“Our Health, Our Care, Our Future”

NHS Lothian Draft Strategic Plan

2014-2024

Why do we need a strategic plan?

• To provide the best care consistently

• To maintain and raise quality standards

• To meet the needs of a changing population

• To change our relationship with patients and their carers – putting patients at the centre

• To work more closely with other public services

• To work more efficiently.

What are the challenges we face?

• Demography, inequalities and ill health

• Multiple and chronic illnesses (Multimorbidity)

• Health service demand and rising expectations

• Tighter finances

What will success look like?

Improving the quality of care through:

• increasing the role of primary and community care

• integrating health and social care

• safer healthcare environments

• improving unscheduled and emergency care

• improving our approach to multiple and chronic illnesses

• involving people in their care and in service

improvements.

What will success look like?

Improving health of the population by focusing on:

• early years

• underlying causes of health inequalities

• preventative measures on alcohol, tobacco, dental

health, physical activity

• early detection of cancer.

What will success look like?

Better value and financial sustainability, by:

• Adapting the workforce

• Innovating to raise quality and reduce costs

• Raising efficiency and productivity

• Designing care pathways delivering what matters to

patients.

• Identifying areas for disinvestment – where there is

no contribution to the health of the population.

What will success look like?Current System Future System

Geared towards acute / single condition

Designed around people with multiple conditions

Hospital centred Located in local communities and their assets

Doctor dependent Multi-professional and team based care

Episodic care Continuous care and support when needed

Disjointed care Coordinated and integrated health and care

Reactive care Preventive and anticipatory care

Patient as passive recipient Informed, empowered patients and clients

Self-care infrequent Self-management / self-directed support

Carers undervalued Carers are supported as full partners

Low tech Technology enables choice and control

What we are going to do – the headlines• patient-centred, whole-system, pathways approach

• Scottish Patient Safety Programme

• multimorbidity action plan

• an end to ‘silo’ working

• access to primary care and community teams

• reduce and eventually eliminate delays in patients’ discharge

• improve the care for older people

What we are going to do – the headlines (continued)

• Focus major hospital care on 4 sites RIE, WGH, St Johns & new REH

• develop a new East Lothian Community Hospital and adapt the use of

Midlothian Community Hospital

• Further enhance community mental health services and redevelop the

Royal Edinburgh Hospital

• improve children’s services

• redesign cancer pathways and build a new Regional Cancer Centre

• revise emergency care at the Western General Hospital

• expand acute receiving and assessment capacity at the Royal Infirmary

of Edinburgh

What we are going to do – the headlines (continued)

• a new configuration of acute inpatient services at RIE, WGH and SJH

• do more on a day case basis

• review outpatient services

• improve service quality and generate £40m cash-releasing savings

each year

• innovate to improve the value of all (not just new) investment.

How are we going to do it…….?

……..by putting patients at the centre of our plans! • focus on the patients’ journey and experience

• four names, Callum, Hannah, Scott and Sophie, to represent

four groups of patients

• work with patients, staff, GPs, third sector,social care

colleagues to design a better way of doing things

• different working arrangements for clinical and other staff.

How are we going to do it…….?

• Integrating health and social care systems

• Adapting the workforce

• Better use of information

• eHealth

• Innovation

• Organisational development

• Managing the finances

Next Steps

• 2 April 2014 – Draft plan approved by NHS Lothian Board

• 21 April 2014 - “Our Health, Our Care, Our Future” consultation launched

• May, June, July 2014 - meetings with staff, patients groups, third sector

organisations, carers, community groups, local authorities, Scottish

Government and other stakeholders to analyse patent pathways, consider

options and develop specific proposals;

• 8th August 2014 – Consultation closes

• 1st October 2014 – NHS Lothian Board receive definitive Strategic Plan for

approval.

How to get involved

• Take the time to review the plan

• Discuss with your colleagues

– What are your priorities to transform our services?

– What can you do to help us deliver Our Health, Our Care, Our

Future?

• Respond to the consultation questions:

• Does this plan address the most important issues?

• Have we missed anything really significant? If so what?

• Is there anything else you would like to tell us before finalising

the plan?

How to get involved

• Comment on the proposed criteria for making decisions

• Comment on the NHS Lothian Health Inequalities Plan

• Comment on the NHS Lothian Strategy for Cancer

All above available atwww.nhslothian.scot.nhs.uk/OurOrganisation/

ourHealthOurCareOurFuture

How to get involved

• Complete the on-line questionnaire at:

www.nhslothian.scot.nhs.uk/OurOrganisation/ourHealthOurCare

OurFuture

• Respond to the consultation questions – E mail us at

(OurHealth.OurFuture@nhslothian.scot.nhs.uk)

• Write to: Professor Alex McMahon, Director of Strategic

Planning, NHS Lothian, Waverley Gate, 2-4 Waterloo Place

Edinburgh EH1 3EG