The Fit for the Future Programme: an overview by Tony Bruce Senior - - PowerPoint PPT Presentation

The Fit for the Future Programme: an overview by Tony Bruce

Senior Responsible Owner FftF Programme & Chief Executive Officer NHS North Staffordshire

Key Messages about this Programme

BUSINESS CASE APPROVED IN 2007 Set out the clear frame for transformation within the Local Health Economy approved by Strategic Health Authority – released Private Finance Initiative monies IMPORTANCE One of the most significant transformation programmes in the West Midlands & nationally SUSTAINABLE SERVICES Success is fundamental to the long term future of local health services NEW CARE ENVIRONMENT Buildings are on track and on time SERVICE CHANGE Some delay now need to accelerate pace

Context Analysis

• The Burning Platform: 10 Months to 1st phase of major service

transfers into new Acute PFI and 90 weeks for delivery of the economy wide service change plans.

• Financial climate – commissioners and providers facing

unprecedented challenges

• Organisational Change - Need to stay focused on the delivery of

service transformation, improved quality and productivity – aligning all to Quality, Innovation, Productivity and Prevention

• A drive for care outside of hospital where this is safe, cost effective

and affordable

• Aligning the programme with the White Paper “Liberating the NHS”

ie the new role of GPs as commissioners and Consortia and the role

• f Local Authorities in strengthening public health, improving health

and wellbeing.

What is planned?

• £400m PFI Acute Hospital - Single site, modern, 293 less beds

9 Community Facilities delivering range of services including diagnostics, assessment, outpatient clinics.

• Re-specification of Community Beds to ensure effective step down of

patients from the Acute Hospital, high quality provision across agreed pathways and better value services.

• A strengthened Community Single Point of Care to support effective

access to the range of community services including rapid response (2hrs) and access to intermediate care provision.

• Strengthened Care coordination for patients with Long Term Conditions

with access to specialist support when needed in specific disease groups eg Chronic Obstructive Pulmonary Disorder

4 Core Programmes

Core Programme Part of Local Health Economy Actions FftF LHE Director FftF LHE Clinician GPC Leads (awaiting finalisation) 1. Admission avoidance Primary and community care Avoidance of non-elective admissions led by PCTs Dawn Wickham Dave Hughes 2. Acute length

• f stay/

efficiency and bed reduction University Hospital of North Staffordshire Drive internal efficiencies and reduce length of stay Mark Mould Gavin Russell 3. Community utilisation Community care Improve Comm Hospital Utilisation, improve community based response and capability. Chris Fearns Peter Dawes 4. Elective & Outpatient redesign Primary and community Outpatients Redesign / Shift and and management

• f demand

Marcus Warnes John Oxtoby

* A shared commitment & whole system approach

Progress at January 2011

• Bed Reduction Plan in on track for March 2011 = 99 beds
• Acute Hospital making good progress reducing length of stay against

best practice with no evidence of increased readmission

eg #Neck of Femur from 11.5 to 6 days, Hip Replacement 10.7 to 5 days

• Admission Avoidance – 2 major service changes were launched in

October 2010 and include the Single Point of Care and Emergency Dept / Ambulatory Care

• Community Beds/Places – All bed capacity is fully operational and

providers are making progress in improving their efficient use of this bed based service and the better flow between the acute and community.

• Outpatients – Finalising plans for redesign and care setting. Avoiding

unnecessary appointments through use of clinical protocols etc.

New Hospital

Bentilee Neighbourhood Centre New Haywood Hospital Milehouse Primary Care Centre

New Facilities