Unscheduled Care Collaborative A

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ANNUAL REVIEW ACTIONS 2007/08 Andrew Robertson
OBE LLB Chairman NHS Greater Glasgow Clyde
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General Overview of all Actions
1. Improvements in reducing inequalities Ongoing
2. Primary Care Strategy Process in place
3. Tackling alcohol reducing smoking Major focus
4. Meeting financial targets Achieved
5. Developing Outline Business Case for Southern General and New Childrens Hospital Achieved
6. Progress towards financial balance in Clyde Ongoing significant progress made
7. Completion of staff projections Completed
8. Agenda for change Review process Nearing completion
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General Overview of all Actions
9. Implementing Knowledge Skills framework Ahead of target
10. Progress towards national sickness absence target Progress continuing
11. National waiting time targets Targets met in inpatient, outpatients, day cases and AE
12. Improve performance towards 62 day cancer target Steady progress evident. Focus on Lung and Head Neck cancers
13. Reduce Delayed Discharges Target met
14. Comply with NHS QIS standards Ongoing
15. Public engagement strategies relating to Hospital modernisation programme Range of activities in place
16. Complete Public Partnership Forums Completed
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Reducing Alcohol Misuse

• Development and implementation of Joint Alcohol
  Policies
• planning a summit on alcohol with our four Local
  Authorities with the highest death rates from
  alcohol related harm
• Alcohol has been agreed as a priority for
  community planning and within the SOA with
  Glasgow City. 
• Finalising planning on training and
  implementation of brief interventions to make
  best use of new funding.
• The NHS Board, with the city of Glasgow is also
  investing heavily in the provision of alcohol
  support services, alcohol rehabilitation services
  and services for individuals with an Alcohol
  Related Brain Damage

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Access Targets

• Achieved 98 national guarantee in AE in
  December 2007, and sustained this position for 7
  months
• Achieved maximum waiting times target in
  inpatients and day cases
• Achieved maximum waiting times targets in
  outpatients
• Waiting time targets delivered in Cataracts, Hip
  surgery following fracture, Angiography,
  Angioplasty, diagnostic scans and endoscopies
• 48 HOUR access to Primary Care achieved

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Unscheduled Care Collaborative AE HEAT Target

• Aim to support achievement of 98 AE Waiting
  Time Target through re-design of patient
  pathway
• Developments within AE
• Assessment/Receiving/Admission
• Bed Management/Discharge Planning
• Out of Hospital Supporting early
  discharge/prevention of attendance

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Financial Management

• In 2007/08, the Board remained within its
  resource limits for both revenue and capital
  expenditure, and achieved its targeted level of
  cost savings.
• This includes 7m of cost savings within Clyde,
  leaving a residual funding gap of 19m to be
  tackled in 2008/09 and 2009/10 on target to
  achieve further 9m of savings in 08/09
• Progress of Acute Service Review and Outline
  Business Case for the South Glasgow Hospital and
  the new Childrens Hospital

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Progress with Patient Focus Public Involvement
in 2007/08

• Public Partnership Forums  
• Patient Information Points
• NHSGGC Website
• Maternity Services
• New Childrens Hospital
• New South Glasgow Hospital
• West of Scotland Regional Heart and Lung Centre
• Clyde Services Modernisation
• Our Health events
• Patient Befriending Volunteers
• Health News
• NHS 60 Celebrations

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• Vale of Leven Hospital
• Retention of services and Provision of new
  services
• Tom Divers
• Chief Executive

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Current Service Provision
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Community Maternity Unit

• Consultation period completed
• Recommendation to NHSGGC Board on 19th August to
  sustain birthing services at Inverclyde and Vale
  of Leven for 3 years supported by communications
  campaign to increase utilisation
• Full range of post and ante-natal services will
  continue to be delivered

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Clyde Wide Mental Health

• Consultation period completed paper to Board
  on 19th August on Clyde Mental Health
• Bulk of strategy is non-contentious
• Clear way forward accepted for South Clyde
• Major debate has centred on Christie and Fruin
  wards

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Frail Elderly / Elderly Mental Health

• Examining option to separate 'Elderly'
  'functional' beds from 'Adult' beds in current
  Christie ward
• Looking at potential relationship, including all
  staffing and cover issues, with beds currently
  provided in Fruin Ward
• Potential to use spare accommodation attached to
  Fruin with minor works to separate patient groups
• Examine potential for linkages with frail elderly
  and rehabilitation services in next stage

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Unscheduled Medical Care

• Report of external experts recommends that
  significant proportion of selected GP
  assessed admissions should continue
• significant proportion of admissions from
  self-presenting cases can continue
• Anaesthetics is not sustainable
• Detailed work on protocols and staffing model to
  be taken forward during consultation period

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Alexandria Medical Centre

• In addition to care home development, plans have
  also been developed for a new Alexandria Medical
  Centre
• Estimated capital cost of circa 17m draft OBC
  now ready for submission
• Full planning permission granted to develop on
  the Vale of Leven site
• Can become part of overall Vale campus and
  increase integration of primary and secondary
  care.

