Delivering Better Health Better Healthcare NHS Dumfries and Galloway Clinical Strategy Development

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Delivering Better Health Better HealthcareNHS
Dumfries and GallowayClinical Strategy
Development
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Drivers for Change

• Demography
• Facilities
• National Policy
• Local Strategy

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Population projections Dumfries and Galloway
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Clinical Strategy Objectives

• Care provided in the most appropriate setting
• To reduce reliance on acute hospital services for
  non-acute care
• To develop seamless patient pathways so patients
  benefit from healthcare delivered within a
  unified health system
• To develop coordinated delivery with partner
  bodies to benefit patient outcome

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Philosophy for Stakeholder Involvement

• Staff, Public and Communities of Interest
  involved from early stages
• Ensure opportunity available for Stakeholders to
  be involved and engaged in the process
• To build on NHS DG Boards history of good
  engagement and involvement with communities
• To apply a bottom up approach to developing the
  clinical strategy, empowering users and providers
  to shape the future strategy

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Stakeholder Involvement

• LHP Reviews
• Involvement in Model of Care Work Groups
• Benefits Criteria Workshops and Option Appraisal
  Events
• Staff/ Public Engagement

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Benefit criteria events stakeholder representation

• Public
• General members of the public
• Elderly Forum
• Community councils
• Local Rural Partnership Groups
• Dumfries and Galloway Multicultural Association
• Parents Inclusion Network
• LHP Public Involvement Groups
• Hospital league of friends
• NHS Dumfries and Galloway Staff
• Represented through Professional Committees
• Other staff groups

• Partner Agencies
• Care Homes
• Dumfries and Galloway Council (councillors,
  housing, education, social services
• Scottish Ambulance Service
• Police
• Fire Service
• Princess Trust for Carers
• Alzheimers Scotland
• Age Concern
• Council of Voluntary Services

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Clinical Strategy Development

• Model of Care Work Streams
• Care of the Elderly
• Rehabilitation
• Dementia
• Stroke
• Palliative Care Services
• Acute Assessment
• Respiratory Medicine
• 23 Hour Day Case

• Criteria For Use of an Acute Care Adult Bed
  within a DGH
• Criteria for Use of a Community Hospital Bed
• DGRI Redevelopment OBC
• LHP Reviews
• PFPI
• Estates Surveys
• Evaluation of Infrastructure

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Pathway of Health Care Services
GP practice level Services at this level include
Locality community level . Services at this
level include
Regional resources in community Services at this
level include
Dumfries and Galloway level Services at this
level include
GP assessment GP treatment Nurse treatment Nurse
practitioner services GP family planning
services Health promotion Counselling Chronic
disease management Well person clinics Cervical
Cytology Childhood immunisation Community
midwifery Minor surgery
Physiotherapy Podiatry Dental Community
pharmacy Occupational Therapy Speech and Language
therapy Community Mental Health
Nursing Specialist GP services Nutrition and
dietetics Community learning disability
nursing Community care workers STARS Community
Nursing Health visiting School nursing Palliative
care nursing Optometry Specialist Nursing
services
Specialist family planning services Out of hours
services Community learning disability
teams Substance misuse services Day Hospital
services Acute outreach specialist clinics/
consultations Minor injuries Community Hospital
services Non-acute beds e.g. rehabilitation,
palliative care intermediate care Community
mental health teams ( adults and elderly)
Acute in-patient services Acute outpatient
services Specialist investigations Day Surgery/
23 hour day services Acute emergency
services Ambulance and other patient transport
services
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Option 1 M A I N T A
I N T H E S T A
T U S Q U O
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Dementia projections
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Issues Arising

• Future Bed Model for Dumfries and Galloway
• E Health
• Smart Technology
• Transport

• Workforce
• Sustainability
• Design
• Frameworks Scotland

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Clinical Strategy Timeline

• Model of Care Group Interim Report to Board
  2nd June 08
• Clinical Strategy Final Report to Board January
  09
• Public Consultation January April 09
• Consultation Results to Board May 09
• DGRI Redevelopment OBC June 09