Transcript Document 7393433

Designed for Life
Towards World Class
Health and Social Care
March 2006
If you take nothing away, take this
• Wales needs a new strategy like it needs a hole in the head
• Wales needs a process to make change happen
• Designed for Life is not a “paint by numbers” answer but
a call to action to make the change happen
• We will only get health solutions for health problems if
we, the service, own and deliver the change
• Clinical leadership is vital: without it we will fail
• Managers and WAG must change to enable those at the
front line to drive the change
• This time the crisis is real : In 2009 the NHS in Wales will
implode if we do nothing (or pretend to do something)
• That means we have 3 years, 5 months, 1 week and 8
hours left
Challenges of the
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21
Century
Concentrate on Health
But now we need to accelerate the
modernisation of health and social
care delivery
Not an either / or , but a both / and
Urgency in our approach
Tri-partite approach
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Health
– Well Being Strategies
– Health Challenge Wales
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Healthcare
– Designed for life
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Social care Strategy
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Designed to Care
Why urgency?
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Many successes
Significant evidence of how to modernise services
But…
Health and Social Care
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Unsustainable configuration of services
Systems that do not deliver responsively and quickly enough
Poor demand management
Future recruitment at risk
Financial Investment will only make a failing system bigger
Intellectual Underpinning
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Looked at the best evidence internationally
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Institute for Health Improvement
Modernisation Agency
Professor Chris Ham
Built into “Designed for Life”
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Design approach
Step change delivery
How to deliver whole system transformation
Staff and users lead change, the centre facilitates it
Why Designed for Life ?
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Designed : Adds value , delivers quality,
“Fit for purpose”, achieved through
professional team effort
For Life : Adds to the quality of life, not
just years to life but life to years
What is proposed is not a plan but a
process
How ?
10 year picture : Vision 2015
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What will it be like to be a service user or carer
3 year strategic frameworks
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How we will get there
Focus for the service
Phase 1 : Redesign Healthcare so that we end long waiting
and create a system that works
Phase 2 : Quality and workforce reform
Phase 3 : Full Engagement by bringing the health and
healthcare agenda together
New planning systems and investment at the
right time and the right services
Four Types of Healthcare
Organisations
Primary Care
Networks
Local Acute
Services
Critical &
Specialist Units
Tertiary Services
A key step
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Consultation on the part we will play in
making this vision happen
Not where or when but how are we going
to do it
10 key areas to debate and agree on how
we will all contribute to achieving OUR
vision
Publish a detailed Implementation Plan
10 enablers
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Performance management
Research and evaluation
Benchmarking
Service Reconfiguration
Education and training
Finance
Professional Leadership
Clinical Networks
Strategic Partnerships
Information and ICT
Engagement
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Building a national consensus
“A Picture of Health”
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NHS Confed
BMA
RCN
CHC
Public Engagement
– Kidderminster Factor
…And Finally…
4 key values
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Staff and users will drive the transformation of services
Staff and users must become the masters of the system not its servants
Services must be of the quality we would want ourselves or our family to
receive
Managerial and Professional Excellence will be the norm
Will deliver
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The right service to the right patient at the right place at the right time
…World Class…
…A Final thought...
“Whilst we all understand
the past our
responsibility is to create
the future”