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Clinical Strategy Review. Why?. Our Orkney Our Health - outdated Redesign progress Orkney Health & Care Outline Business Case New technology, new opportunities New team Empowered middle managers Clinicians willing to engage Remote and Rural recommendations

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Presentation Transcript
slide2
Why?
  • Our Orkney Our Health - outdated
  • Redesign progress
  • Orkney Health & Care
  • Outline Business Case
  • New technology, new opportunities
  • New team
  • Empowered middle managers
  • Clinicians willing to engage
  • Remote and Rural recommendations
  • Efficiency and Productivity framework
  • Reduce unwarranted variation
  • Need to understand how we spend our money
vision for clinical services
Vision for Clinical Services
  • People of Orkney to have health and wellbeing by having access to quality services which enable them to:
    • participate in preventative and anticipatory care
    • Have access to appropriate treatment, including emergency services
clinical strategy the priorities
Clinical Strategy - the priorities
  • National policy frameworks and direction
  • Financial future
  • Continue to deliver safe, effective and person centred care
  • Create sustainability
  • Recommendations from Remote and Rural Implementation Group
  • Respond to changing demography
required for
Required for:-
  • Informing the Finance Strategy
  • Informing the Property Strategy
  • Informing the Workforce Strategy
  • Driving the OBC
  • Informing the SLAs required
  • Agreement on what can/can’t be provided
  • Agreement on how/where services delivered
what won t change
What won’t change
  • Patient safety as top priority
  • Planning for sustainability
  • Community Services embedded in OH&C
  • Reliance on Mainland Scotland Health Boards for some services
  • Need for integration with our partners – OIC, SAS, NHS 24 etc
rural general hospital r r definition
Rural General Hospital R&R definition
  • Emergency centre for the community
  • More advanced level of diagnostics
  • Level 2+ facility
  • First line management of emergency admissions 24/7
  • Provide range of outpatient, day case, inpatient and rehabilitation services
primary care services r r definition
Primary Care ServicesR& R definition
  • Integrated - team and location
  • Partnership approach between agencies and multidisciplinary teams
  • Co-located where possible
  • Preventative care
  • Anticipatory care
  • Emergency response
corporate themes and priorities
Corporate Themes and Priorities
  • Optimise Resource Utilisation
  • Improve Health whilst Improving Inequalities
  • Delivering Service Modernisation whilst improving patient experience
  • Be an effective and safe organisation
efficiency and productivity 7 cost reduction workstreams
Efficiency and Productivity7 cost reduction workstreams
  • Evidence based care
  • Preventative and early intervention
  • Outpatients, community & primary care
  • Acute flow and capacity management
  • Workforce productivity
  • Prescribing, procurement, support/shared services
  • Service redesign, innovation and transformation
evidence based care
Evidence Based Care
  • Disinvestment
  • Thresholds
  • NHS Evidence
  • NICE/SIGN/QIS
  • Patient Safety
will provide consistent and clear understanding of service delivery
Will provide consistent and clear understanding of service delivery
  • Pharmacy Strategy
  • Primary Care Strategy, including:-

- OOH (including SAS, NHS 24)

- Enhanced Services

- QoF

- Isles Network of Care

  • Community Services Model (OH&C)
  • Secondary Care Model
will give us clarity on
Will give us clarity on
  • SLA requirements
  • UNPACs
  • IPTR