NHS Ayrshire and Arran Delivery, Recovery & Transformation Plan. 20 th September 2018

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1 NHS Ayrshire and Arran Delivery, Recovery & Transformation Plan 20 th September 2018

2 70 years of the NHS

3 How have we changed? Integrated approach to delivering specialist services at a regional and national level needs to develop further SAS and paramedic care Providing more care in the community Intermediate Care and Rehab model Changing the delivery of Primary Care multidisciplinary team approach

4 Why do we need to change? Demographic change and the impact of deprivation different health and care services required Sustainability of services workforce estate maximising resources and best value New technologies

5 Strategic Change - Our Health 2020 An overall theme of partnership and co-production between the individual and the community with the NHS and its partners in the public, third and independent sectors. A strong local health service supporting people in their day to day lives to get the best from their health. Within this, a focus on making home and communities, rather than hospital, the hub for care. Maximising the potential use of technology to improve health and healthcare. A focus on reducing health inequalities, on prevention, anticipation and supported self management. Where hospital care is needed, it will be person centred, safe and effective. Where a pathway involving health and social care is required, it will be integrated and seamless.

6 Strategic Change - Principles Quality we will deliver effective, safe and person centred care Maximising Health Gain use available resources in the most costeffective way, to maximise the health of our population. Reducing Inequality We will reduce inequality of access and outcome Anticipation & Prevention We will promote prevention Home or Homely Setting We will care at home, or in a homely setting Sustainability Deliver health and care services that are sustainable

7 NHS Ayrshire & Arran Model of Care

8 People living in Ayrshire will live at home supported by their families and communities. Our aim is that everyone should live a healthy life and where necessary will access the high quality care they require to live a safe, active and healthy life either at home or in a homely setting. Health and social care partners, including those from third sector organisations and the independent sector, will work together with communities to strengthen resilience and ensure local services that maximise people s independence and support families. This joined-up approach to community health and social care will be achieved by building the services that people need around health and social care hubs. Where planned interventions are required, diagnosis and treatment will be delivered from an accessible diagnostic and ambulatory centre. We will draw on support from neighbourhood organisations and local communities groups and networks. This extensive network of health and social care services will operate on a shared care and inclusive basis Regional specialist centres will be developed where people can access experienced specialist professionals and skilled care. Following diagnosis and treatment, people will return for rehab and intermediate care at a local centre as close to home as possible. In cases of emergency and trauma, unplanned care will be provided from a District General Hospital. Patients will be assessed and treated in an assessment unit and only those critically ill patients will be admitted to the hospital for ongoing diagnosis and treatment.

9 Childrens Services Older People & People with Complex Needs Transforming Outpatients Primary Care Ambitious for Ayrshire Transformation Programmes Planned Care Unscheduled Care Mental Health Digital

10 Informing & Engaging Describe the current challenges and opportunities faced by health and social care services Outline the direction of travel for sustainable health and social care services locally and regionally Seek people s views on what a good service looks like for them and their families