Transforming Community Services

(TCS)PRESENTER

VENUE22 September 2010

What are Community Services?

• Services delivered within the ten community hospitals in Leicestershire and Rutland including outpatients, day cases and radiology services

• The walk-in centre at Loughborough and the urgent care centre at Leicester Royal Infirmary

• Community based nursing services• Health visiting • School nursing

Community Services cont…

• Dental services• GP out of hours services, • Therapies (for example, physiotherapy) • Podiatry (eg foot care)• Nutrition and dietetic services

What is TCS?

• Significant national change programme for community services

• PCTs not able to employ/provide community staff/services beyond March 31 2011

• Programme aims to transfer these services to safe, effective destination(s) and achieve benefits to local community including:– integrated sustainable community services– improved quality of service and patient

experience– increased productivity and cost effectiveness

Health policy developments

• New operating framework published in June confirmed TCS to continue with transfer of community services by April 1 2011

• New white paper published 12 July – PCTs to be abolished by 2013, SHAs 2012

– Local accountability to be strengthened via new role for LAs in health strategy

– GP commissioning role/responsibilities to be increased and GPs take back responsibility for out of hours services from 1 April 2011

– Service reconfigurations: must include impact on choice, good clinical evidence, evidence of support from stakeholders (esp. GPs and LAs.)

The 3 phases of the work

• Phase 1 completed - initial service lines/ bundles with direction of travel proposed by sector (acute, mental health etc.) in March 2010

• Phase 2 – validate service lines/bundles with stakeholder input, develop/sign off business case with PCT Boards by Autumn 2010.

• Phase 3 – implementation of new contractual and service arrangements by April 1 2011

TCS Current Position

• Applied our benefits framework to each service line in TCS (with good stakeholder engagement) to propose where each service line should go

• Reviewing community services specifications

• Working on redesign for urgent care, model of care for frail elderly and community dental services (serves vulnerable groups)

• We have set out our due diligence framework, including financial and clinical governance, and are our timetable for completion.

Governance

• Local LLR Priority ‘Excellence for All’ Programme• TCS has a Steering Group (weekly) and a

Transition Board (monthly)• Approvals required at certain milestones from:

Trust Boards, Co-operation Competition Panel, Monitor

• Engagement with public, OSCs and LINks• Communications and engagement plan in place• Public engagement in August and September

incl questionnaire• Clinical Governance Framework

Who will manage the services?

• We will most likely end up with a number of providers providing elements of our existing community services.

• Subject to a financial and clinical ‘due diligence’ process, the following is the current position:

Proposals by Service Line

Some services still need further work

• These services include: – Specialist long term conditions – Community dentistry – Elective care (planned procedures including

outpatient clinics and day cases)– Urgent care 24/7 (including out of hours, walk

in/urgent care centres and minor injury units)– Representatives of staff, patients and

the public have been involved in this process and will remain involved throughout.

What next?

• Now gathering public and patients’ views

• Business Case will go to October Boards of NHS Leicester City and NHS Leicestershire County and Rutland. – This will take into account public,

patient and partner feedback– Further information will be available

after the October board meetings• The transfer is then planned to take

place by the end of 31 March

Engagement Links

• Questionnaire available in paper form or online at www.lcr.nhs.uk

• Return questionnaire by 24 September 2010

• Any queries contact Jo Lilley on either:– jo.lilley@lcr.nhs.uk– tel. 0116 295 7626