Medway NHS Foundation Trust Seven Day Journey Ms Raj Bhamber Director of OD & Communications
Our joint vision and ambition Shared vision: Better Care Together - large and growing population System ambition: Sustainable quality and performance improvement within the context of local health & social care priorities & resources Overall objective: Shift from current position (Level 0-2) to level 4 Current reality Future system and model Phased implementation initial focus on emergency and urgent care pathways will be fast-tracked.
Approach to implementation Whole system working Organisational change and workforce redesign Stakeholder engagement (including staff and patient involvement) Improved quality outcomes (and processes) Draw on the national programme Apply the learning from best practice systems Disseminate the learning and experience with EAs, NHSIQ, ECIST
Journey so far... November 2013 January 2014 March 2014 Medway NHS Foundation Trust and Medway CCG announced as an early adopter site On Call Director on site 7 days/week Held the early adopter system launch day (NHSIQ)with the CCGs, social care, community trusts, GP rep and neighbouring acute trust Ambulance trust, mental trust and HealthWatch to be engaged at next event Commissioned workforce modelling (Dr Pat Oakley) Designed the formal programme Mar - May 2014 Established the Seven Day Steering Group with Trust and CCG representation - mirrors the national forum, chaired by the CEO. (Intention to extend membership as part of 2 nd phase). Completed the baseline self assessment internally (further work planned with NHSIQ and external stakeholders during June 2014).
Baseline assessment initial findings Findings to date Used the self assessment to map existing services against the ten clinical standards. Identified services that have trialed or are trialing seven day services: Integrated Discharge Team, Clinical Support services (Pathology, Imaging, Physiotherapy etc) Prioritised seven day services for the emergency care pathway to assist with system-wide operational issues to improve flow and to facilitate the clinical transformation programme Undertaken early reviews to understand the priorities for the Better Care Fund and CQUINS in discussion with the local authority and CCG
Next Steps Next steps 19 th June: Meet with Early adopter sites to share experiences and approaches June 2014: Complete the self assessment tool with external stakeholders (facilitated by NHS IQ) July 2014: Hold a Medway system partners workshop to review self assessment outputs, agree priority areas and phased plan End of Summer 2014: Launch Phase 2 of the Seven Day steering group, including external stakeholders Complete the alignment of the five workstreams (modelled on the national workstreams) with the sustainability review and associated implementation plans, including the workforce plan.
The Place in the Middle High Street Regional Trauma Social Care Hospice and Hospital at Home Local Care (including mental health and planned care services) Convalescent, Observation and Place of Safety Beds and. (including children s trauma service) Urgent Care (including children s urgent care service) Paramedic/Blue Light Service Community Pharmacy and Medicines GP Surgeries and Out of Hours Minor Injuries and Off-legs Front Door. Planned Care and Rehabilitation. Outpatients and Long Term Care Support Programmes including Self-Care Workshops and Self-Help Networks Support Programmes. Maternity & Neonatology Care Cancer, Cardiac, Stroke Care Genetics Community Nursing and Midwifery and Therapy End of Life. (includes current A&E minors service) Mental Health Care (inpatients) Social & Probation and Police? The Home Tests?? The Gym Tests?? Point of Testing?? Local Diagnostic?? Local Imaging?? Local Genomics?? Regional Diagnostic?? Regional Imaging?? Regional Genomics Centres and Predictive Analytics?
Aligning the workforce plan, clinical and organisational development strategies A clear, focused clinical and organisational strategy is required in order to refine the plan (key questions):?an urgent care centre; an integrated part of the local network of community hospitals and Corby type centres; an accredited acute services provider as part of a franchised network of hospitals??a hub or spoke (drawing on pathology services) in anaesthetics; pharmacy; and therapy services??kent and Medway labour market; South East London; North East Kent and Ebbsfleet.
Thank You Ms Raj Bhamber Director of OD & Communications