reconfiguring children s congenital heart services in england n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Reconfiguring children ’ s congenital heart services in England PowerPoint Presentation
Download Presentation
Reconfiguring children ’ s congenital heart services in England

Loading in 2 Seconds...

play fullscreen
1 / 22

Reconfiguring children ’ s congenital heart services in England - PowerPoint PPT Presentation


  • 82 Views
  • Uploaded on

Reconfiguring children ’ s congenital heart services in England. Public Health ’ s role in major service reconfiguration. Matthew Day North of England Specialised Commissioning Group (Feb 2011-Feb 2012) School of Public Health Regional Conference 2012. Congenital Heart Defects.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Reconfiguring children ’ s congenital heart services in England' - justus


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
reconfiguring children s congenital heart services in england

Reconfiguring children’s congenital heart services in England

Public Health’s role in major service reconfiguration

Matthew Day

North of England Specialised Commissioning Group

(Feb 2011-Feb 2012)

School of Public Health Regional Conference 2012

congenital heart defects
Congenital Heart Defects
  • Defect in structure of the heart present at birth
  • 8/1000 prevalence
  • Surgery rare
  • Approx 3’600 operations per year

Slides on the Safe and Sustainable Review of Paediatric Congenital Cardiac Services in England, October 2010

background
Background
  • 2001 : The Bristol Royal Infirmary Inquiry Report (the Kennedy Report) recommended the need for Children to have heart surgery performed in fewer specialist centres.
  • March 2011 the NHS led review ‘Safe and Sustainable’ consultation document proposing options for the future delivery
  • Proposal to reduce the number of centres which currently performed these complex operations from ten centres, to six or seven.
3600 operations
3600 Operations
  • >30 surgeons specialising in England
  • 10 centres doing surgery
slide6

Option A

  • Option A
  • Seven surgical centres at:
  • Freeman Hospital, Newcastle
  • Alder Hey Children’s Hospital, Liverpool
  • Glenfield Hospital, Leicester
  • Birmingham Children's Hospital
  • Bristol Royal Hospital for Children
  • 2 centres in London

Slides on the Safe and Sustainable

Review of Children’s Congenital Heart Services in England, March 2011

slide7

Option B

  • Option B
  • Seven surgical centres at:
  • Freeman Hospital, Newcastle
  • Alder Hey Children’s Hospital,
  • Liverpool
  • Birmingham Children's Hospital
  • Bristol Royal Hospital for Children
  • Southampton General Hospital
  • 2 centres in London

Slides on the Safe and Sustainable

Review of Children’s Congenital Heart Services in England, March 2011

slide8

Option C

  • Option C
  • Six surgical centres at:
  • Freeman Hospital, Newcastle
  • Alder Hey Children’s Hospital, Liverpool
  • Birmingham Children's Hospital
  • Bristol Royal Hospital for Children
  • 2 centres in London

Slides on the Safe and Sustainable

Review of Children’s Congenital Heart Services in England, March 2011

slide9

Option D

  • Option D
  • Six surgical centres at:
  • Leeds General Infirmary
  • Alder Hey Children’s Hospital, Liverpool
  • Birmingham Children's Hospital
  • Bristol Royal Hospital for Children
  • 2 centres in London

Slides on the Safe and Sustainable

Review of Children’s Congenital Heart Services in England, March 2011

public health role the science
Public Health Role: The Science
  • Regional Health Impact Assessment (HIA) of the proposed consultation options
  • Regional ‘information group’ established
health impact assesment
Health Impact Assesment
  • Epidemiology
  • Patient flows
  • Network configuration
  • Travel and access
  • Patient experience
  • Fetal cardiology
  • Financial
  • Staffing

Slides on the Safe and Sustainable Review of Paediatric Congenital Cardiac Services in England, October 2010

epidemiology surgical procedure rates
Epidemiology: Surgical procedure rates

Knowledge of available data

+

Building ‘Trust’ trust

+

Really basic number crunching

Table 1 Shows surgical procedures performed at LTHT by age-group and PCT 2009/10.

epidemiology network configuration multiple health needs
Epidemiology / Network configuration: Multiple health needs

75%

patients with multiple health needs

> 25% Respiratory related

Knowledge of available data

+

clinical network advice

+

analytical support

+

Complexity to ‘essentials’

travel and access patient experience patient flows
Travel and access / patient experience Patient flows

Understanding evidence / pathways

+

clinical network advice

+

narrative

patient family experience
Patient / Family Experience

“Some {surgical} centres may not provide services that are culturally specific to the current community.... If communities aren’t able to access culturally sensitive services the quality of care may suffer”

Source: Interim Health Impact Assessment Draft Appendices - Bradford Event Feedback. Available at: http://www.specialisedservices.nhs.uk/library/30/Health_Impact_Assessment_Interim_Report_Draft_Appendices.pdf

y h hia science influence
Y&H HIA ‘science’ Influence
  • Regional Commissioner and Provider CXs
  • Presenting and representing NHS at Regional Joint OSC
  • Providers
  • National Safe and Sustainable Team
  • Joint Committee of PCTs (decision making body)
  • Circulated nationally as exemplar
  • Advised PWC / MM for National HIA / Patient Flow work
public health dark arts
Public Health (dark) ‘Arts’
  • Relationships
  • Communication
    • Written – complexity to essentials
    • Non-verbal
  • Conflict
lessons for public health role in major service reconfigurations
Lessons for Public Health role in major service reconfigurations
  • Professional leadership
  • Technically astute
  • Complexities to essentials
  • PH ‘Communicators’
  • PH as ‘Honest brokers’
safe and sustainable timeline
Safe and sustainable Timeline
  • Largest Ever NHS Consultation - >75,000 responses
  • Y&H petition > 600,000 signatures
  • Royal Bromptom Vs JCPCT (Sept 2011). Consultation unlawful
  • JCPCT Appeal - verdict overturned. Consultation lawful.
the decision
The decision

“The 4th of July will be a milestone for the future of children’s congenital heart services”

Sir Neil McKay, Chair JCPCT

  • More options now on the table…..