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HEALTH GROUP REPORT. Russell Patmore Medical Director, Clinical Support. Structure. 4 Health Groups for the clinical services Medicine Surgery Family and Women’s Health Clinical Support Each led by a Medical Director supported by Nurse and Operations Directors

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health group report

HEALTH GROUP REPORT

Russell Patmore

Medical Director, Clinical Support

structure
Structure
  • 4 Health Groups for the clinical services
      • Medicine
      • Surgery
      • Family and Women’s Health
      • Clinical Support
  • Each led by a Medical Director supported by Nurse and Operations Directors
  • Autonomy earned on the basis of performance
challenges
Challenges
  • Clinical performance
  • Increasing demand in many areas
  • Poor local health outcomes and an ageing population
  • Financial environment

How do we improve quality and deliver much greater efficiency?

health groups united
Health Groups United
  • Work together and use all our talents
  • Deliver better care for our patients
  • Improve our pathways to reduce harm, time in hospital and waste
  • Maximise efficiency to deliver savings and allow investment without compromising on quality

What did we achieved over the last year?

enhancing patient safety
Enhancing Patient Safety
  • Dedicated sessions for anaesthetists to optimise patients for surgery
  • Enhanced recovery project
  • Reductions in C-Diff and MRSA
  • Antibiotic drug chart
  • National early warning score introduced
  • Reduction in all mortality measures
  • Revalidation of medical staff
enhancing patient experience
Enhancing Patient Experience
  • Charge nurses now supervisory
  • Antenatal day unit and early pregnancy assessment centralised in W+C hospital
  • 2 new neonatal ICU cots opened
  • Intestinal failure team established and peer reviewed
  • Interventional Radiology granted exemplar status after national review
enhancing patient experience1
Enhancing Patient Experience
  • Butterfly project to identify dementia
  • Non-cancer palliative care service established
  • Reduced turn around in cellular pathology
  • Nurse led community outreach neurology clinics
  • Friends and Family survey results
innovation and efficiency
Innovation and Efficiency
  • Structure
    • Surgical admissions lounge at CHH
    • New gynaecology inpatient and day case unit in W+C hospital, Cedar Ward
    • New ED for children and minor cases
    • New ED majors department by July
innovation and efficiency1
Innovation and Efficiency
  • Equipment
    • Digital breast screening introduced
    • New radiotherapy machines installed
    • New radiology screening room at CHH
    • Pathology analysers replaced
    • ARIA electronic chemotherapy prescribing
innovation and efficiency2
Innovation and Efficiency
  • Pathways
    • Productive operating theatre project now trust wide
    • Rapid access children’s clinics established
    • Midwives trained to treat tongue tie
    • Multidisciplinary elderly short stay unit model at HRI with national recognition
    • Move to 7 day working
partnerships
Partnerships
  • Palliative Care Network
  • Community based chronic pain service developed with CCG’s
  • Palliative and Elderly medicine support to East Riding Hospital
  • HIV and Hepatitis C networks with York and South Bank
  • Neuropathology linked with Sheffield
partnership
Partnership
  • York
    • Pathology
    • Head and Neck Cancer
    • Renal
    • Cardiology
    • Opthalmology
    • Paediatric Surgery
    • Urology
    • Orthodontics
can we see the future1
Can we see the future?
  • There will be less money around
can we see the future2
Can we see the future?
  • There will be less money around
  • Everyone is getting older
can we see the future3
Can we see the future?
  • There will be less money around
  • Everyone is getting older
  • All roads lead to the emergency department
can we see the future4
Can we see the future?
  • There will be less money around
  • Everyone is getting older
  • All roads lead to the emergency department
  • If your in, your in
can we see the future5
Can we see the future?
  • There will be less money around
  • Everyone is getting older
  • All roads lead to the emergency department
  • If your in, your in
  • We will try to fix you, like it or not
can we see the future6
Can we see the future?
  • There will be less money around
  • Everyone is getting older
  • All roads lead to the emergency department
  • If your in, your in
  • We will try to fix you, like it or not
  • Its hard to say goodbye
can we see the future7
Can we see the future?
  • There will be less money around
  • Everyone is getting older
  • All roads lead to the emergency department
  • If your in, your in
  • We will try to fix you, like it or not
  • Its hard to say goodbye
  • The system will collapse
it can be different
It can be different
  • Avoid admissions
    • Not the default
    • Expand ambulatory care
    • Community based pathways
      • Frail Elderly
      • End of life
      • Chronic lung diseases
      • Heart failure
it can be different1
It can be different
  • Minimise hospital stay
    • Discharge planned from admission
    • PREDICT project
    • CAYDER electronic patient management
    • Expected Date of Discharge
    • Electronic patient record and prescribing
  • Rapid discharge and community support
    • Discharge Hub
    • Community partners
hgu summary
HGU Summary
  • Another successful year delivering significant improvements in patient care and experience whilst releasing greater efficiency savings than ever before
  • Clear risks for the future if we are to continue to deliver great care for our community
we need your help
We need your help
  • Our staff
    • Focus on patients
    • Identify and report poor quality
    • Ask yourself how this could work better
  • Our partners
    • Work with us to develop new pathways
  • Our patients
    • Tell us if its not working and what you need
    • Be prepared to embrace change
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