Clinical strategy ft member events april 2011
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Welcome to the new acute and community County Durham and Darlington NHS Foundation Trust PowerPoint PPT Presentation


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Clinical strategy FT member events April 2011. Welcome to the new acute and community County Durham and Darlington NHS Foundation Trust. The new Foundation Trust…. …an acute and community Foundation Trust for County Durham and Darlington

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Clinical strategy ft member events april 2011

Clinical strategy

FT member events

April 2011

Welcome to the new acute and communityCounty Durham and Darlington NHS Foundation Trust


The new foundation trust

The new Foundation Trust…

  • …an acute and community Foundation Trust for County Durham and Darlington

  • …more integrated, better co-ordinated care for patients

  • …helping the health and social care system work together more effectively

  • …opportunities for staff working in new and different ways


Trust governance

Trust governance

Public

governors

Staff

governors

Stakeholder

governors

Governing

Council

Foundation

Trust Board


Clinical vision an opportunity

Clinical vision – an opportunity

“to shift the centre of gravity from hospital to community and develop fully integrated care pathways”.


Clinical vision

Clinical vision

  • Premier provider of healthcare in County Durham and Darlington including:

    • Prevention and enablement

    • Community Services

    • Planned and emergency hospital care

  • Major provider of women’s and children’s services in the North East

  • Reputation for excellent specialist services

  • National profile as a pathfinder for new ways of offering health services in hospital, home and community


Clinical strategy our aims

Clinical strategy – our aims

  • The best health outcomes for patients

  • An excellent patient experience

  • High quality, low cost services for commissioners


Clinical strategy key areas

Clinical strategy – key areas

Long term conditions

Care of older people

Women and children

Acute medicine and emergency care

Surgery

End of life care


Case study long term conditions

Case study – long term conditions


Case study long term conditions1

Case study – long term conditions


Long term conditions

Long term conditions

Quick win: Facilitated discharge, good referral guidelines for disease progression, pathway for minor acute events, access to specialist support 0900-1700 via bleep and phone line (being set up now),

Priority issue: Patient education, equity of care, community clinics across the county, decrease LOS in surgical patients (CQUIN), IT - common LTC pathway and paperless clinics with instant transfer of data across primary and secondary care

Synergy benefits:

Outcomes and experience: reduced admissions through better accessibility to specialist staff, better screening and management

Workforce: development opportunities working across the pathway utilising district and community nurses and integrating them with hospital specialist nurses

Efficiency: Community rather than hospital follow ups; Nurse rather than Consultant follow ups. Working along with other workstreams - old age/ emergency and end of life care pathways to be put in place


Older people

Older people

Quick win: Dementia – training of all staff who are in contact with older people through e-learning etc

Priority issue: single point of access to range of services

Synergy benefits:

Outcomes and experience: Early prevention /screening, future care planning

Workforce: better use of specialist skills through dedicated specialist direct assessment /admission unit

Efficiency: better use of community hospitals


End of life

End of Life

Quick win: Use of DH ‘surprise question’ as a trigger into advanced care planning in the last year of life

Priority issues: Shared, real time access to information via IT systems; single point of access in the form of a coordination centre

Synergy benefits:

Outcomes and experience: patients more likely to access preferred option/place of care at the end of life

Workforce: developing skills to facilitate patient choice of preferred place of care at the end of life

Efficiency: reduce number of avoidable admissions to acute care at the end of life


Acute medicine emergency care

Acute medicine emergency care

Quick win: integration of protocols between UCC and A&E

Priorities: joined up approach with all stakeholders including NEAS, social care

Synergy benefits:

Outcomes and experience: reduced waits by quicker access to appropriate level of care

Workforce: access to senior experienced clinician opinion at earliest opportunity in the pathway

Comprehensive directory of supporting services in community and acute settings

Efficiency: reduced admissions from ED and urgent care


Women s and children s

Women’s and children’s

Quick win: Antenatal assessment for vulnerable families

Priority issues: Middle grade cover in paediatrics and maternity, training of advanced paediatric nurse practitioners, consultant numbers in paediatrics

Synergy benefits:

Outcomes and experience: Community care pathways for women with low risk pregnancies

Workforce: Alignment of community midwives with integrated children’s teams

Efficiency: integrated Health Visitors and school nursing children’s teams with social care


Surgery

Surgery

Quick win: Redesigning pre-operative pathway; changes to urology pathway

Priority issues: Addressing pressures in vascular surgery

Synergy benefits:

Outcomes and experience: more accessible service for patients, reducing unnecessary hospital visits ( pre-operative pathway), delivery of care closer to home (Urology pathway).

Workforce: changes to skill mix to meet pathway requirements, staff have the skills to deliver care in the appropriate setting for the patients

Efficiency: Reducing emergency admissions to hospital. Offering other services to manage surgical emergency activity, to deliver a better service for patients.


Clinical strategy discussion

Clinical strategy - discussion

  • What services could be offered in the community that are currently offered in hospital?

  • Delivering services in hospital

    • Advantages

    • Disadvantages

  • Delivering services in the community

    • Advantages

    • Disadvantages


We are developing a new clinical strategy for the new organisation take part in the discussion at

We are developing a new clinical strategy for the new organisationTake part in the discussion at

www.cddft.nhs.uk/about-us/clinical-strategy.aspx


Welcome to the new acute and community county durham and darlington nhs foundation trust

Any questions?


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