Transcript Slide 1
ACUTE SERVICES
Reform and Development
Presentation to Trust Board
30 April 2009
The Vision for Acute Care
A 3-Hospital Network for Southern Area
– Main Acute and Maternity Care – DHH, CAH
– Supporting Local Hospital – STH
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?
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
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)
Alternatives to Hospital Care
Redesigning Services
Developing a Strategic Plan for Hospital
Network (DHH, CAH and STH)
Developing new/expanded services
– Urology
– Ophthalmology
– Phase 2 T&O
Expanding the catchment population
Support, Development & Enhancement of
Services
Renal – New Consultant
Development:
•
Enhancement:
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:
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
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