Transcript Slide 1

ACUTE SERVICES
Reform and Development
Presentation to Trust Board
30 April 2009
The Vision for Acute Care
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A 3-Hospital Network for Southern Area
– Main Acute and Maternity Care – DHH, CAH
– Supporting Local Hospital – STH
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Maintain Profile of Service BUT Reform
Develop Range and Accessibility of Care
– Expand Services (eg T&O Phase 2)
– More locally provided services (Ophthalmology)
Why Change?
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Safety
Quality – A good experience and effective
care in hospital
Accessibility - local where possible
Benchmarking – understand areas for
improvement
A Partnership with community based care –
patient-centred pathways of care
Efficiency – reduce wasted resources
Reforming Services
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Reducing inpatient stays:
– Pre Operative Assessment
– Increasing Procedures done as Day Case/OP
– Reducing delays in patient flow (diagnostics, etc)
– Streaming patients (MAU, Ward Reconfiguration)
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Alternatives to Hospital Care
Redesigning Services
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Developing a Strategic Plan for Hospital
Network (DHH, CAH and STH)
Developing new/expanded services
– Urology
– Ophthalmology
– Phase 2 T&O
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Expanding the catchment population
Support, Development & Enhancement of
Services
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Renal – New Consultant
Development:
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Enhancement:
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Maternity – 2 Consultants
Paediatric Anaesthetic input
Heart Failure
Locality based COPD Teams
Rapid Discharge Teams – Links with Older People & Primary Care
Directorate
Service Framework Developments:
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Cardiovascular
Stroke
Respiratory
Ideal Ward/Productive Ward
Capital Investment for Service
Development
Daisy Hill Hospital
Stage 1: Maintaining Current
Services
£5m+ Expenditure in 2008/09
 Maternity Refurbishment
 Replacement Generator Plant
 Theatre Ventilation upgrade
 Decontamination improvements
 Infection Control Improvements
 Firecode investment
 Renal Service development
 Additional Car Parking
Stage 2: Supporting Service Reform
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Interim Ambulatory Care Centre in OPD
Women’s Centre - Maternity/Gynae OP to vacant
area in Maternity Unit
Paediatric OP/Ward Redesign
Ward Reconfiguration – Long Stay/Short Stay
Medical & Surgical Admission Unit
Day/12 hour Ward
Expand ENT and Urology Services at DHH
Paediatric Elective Surgery Centre - Option?
Stage 3: Strategic Development Plan
£81m Scheme to include:
 Theatres redevelopment
 Day Procedure Unit
 Refurbishment of Outpatients to include
Ambulatory Care Centre
 Upgrade of Maternity Unit and SCBU
 Refurbishment of Radiology Department
 Additional Clinical Accommodation
 Remedial works to external facade