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Welcome to the new acute and community County Durham and Darlington NHS Foundation Trust

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Welcome to the new acute and community County Durham and Darlington NHS Foundation Trust Clinical strategy FT member events April 2011 The new Foundation Trust ... – PowerPoint PPT presentation

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Title: Welcome to the new acute and community County Durham and Darlington NHS Foundation Trust


1
Welcome to the new acute and community County
Durham and Darlington NHS Foundation Trust
  • Clinical strategy
  • FT member events
  • April 2011

2
The new Foundation Trust
  • an acute and community Foundation Trust for
    County Durham and Darlington
  • more integrated, better co-ordinated care for
    patients
  • helping the health and social care system work
    together more effectively
  • opportunities for staff working in new and
    different ways

3
(No Transcript)
4
Trust governance
5
Clinical vision an opportunity
  • to shift the centre of gravity from
    hospital to community and develop fully
    integrated care pathways.

6
Clinical vision
  • Premier provider of healthcare in County Durham
    and Darlington including
  • Prevention and enablement
  • Community Services
  • Planned and emergency hospital care
  • Major provider of womens and childrens services
    in the North East
  • Reputation for excellent specialist services
  • National profile as a pathfinder for new ways of
    offering health services in hospital, home and
    community

7
Clinical strategy our aims
  • The best health outcomes for patients
  • An excellent patient experience
  • High quality, low cost services for commissioners

8
Clinical strategy key areas
  • Long term conditions
  • Care of older people
  • Women and children
  • Acute medicine and emergency care
  • Surgery
  • End of life care

9
Case study long term conditions
10
Case study long term conditions
11
Long term conditions
  • Quick win Facilitated discharge, good referral
    guidelines for disease progression, pathway for
    minor acute events, access to specialist support
    0900-1700 via bleep and phone line (being set up
    now),
  • Priority issue Patient education, equity of
    care, community clinics across the county,
    decrease LOS in surgical patients (CQUIN), IT -
    common LTC pathway and paperless clinics with
    instant transfer of data across primary and
    secondary care
  • Synergy benefits
  • Outcomes and experience reduced admissions
    through better accessibility to specialist staff,
    better screening and management
  • Workforce development opportunities working
    across the pathway utilising district and
    community nurses and integrating them with
    hospital specialist nurses
  • Efficiency Community rather than hospital follow
    ups Nurse rather than Consultant follow ups.
    Working along with other workstreams - old age/
    emergency and end of life care pathways to be put
    in place

12
Older people
  • Quick win Dementia training of all staff who
    are in contact with older people through
    e-learning etc
  • Priority issue single point of access to range
    of services
  • Synergy benefits
  • Outcomes and experience Early prevention
    /screening, future care planning
  • Workforce better use of specialist skills
    through dedicated specialist direct assessment
    /admission unit
  • Efficiency better use of community hospitals

13
End of Life
  • Quick win Use of DH surprise question as a
    trigger into advanced care planning in the last
    year of life
  • Priority issues Shared, real time access to
    information via IT systems single point of
    access in the form of a coordination centre
  • Synergy benefits
  • Outcomes and experience patients more likely to
    access preferred option/place of care at the end
    of life
  • Workforce developing skills to facilitate
    patient choice of preferred place of care at the
    end of life
  • Efficiency reduce number of avoidable admissions
    to acute care at the end of life

14
Acute medicine emergency care
  • Quick win integration of protocols between UCC
    and AE
  • Priorities joined up approach with all
    stakeholders including NEAS, social care
  • Synergy benefits
  • Outcomes and experience reduced waits by
    quicker access to appropriate level of care
  • Workforce access to senior experienced clinician
    opinion at earliest opportunity in the pathway
  • Comprehensive directory of supporting services in
    community and acute settings
  • Efficiency reduced admissions from ED and urgent
    care

15
Womens and childrens
  • Quick win Antenatal assessment for vulnerable
    families
  • Priority issues Middle grade cover in
    paediatrics and maternity, training of advanced
    paediatric nurse practitioners, consultant
    numbers in paediatrics
  • Synergy benefits
  • Outcomes and experience Community care pathways
    for women with low risk pregnancies
  • Workforce Alignment of community midwives with
    integrated childrens teams
  • Efficiency integrated Health Visitors and school
    nursing childrens teams with social care

16
Surgery
  • Quick win Redesigning pre-operative pathway
    changes to urology pathway
  • Priority issues Addressing pressures in vascular
    surgery
  • Synergy benefits
  • Outcomes and experience more accessible service
    for patients, reducing unnecessary hospital
    visits ( pre-operative pathway), delivery of care
    closer to home (Urology pathway).
  • Workforce changes to skill mix to meet pathway
    requirements, staff have the skills to deliver
    care in the appropriate setting for the patients
  • Efficiency Reducing emergency admissions to
    hospital. Offering other services to manage
    surgical emergency activity, to deliver a better
    service for patients.

17
Clinical strategy - discussion
  • What services could be offered in the community
    that are currently offered in hospital?
  • Delivering services in hospital
  • Advantages
  • Disadvantages
  • Delivering services in the community
  • Advantages
  • Disadvantages

18
We are developing a new clinical strategy for the
new organisation Take part in the discussion at
  • www.cddft.nhs.uk/about-us/clinical-strategy.aspx

19
  • Any questions?
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