AN UNRIVALLED OPPORTUNITY

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AN UNRIVALLED OPPORTUNITY

• For Local People,
• With Local People

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Alternative formats
This presentation can be produced in large print,
in Braille, on audio cassette and in other
languages upon request. Please call the Diversity
Equality Unit on 01282 475200
? 01282 475200
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Making a difference

• Whole Systems Review of clinical services across
  East Lancashire
• Involving hospital, community, primary and social
  care
• Starting here, tonight.

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Who is involved?

• East Lancashire NHS Trust
• Blackburn with Darwen Primary Care Trust
• Burnley, Pendle and Rossendale Primary Care Trust
• Hyndburn and Ribble Valley Primary Care Trust
• Lancashire Care NHS Trust
• Calderstones NHS Trust
• Lancashire Ambulance Service NHS Trust
• Lancashire County Council
• Blackburn with Darwen Borough Council
• ... and everyone who lives and works within East
  Lancashire

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Our goals

• Redesign the future of healthcare for local
  people together
• Place patients at heart of high calibre, seamless
  health and social care
• Adopt planned, proactive approach to service
  development
• Develop flexible, responsive and sustainable
  services for 21st century
• Shift the balance from over-reliance on
  emergency/ unplanned care
• Create a health, rather than an illness service

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Why do we need to change?

• 10 good reasons - national
• Rapid advances in medical knowledge, expertise
  and technology
• Rising patient expectations and Patient Choice
• Growing sub specialisation
• Increasing rates of day case surgery rather than
  in-patient care
• Changing population trends
• Longer life expectancy
• Emphasis on more community and primary care
• Working Time Directive
• Payment by Results (money follows patient)
• Expanding role in healthcare for independent
  sector

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Why do we need to change?

• 10 good reasons - local
• Respond to local health needs
• Enhance health and wellbeing of population
• Involve local people in planning and development
  of their local health services
• Provide quality care - right place, right time,
  right people
• Increase support to those with long term
  conditions
• Improve access to key diagnostic tests
• Avoid unnecessary hospital admissions
• Reduce waiting lists and length of stay in
  hospital
• Expand services in community and primary care
• Ensure patients enjoy better experience of health
  services

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Life expectancy rising
UK FEMALE
BLACKBURN FEMALE
UK MALE
BLACKBURN MALE
Source Office for National Statistics
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Blackburns complex age profile
Unlike other areas within East Lancashire
Source 2001 Census
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Longer life, but not always healthier

• People are living longer, but an increasing
  number experience long term illnesses

Source 2001 Census
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Deaths from CHD falling
EAST LANCASHIRE
ENGLAND
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Incidence of cervical cancer falling
EAST LANCASHIRE
ENGLAND
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Alcohol related deaths increase
Deaths from alcohol related diseases per 000
population 1980 - 2000
Source Academy of Medical Sciences 2004
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Sexually transmitted infections increase
Increase in STIs 1996 - 2002
Chlamydia now affects 1 in 10 of sexually active
under 25 year olds
Source Department of Health
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Scope for improvement
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Changing healthcare needs

• At a glance
• Increased life expectancy, partly due to
  improvements in care
• Long term illnesses place different demands on
  system
• Fewer acute episodes, more maintenance
• Changing patterns of diseases and illnesses
• Increase in lifestyle related factors
• Increased benefits from health promotion and
  preventive measures

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How do we achieve our goals?

• Work in partnership with clinicians, other
  healthcare professionals, stakeholders, patients
  and public
• Develop and agree new models of care
• Listen and respond
• Design options for change
• Listen and respond
• Launch formal public consultation
• January- March 2006
• Listen and respond

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How do we achieve our goals?

• Processes serving people NOT vice versa

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Timetable

• 2005
• June - July Gather information
• August Develop options
• Sep - Nov Test options in care streams
• December Evaluate the options
• 2006
• Jan Mar Public Consultation
• April Review feedback, make decision

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Listening and responding - communications

• Our pledge to our staff, patients, stakeholders,
  general public
• effective communications will be central to the
  Whole Systems Review
• using range of media leaflets, documents,
  newsletter and newspaper articles. information
  displays, public meetings, posters, radio,
  website

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Listening and responding - engagement

• Our pledge to our staff, stakeholders, patients,
  general public
• effective engagement will be central to the Whole
  Systems Review
• separate from, but complementary to, our
  communications plans
• seeking the views of people who use local health
  services about how to review those services
• involving people in the Review itself
• actively encouraging people to express views on
  options for change

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Everybodys business

• Play your part get involved
• Attend workshops, meetings, focus groups
• Phone [phone]
• Email chief.executive_at_elht.nhs.uk
• Visit www.eastlancs.nhs.uk
• Write to Chief Executive
• East Lancashire NHS Trust
• Queens Park Hospital
• Haslingden Road
• Blackburn, BB2 3HH

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The Whole Systems Review
An unrivalled opportunity to create 21st century
healthcare and services for local people We
can transform the quality of services by raising
standards, tackling inequality, becoming more
accessible and flexible and designing our
services around the needs and choices of the
people we serve. Taken from Improvement,
Expansion and Reform The Next Three Years.
Priorities and Planning Framework 2003-2006,
published by the Department of Health in 2002.
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Breakout session

• Communications
• add post-it notes to posters, write on flip
  charts
• Benefits
• mark your top ten on the sheet
• add in any additional benefits
• tell us about your Big Issues
• place completed sheet in the filing tray