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Opportunities for brining additional services to
the site

• Regional specialist services Oral\dental
  health
• Additional dialysis capacity
• Medical and surgical specialties Urology
  Rheumatology Gastroenterology

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Engagement and Consultation Arrangements

• NHS Board formally receives responses to
  maternity and mental health consultations on
  Tuesday 19th August
• Engage Scottish Health Council in discussion
  about timetable for final stage of consultation
  on future vision
• Recognising pre-engagement on mental health and
  unscheduled medical care already carried out
• Bring forward in September, 2008 final set of
  proposals covering all future aspects of service
  sustainability for the Vale of Leven site,
  including unscheduled medical care

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• The New Southern General Hospital
• Robert Calderwood
• Chief Operating Officer

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New Southern General Hospital Development

• Main Entrance AdultViewed from Govan Road and
  Fastlink will stop outside
• Adult UnitThis building will have 1109 beds, all
  in single rooms with views
• Accident EmergencyBoth Adult and Childrens
  adjacent but distinct
• Childrens HospitalThis facility will provide
  240 beds, linked to maternity
• 5. Main Entrance Childrens
• Maternity UnitThis will have 78 beds, 60 cots
  and be linked to the adult and child unit
• Helicopter padPatients arriving have a
  designated lift to access the appropriate unit
• Neurosciences The building will be linked to
  the new facility
• Laboratory BuildTo house Haematology,
  Biochemistry and Mortuary
• Langlands BuildingRehabilitation Services

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Current Maternity
New Build Integrated Neonatal Unit llnking
Maternity and Childrens Hospitals
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Maternity
Refurbished Maternity Building
New Maternity Building

• 12 delivery rooms en-suite, one with a birthing
  pool
• 2 new state of the art obstetric theatres
• 60 cots for neonatal intensive care and special
  care
• A Fetal Medicine Department
• Counselling facilities
• Mother and baby facilities
• Link into the childrens hospital providing
  excellent clinical adjacencies including
  theatres and PICU

• 78 Obstetric Beds
• 36 Gynaecology Beds
• 2 Gynaecology Theatres
• Emergency Gynaecology
• Early Pregnancy Assessment
• Day Care
• Ultrasound
• Out Patients Department

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Childrens Hospital
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Childrens Hospital
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CHILDRENS HOSPITAL

• 240 beds (57 single rooms)
• Every bed has space for parent overnight stay
• 7 state of the art theatres
• Dedicated Adolescent Facilities
• Critical Care adjacent to Neonatal Unit
• Integrated Therapy Suite
• Ronald McDonald House rebuilt on SGH site
• Diagnostics 1 1 shared Gamma Cameras
• 2 MRI
• 1 CT
• Share Helipad with adult hospital
• Link with Neurosciences

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Adult Hospital
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New Adult Acute Hospital
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NEW ADULT ACUTE HOSPITAL

• 1,109 single patient bedrooms with en-suite
  facilities
• Emergency Department 110,000 attendances per
  annum
• Helipad located on roof, designated route to AE
• 20 high technology theatres
• State of the art diagnostic facilities with MRI
  2 CT 3Gamma Camera 1 1 shared
• Workspace areas with IT facilities for all
  clinicians
• Education and training facilities

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Langlands Building
Neurosciences Building
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Retained Facilities

• Langlands Building 210 beds
• Neurosciences, Regional Maxillofacial and
  National Spinal Injures Unit 215 beds
• Theatres 7
• Diagnostics MRI 2 CT 2

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Future Southern General Campus
Adult Hospital Childrens Hospital Maternity Neur
osciences, RegionalMaxillofacial National
Spinal Injuries Unit Rehabilitation Adult
Beds 1670 Childrens Beds 240 Theatres
38 Diagnostics MRI 6 CT
6 Gamma 3
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