David Sissling

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• David Sissling
• Programme Director, Healthcare for London

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Healthcare for London the background

• Dec 2006 Lord Ara Darzi commissioned by
  NHS London to review the health
  service in London
• March 2007 The Case for Change
• July 2007 Framework for Action
• Nov 2007 March 2008 Consulting the Capital
• June 2008 Joint Committee of Primary
  Care Trusts decisions and
  recommendations
• July 2008 ? Implementation

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What is Healthcare for London

• Clinically defined change
• Models of care
• Care pathways
• Delivery arrangements
• New focus on health and well being
• Big, complex, inter-connected change
• Change driven forward by commissioning
• Change driven forward with pace
• Pan London but distinctively local

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The proposals
New models and pathways
Care settings
QUALITY, OUTCOMES, HEALTH IMPROVEMENT, PATIENT
EXPERIENCE, USE OF RESOURCES.
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Work in progress

• Projects
• Stroke
• Trauma
• Local hospital
• Unscheduled care
• Polyclinics
• Diabetes Long term conditions
• PCT Leadership
• Clinical Leadership
• User Involvement
• Evidence

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Work in progress

• Enablers
• Commissioning
• Workforce
• IT and information
• Patient choice and empowerment
• Clinical Networks
• Clinical leadership and engagement
• Research and development
• Finance

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The impact and implications

• For patients and the public
• Better health
• Safer care for those in need of most acute care
  lives saved, reduction in disability, quicker
  recovery
• Fewer visits to hospital
• Greater range of services in better quality
  primary and community care settings
• Improved access to services e.g. longer opening
  hours, single rather than multiple visits
• Better care outcomes
• Empowerment and choice
• Better connected and planned care e.g. long-term
  conditions

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The impact and implications

• For the NHS
• Development of clinical networks
• Development of quality and outcome measures
• New organisational relationships and new provider
  landscape
• Integration
• Stronger commissioning
• Better use of evidence
• Clinical leadership and engagement
• A new relationship with patients and service
  users
• Service driven information and I.T
• Aligning roles and skills with service models and
  delivery objectives

Settings
Pathways
Workforce
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Looking ahead

• More projects maternity, children young
  people, mental health end-of-life care
• PCT strategic commissioning plans
• Shaped by outcomes of consultation
• Guided by Healthcare for London project work
• Set in local circumstances
• Further engagement and consultation
• Focus on implementation
• Pressure on enablers
• Developing an evidence base and an evaluation
  framework
• Early evidence of progress and impact
• 10 years of evolving, positive change

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