staff engagement Clinical support workshops took place services Surgery, theatre over three days where staff carried out an and critical care evaluation appraisal of a (including long list of ideas against elective and the hurdle criteria. To note specialist this is part of the best services) Medicine and practice pre-consultation process where technical emergency care experts apply criteria to help make a shorter working list of ideas The sessions were observed by members of the independent stakeholder panel including elected www.pathtoexcellence.org.uk members, HealthWatch – –
Report 7 - Public Invited December Four organisations/interest listening panel stakeholders 2018 groups presented December 2018 evidence Broadcast live on face book 1,700 views in total 35 shares Report 8 Evaluation Targeted December to Stakeholder events - 28 setting stakeholders March 2018 Validation survey (short) 133 – Staff Validation survey (in-depth) – Stakeholders 6 Prioritisation survey general public – 610 (more being inputted) www.pathtoexcellence.org.uk
January 2019 onwards • 28 roadshow drop-in events engaging with hundreds of people in shopping centres, supermarkets, primary care centres and hospital outpatients • Over 160 staff took part in three dedicated staff ‘evaluation’ sessions to find out more about current thinking and work together across both hospital trusts to review working ideas against a RAG system • 11 focus group sessions involving over 100 patients with experience of LTCs or www.pathtoexcellence.org.uk participants involved with groups supporting • •
Analytics Distribution / flyer power 18,000 flyers March 2019 1245 outlets • 193,563 reach of media coverage and social media sponsored ads (please note that people could have seen this information multiple times) • Over 8,382 engagements and 12,883 visitors and over with page sponsored video and content www.pathtoexcellence.org.uk
Council meetings/CAFS/VCS network meetings Tbc Thursday 7 West Shields, Cleadon and 10am March 2019 East Boldon Community Area Forum 40 Saturday 9 WHiST South Tyneside 10.30am – March 2pm 20 Tuesday 12 Riverside Community Area 6pm March 2019 Forum 25 Thursday East Shields and Whitburn 6pm 21 March Community Area Forum Tbc Wednesday Partnership Board Tbc Meeting – South Tyneside 3 April CCG Tbc Thursday 4 South Tyneside CCG PPI Tbc April Tbc Monday 8 Hebburn Community Area 10am April Forum Tbc Thursday Jarrow and Boldon CAF Tbc www.pathtoexcellence.org.uk 18 April
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