Post on 21-Jan-2016
Bishop’s Castle Patient Group Thursday, 9 July 2015
Programme Update
• The story so far…..
• Acute Option Development
• Rural Urgent Care
• Affordability
• Timeline & Risks
• Linked Projects
• Engagement & Consultation
The story so far……
Call to ActionNov ‘13
Case for ChangeJan ‘14
Clinical DesignJun ‘14
Long list of acute scenarios
Jun ‘14
Activity & Capacity Modelling
Aug ‘14
Short list of acute optionsFeb ‘15
Strategic Outline Case
Aug ‘15
Preferred optionSept ‘15
Rural urgent care provision Sept ‘15
Clinical Model – networks of care
Urgent & EmergencyCare Network
Planned Care NetworkMaternity Network
Consultant-led Obstetricsand Neonates
Midwifery Led Units
MLU
Obs
Emergency Centre Urgent Care Centre Consultant-led Obstetrics
Diagnostic & Treatment Centre Local Planned Care
SHORTLIST OF ACUTE HOSPITAL OPTIONS
Option Appraisal
ECONOMIC APPRAISAL
Which option provides the best value for money?
Financial Appraisal
How do the costs of options compare?
Non-Financial Appraisal
What non-financial impact will each option have?
• Accessibility• Quality of care• Workforce• Deliverability
Potential Locations for Urgent Care Centres
Urgent Care Centres
Urban UCC (RSH & PRH) included within acute options
Work under way to explore the most appropriate rural urgent care solutions in partnership with local communities and considering current facilities/services
1st round of locality meetings completed
2nd round now scheduled
Will consider all existing Minor Injuries Units & Community Hospitals as potential sites for Urgent Care Centres
No locality would experience a reduction in urgent care provision
Subsequent work will need to explore potential for rural planned care activity by sub-specialty.
Bishops Castle Thur 16.07.15
Whitchurch Mon 20.07.15
Ludlow Thu 6.08.15
Bridgnorth Mon 10.08.15
Oswestry Thu 13.08.15
Urgent Care Centres
First Round • To develop a baseline understanding of urgent care, and what we
anticipate will be the minimum system requirements for all UCCs in Shropshire, Telford & Wrekin.
Second Round • Summary presentation on information gathered and analysed from
first round.• Further inputs (e.g. travel times, projected footfall, estates review,
estimated cost envelope).• Inviting representatives of other professional groups (therapists,
practice nurses, ambulance service, social care, third sector), aiming for around a 60:40 split between public/ patient representatives and professional clinicians / managers.
• Key themes to be identified to inform recommendation to Programme Board.
Affordability
• Work now being completed on:
• The building and running costs for each of the shortlisted acute options
• The potential cost of Urgent Care Centres
• Commissioners to assess affordability of activity implications within 5 year plans
• SaTH to set out affordability of each option within the funding envelope
• NHS Trust Development Authority to advise on affordability assessment
MAY2015
JUN JUL AUG SEP OCT NOV DEC JAN2016
FEB MAR APR MAY JUN
Acute SOC(EC, DTC & Urban UCCs)
TDA and DH/HMT parallel approvals Acute OBC development
Rural Urgent Care solutions
PCBC developmentPreferred Option – Rural urgent Care Offer - 4 Tests
Gateway– Senate – Affordability - Consultation Plan
NH
SE Assurance Panel
Gate 1 Review
DMBC development
Senate Stage 2 Review
Public ConsultationPreparation for Consultation - plans & draft document Final Preparation
Prototyping - Business Case development (tbc)
Board/ CCG approvals
CCG affordability decision
SaTH
approval
Board/CCG approvals
Option Appraisal
Preferred O
ption
Equality Impact Engagement
Development of Full IIA Plan
Integrated Impact Assessment
FINAL CO
MM
ISSION
ER DECISIO
N M
AKING
ConsultationReport
HOSC/CHCEngagement
Gate 2 Review
Welsh Election
SaTH
approvalSCH
T approval
PROGRAMME HIGH-LEVEL CRITICAL PATH 2015-16Compressed variant of original timetable
Risk of failing to deliver the critical path due to interdependency with other workstreams and/or dependency on approvals outside the programme.
High Risk Medium Risk Low Risk
1
2 3
4
5
6
7
8 IIA Report & Mitigation Planning
Linked Projects
• ‘Community Fit’
• Describe patient oriented activity in primary care and estimate how this might change as a result of changes in demography.
• Use a full range of available data sources to identify patient’s wider community health and social care usage and classify patients based on utilisation patterns.
• Nature of subsequent work to be defined re: development of primary and community services
• Stakeholder meetings to start from September (Third Sector, Mental Health, Primary Care Services, Social Care & Community Services) to review data
• Information Technology• Local Health Economy IT Forum reported progress to Programme
Board • Integrated Care Record project to be established
Communication & Engagement
• POP UP CAMPAIGNo Grassroots engagement in 13 community venues - 60,000 leaflets.
• PRESENTATIONSo Over 50 presentations to Councils and social & community groups from January to
May.• RURAL URGENT CARE CENTRES
o Planning workshops at five localities• TELEPHONE SURVEY
o Representative sample of c.3,000 people across Shropshire, Telford & Wrekin and Powys to inform option appraisal.
• IMPACT ASSESSMENTo Targeted engagement with groups representing people with Protected Characteristics,
and planning for full Integrated Impact Assessment alongside Public Consultation.• CONSULTATION PREPARATION
o Due to commence and to include early engagement with Health Overview & Scrutiny Committee and with Powys Community Health Council.
• COMMUNITY FITo Initial communications on purpose and scope being prepared.