Better healthcare for London a capital idea

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Better healthcare for London a capital idea
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Tackling inequalities
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Staying healthy

• A greater focus on tackling hospital acquired
  infections

A focus on healthy eating and physical activity -
linked to 2012 Games
Partnerships with organisations and investment in
proven health improvement programmes
All healthcare staff to promote physical and
mental health
Improved health protection, especially sexual
health and greater support for carers
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Maternity and newborn care
Early assessment of womens social and medical
needs. Antenatal and postnatal care provided in
localone-stop settings
Choice of location for birth
Continuity of care throughout antenatal,
labourand postnatal periods. 11 midwife care in
established labour
Significant increase in the number of
midwife-led units
Obstetric units should have around
98-hourconsultant presence
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Children
Encourage healthy lives

• Better co-ordinate care for children with a
  life-limiting or life-threatening illness

People who deal with ill children need to have
specialist skills and expertise
Prioritise childhood immunisation
Provide specialist care for children on fewer
sites
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Mental health

• Local treatment, and discussion of whether, as
  admission to mental health units decrease,
  inpatient beds are needed in every borough

Early intervention and clearer pathways to care
Reduce the fear and stigma of asking for help and
give service users more control over their lives
Improving the quality of care and encouraging
specialisation
Services for those most at risk
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Planned care
More specialised inpatient care shouldbe
regionalised
Shift basic surgery, diagnostic and outpatient
services out of major hospitals
Better use of day-case procedures
Improve community-based services (e.g. GPs for
routine appointments before 9am, in the evenings
and at weekends, and rehabilitation)
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Acute pathway
Many current AE attendees could be treated in
the community
Major trauma, heart attack, emergency surgery and
stroke services should be regionalised
A single point of contact (by telephone)for
urgent care
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End of life
Individuals should be supported to expressa
preference for a place of death
A co-ordinator role is needed to ensure patients
preferences are met
All organisations should meet good practice (e.g.
gold standards framework)
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How we could provide care
Working together to provide more accessible,
better, safer and more efficient services
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Academic Health Centre

• An AHSC is a new concept in this country although
  proven in other countries.
• Integrates strategies for service, education and
  research
• Achieved through
• Single mission and a unified governance and
  management structure
• Delivered by
• Creation, utilisation and dissemination of new
  knowledge

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What is an AHSC?

• International quality in education, research and
  clinical services
• Strategic and operational alignment of research,
  education and clinical services, leading to
  faster translation of discoveries into treatments
  that benefit patients
• Integration of the organisation and its mission
  with local healthcare provision (not just medical
  education, research and acute services)
• Aligned governance of the academic and service
  components exemplified by combined leadership for
  the academic and clinical activities
• Integrated operational management at level of
  delivery

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Integrating teaching, research and healthcare
provision demonstrable clinical benefits
Source Dr Foster Unit at Imperial
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The creation of the UKs first Academic Health
Science Centre

• On 1st October Imperial College Healthcare NHS
  Trust was launched through the merger of
  Hammersmith Hospitals NHS Trust and St Marys NHS
  Trust and integration with Imperial College
  London.
• Integrated board and management team