Developing Services for the Future

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Developing Services for the Future

• Doing More, Doing Better
• Consultation
• 3rd April 26th June 2006

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Doing More, Doing Better

• Whats been achieved ?
• Whats next ?
• The consultation proposals
• Next steps

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Doing More, Doing Better

• Health Promotion and Screening
• Primary Care
• Planned Treatment
• Emergency Care

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Health Promotion and Screening
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Primary Care
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Access Times
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Ambulance Response
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What Next?

• Targeting Priority Areas
• Spending New Money wisely
• Reducing Management and Overhead costs
• Reducing Waste

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Targeting Priority Areas

• Service Priorities
• Health Promotion
• Access/Transport
• Primary care
• Unscheduled care
• Shorter waiting times
• Mental Health
• Childrens Services
• Care of the Elderly

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Spending New Money Wisely

• New Services in Primary Care
• More Diagnostic/Therapy Funding
• Extra Activity in District General Hospitals

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Reducing Management Overhead costs

• Further reductions in management costs c 0.250M
• Reduced costs and shared services c 1 M
• Cost reduction programme c 6.5M

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Removing Waste

• Unused Inpatient Bed/Days
• Unused Out Patients Appointments
• Out Of Hours Services
• Duplications in Therapy/Diagnostics
• Unused Medicines

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The Consultation Proposals

• Designed To Deliver
• Doing More, Doing Better

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Whats Proposed for Acute Services ?

• Acute hospitals working together in three
  networks (Service Delivery Units) - Bro
  Morgannwg, Swansea and Dyfed
• A networked Service Delivery Unit in Powys which
  will deliver more acute care in local assessment
  and treatment centres linked to acute hospitals
  outside the county
• Specialist services will be provided on a
  networked basis across the three Service Delivery
  Units and Powys
• Highly specialised services, where provided in
  the region, will be delivered in Swansea

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What does this mean for Swansea ?

• Swansea will develop a single site acute hospital
• supported by strengthened primary and community
• services to take routine care closer to patients
  in
• their communities

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What does this mean for Powys ?

• Powys will deliver more acute services locally,
  in
• partnership with a network of acute providers,
• through the development of shire based
• assessment and treatment centres
• (as detailed in Doing More, Doing Better)

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What does this mean for Dyfed ?

• Option 1
• A new integrated acute hospital built in South
  Dyfed
• Bronglais Hospital will be a linked DGH
• The Prince Philip Hospital will become a local
  general hospital(LGH) and a dedicated centre for
  elective care supporting Dyfed and Swansea
• A network of improved primary and community care
  services and resource centres will be developed
  to reduce reliance on hospitals

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What does this mean for Dyfed ?

• Option 2
• West Wales General Hospital will become the main
  acute DGH site for Dyfed
• Bronglais and Withybush will become linked DGHs
• Prince Philip Hospital will become a LGH and a
  dedicated centre for elective care supporting
  Dyfed and Swansea

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What does this mean for health care organisations
?

• A single Trust will be developed for Dyfed
• Bridgend LHB and Neath and Port Talbot LHB will
  develop joint arrangements for the commissioning
  of secondary care services
• Carmarthenshire, Ceredigion and Pembrokeshire
  LHBs will develop a single secondary care
  commissioning arrangement

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How do I make Comments ?

• The consultation will run for a period of 12
  weeks from 3 April
• 2006 and will end on Monday 26 June 2006, by
  which time
• any comments you wish to make must be sent to
  your Local
• Health Board
• If you have any alternative suggestions on how we
  can
• achieve the aims laid out at the beginning of the
  document,
• we would be very pleased to consider them
  together with any
• supporting evidence.

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What happens after the consultation
At the end of the consultation process, each LHB
and Community Health Council within the Region
will consider all responses received from the
public, NHS staff, health professionals and all
other stakeholders If there is agreement on the
proposals, this will be confirmed at the public
meetings of the Local Health Boards and we will
proceed to implementation If there is no
agreement on the proposals, the detail of the
consultation and the responses may be referred to
the Minister for Health and Social Care for a
decision
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Developing Services for the future

• Doing More, Doing Better!

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Commissioning Strategy

• Commissioning plan developed
• Shift resources- from acute general hospital
  care to primary and community care
• - from emergency admission to chronic disease
  management and
• local assessment- from current pattern of
  services into new services based on joint
• delivery, rehabilitation and greater
  efficiency- from out of county services to more
  local service delivery- towards childrens
  services- towards improved transport for
  patients

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Provider Strategy

• 15/16 Local Care Teams
• Integrated Health Social Care facilities
• Shire based Treatment Assessment facilities
• Clear Clinical Pathways
• Partnership with others for local out of County
  services

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Key Deliverables

• Next 6 Months
• Primary Care
• New Dental Contract
• Directed enhanced Services
• Entry to NHS dental registrations 33,000 new
  opportunities
• Newtown development
• Intermediate Care/ Local Secondary Care
• 999/ Minor Injury Unit initiative
• Consultant Cardiology Clinics
• Extra Surgery undertaken in Powys

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Key Deliverables

• Waiting Times
• Achievement of 12 months target
• Capital Investment
• Upgrading of X-Ray equipment
• New assessment and treatment for Learning
  Disabilities
• Refurbishment of Llanidloes Hospital.
• Planning/Consultation
• Regional consultation
• Local Consultation on DMDB

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Key Deliverables

• 1st Year
• Self Management/Primary Care
• Expert patient carers programmes.
• New Locally Enhanced Services
• 6 Local Care Teams to be established
• Mental Health services to Primary Care developed
  (Counselling and liaison)
• Intermediate/Secondary Care
• Extra inpatients work undertaken
• Extra surgery transferred

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Key Deliverables

• Waiting Times
• Achievement of 8 months target
• Achievement of 36 weeks diagnostics wait
• Mental Health crisis response
• 6 months Child Adolescent Mental Health
  services
• 4 months Cataract

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Key Deliverables

• Capital Investment
• Mental Health Development Ystradgynlais
• 2nd phase development of X-Ray
• Brecon Business case completed
• Extension to AMI ward
• Planning/Consultation
• New Assessment and Treatment facility
• Development of Machynlleth Hospital
• Development of Builth Wells Hospital
• Dialysis
• Primary Care Estate

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Key Deliverables

• Years 2 3
• Self Management/Primary Care
• Local Care Teams fully functional
• Lifestyle Co-ordinators
• Roll out of expert Patient and Carer programme
• Intermediate Care/ Local Secondary Care
• Emergency Care Practitioners
• Local Dialysis service
• Achievement of cancer standards
• Full delivery of extra inpatient surgical
  activity
• Community Nursing 8 8 for 7 days a weeks

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Key Deliverables

• Waiting Times
• Achievement of 26 weeks total treatment time by
  2009
• Capital Investment
• New Assessment and Treatment facilities
• Integrated Health Social Care Facilities

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Developing Services for the future

• Doing More, Doing Better!