Communicating the Vision

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Communicating the Vision
Overview and Scrutiny Committee 14th March 2007
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Introduction

• North West Ambulance Service
• National Drivers
• Local Issues
• Vision Strategy

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North West NHS

• 1 x SHA
• 1 x Ambulance Trust
• 38 Hospital Trusts (7 FT)
• 23 Acute
• 8 Mental Health
• 7 Specialist
• 24 Primary Care Trusts

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North West Ambulance Service

• 5,400 sq miles
• 7 million people
• Varied topography and demography
• 114 stations, 3 Area offices, 1 HQ
• 4,500 staff
• 780,000 Emergency Calls per year
• 3 million patient journeys (2005/6) 17 of
  national activity

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National Policy (1)

• Taking Healthcare to the Patient
• 70 recommendations
• 31 Ambulance Trusts to 11
• Provide and co-ordinate range of health services
• Hear and Treat and See and Treat
• More patients treated in community
• Greater job satisfaction for staff

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National Policy (2)

• Call to Connect
• Clock starts at connection to the ambulance
  service (April 2008)
• Phone answered within 5 seconds (April 2008)
• GP calls treated as 999 (April 2007)

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National Policy (3)

• Direction of Travel for Urgent care
• More responsive to people
• More efficient use of resources
• Emergency Access
• Pyramid of Emergency and Urgent care
• Mending Hearts and Brains
• Centres of excellence for specialist care

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Local Issues

• Reconfiguration of SHA and PCTs
• Commissioning changes
• Improve strategic capacity, capability and
  leadership of ambulance management
• Embed clinical leadership
• Robust governance
• Stakeholders
• Legacy
• Diversity

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999 Cat A Activity
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999 Cat A Activity
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NWAS Service Vision and Strategy

• Principle of taking healthcare to the patient
• Care Co-ordination centres is key
• Enhanced range of service provision
• Role in public health improvement and accident
  prevention
• Leading on emergency preparedness for NHS
• Equity of service delivery
• Performance framework based on Healthcare
  Commission Standards

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Service Strategy
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Service Delivery
ACCESS Call to connect
Rapid Response
IT infrastructure
Referral pathway or transport
CARE Taking Healthcare to the patient
Clinical assessment
Clinical treatment
ORGANISATIONAL EFFICIENCY
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Care Co-ordination (1)

• Call to Connect Call Handling
• 5 second pick up time
• 50 second reduction in response time
• Initial determination of assessment need
• Virtual call centre
• Capacity and Resilience
• National Ambulance Radio Project
• Electronic Patient Record
• Functionality

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Care Co-ordination (2)

• Efficient Utilisation of Resource
• Remove internal borders
• Differential response model
• Alternative responses
• Health care capacity monitoring
• Distribution options
• Transfer co-ordination
• Dynamic deployment model
• Optimal Model
• 3 linked sites

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Feedback and Engagement

• Staff and Stakeholder briefings
• Commissioner engagement
• Overview Scrutiny committee
• PPI Forum
• Public meetings/events
• Email us at xxxx_at_nwas.nhs.uk
• Website www.nwas.nhs.uk

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Summary

• Challenging agenda
• Change to clinical decision model
• Integrated health response

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QUESTIONS?