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Wednesday 9 th October 2013. Special Trustees strategy day. Rob Elek Director of Strategy & Business Development. Contents. What changes are likely to happen in the NHS over the next 5-10 years?

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special trustees strategy day

9th October 2013

Special Trustees strategy day

Rob Elek

Director of Strategy &

Business Development

Special Trustees strategy day


  • What changes are likely to happen in the NHS over the next 5-10 years?
  • How is treatment for eye diseases likely to change over the next 5-10 years and how far is this being included in hospital planning?
  • What is the hospital’s Plan B if the current site options fall through?
nhs challenges
Special Trustees strategy dayNHS Challenges

The NHS is facing an unprecedented challenge in meeting growing demand for services within the financial constraints of flat real funding growth, leading to a forecast financial gap of £30bn by 2020/21.

The prospect of resources being outstripped by demand, driven largely by an ageing population and an increasing prevalence of chronic diseases, presents a significant challenge to the way the NHS currently commissions and provides care.

Special Trustees strategy day

Moorfields and the future

“Our Vision of Excellence”

Routine and specialist activity

  • Differentiation – central site, hubs and community-based facilities
  • Competition and pricing– reducing tariff, pathway pricing
  • Productivity and efficiency – service redesign, ‘more for less’

Quality and safety

  • Patient experience – reducing non-value added time, facilities
  • Clinical outcomes and patient-related measures – benchmarked metrics
  • Information, data and systems – data and R&D, Open Eyes, patient access, redesign


  • Staff experience – integration with IoO, Education strategy
  • Recruitment and retention – recruiting and retaining the best staff, skill-mix
Special Trustees strategy day

Future clinical requirements

Sizing the new building

  • Population growth – ageing demographic and ethnic variation
  • ‘Repatriation’ – transfer of patients to sites ‘closer to home’
  • Commissioning intentions – impact of tenders / non-hospital care
  • Central hospital / SGH as ‘second site’ – complex / specialist, systemically unwell patients
  • IoO - Integration and shared facilities
  • Impact of new pathways – service redesign
  • Planning assumptions – 6 day working, extended days and throughput
  • Impact of new treatments ……
Special Trustees strategy day

Future clinical requirements

New treatments

  • Femto-second phakoemulsification
  • Stem cell transplantation for dry AMD – Pete Coffey ‘The London Project’
  • Gene therapy for inherited retinal degeneration – Robin Ali
  • Diagnostic testing – holistic imaging, integrated equipment, connectivity
  • IT – Open Eyes clinical record, paper-lite and accessibility of information
  • Technology – mobile applications
  • The unknown…….
  • Design flexibility
Special Trustees strategy day

The new hospital

Current options

  • Kings Cross / Euston
  • Commercial and NHS sites
  • Accessibility, environment and footprint

Plan B

  • Continuing site search