Better Health Better Care

Elizabeth Porterfield

Healthcare Strategy and Planning

Better Health, Better Care

• Discussion 16 August - 12 November

• 2000 people involved• Around 600 submissions• Action plan launched 12

December 2007

PURPOSE

Strategic ObjectivesWealthier & Fairer – Enable businesses and people toincrease their wealth and more people to share fairly in that wealthSmarter – Expand opportunities for Scots to succeed fromnurture through to life long learning ensuring higher and more widely shared achievementsSafer & Stronger - Help local communities to flourish,becoming stronger safer places to live, offering improved opportunities and a better quality of life

Greener – Improve Scotland’s natural and built environmentand the sustainable use and enjoyment of it

Towards a Mutual NHS

“The NHS talks about patient focus and service users.

It should talk about service owners”

World café Glasgow

Towards a Mutual NHS

• Strengthen public ownership by strengthening rights to participate

– Public Partnership Forums– Participation standard– Patient experience– Patient Rights– Board elections – Ownership report – Independent scrutiny

Towards a Mutual NHS

• An NHS based on the values of cooperation and collaboration

– Further distance from market based models– Staff partnerships – Managed Clinical and Service Networks– Review of Special Health Boards

Helping People Improve Their Health

• Cross Government approaches

– Other portfolios (e.g. early years, drugs, violence reduction)

– Broader health and wellbeing portfolio (e.g. social inclusion, housing)

– Partnership Working (including third sector)

Helping People Improve Their Health

• An enabling service

– Targeting the unique contribution of NHS– New strategies on substance misuse– Enhancing Public Health

Health Inequalities

• “That is why we have made tackling health inequalities our top health priority”

– Ministerial Task Force– Break link between early life adversity and adult disease– Anticipatory approaches and primary care – Health improving health service

Improving Quality

• Patient Centred• Safe• Effective• Efficient• Equitable• Timely

Improving Quality

• Patient Centred

– Better Together– Supported self management– Carer support– Palliative Care– Travel and transport

Improving Quality

• Patient Safety – Patient safety programme (12 evidence based

interventions)– Tackling HAI

• Efficiency – Targeting unjustified variation

Improving Quality

• Effectiveness – Locally delivered services– Anticipatory care

• Equity – Fair for All / Equality assessment – Implement remote and rural recommendations

• Timeliness– 18 week whole journey time– Better co-ordinated systems of unscheduled

care– GP access

Improving Quality

Making it happen

• Targets rebalanced to better align with long term strategy

• Linked to approaches in other parts of the public sector• Implementation is mainstream business

Scottish Parliament

NHS Board Chairs

NHS Board Chief Executives

Health Directorates

Scottish Government NHSScotland

Dr Kevin Woods, Director General of Health/CE of NHSScotland

Sir John Elvidge, KCB Permanent Secretary

Alex Salmond, First Minister

Nicola Sturgeon, Deputy First Minister & Cabinet Secretary for Health & Wellbeing