Programme for Health Service Improvement in Cardiff and the

Vale of Glamorgan

CARDIFF AND VALE NHS TRUSTYMDDIRIEDOLAETH GIG CAERDYDD A’R

FRO

Overview

Background and context National position Regional position Local position

Designed For Life (1)

Improved Performance

Reducing Inequalitie

s Clinical Excellence

Sustainability

Designed for Life - Creating World

Class Health and Social Care

Clinical Networks

Strong Commissioning

Research & Development

Workforce redesign

IM&T

Community involvemen

t

Designed For Life (3)Levels of Care

Local acute services

Services provided at home & in the community

Specialist and Critical Care Centres

Tertiary and highly specialist services

Determinants of Health

Effectiveness Best PracticeLocal Needs

Policy Development

Card

iff a

nd

V

ale

NH

S T

rust

Bro

M

org

an

nw

g

NH

S T

rust

700 more doctors, 6000 more nurses

and 2000 more AHPs

50% reduction in

DtoCs (from 2003)

Intermediate care service plans

Mental health

targets

Designed For Life (2)What does it mean……

March 2006 March 2007 March 2008 March 2009

Dec 2009

March 2010 +

Total maximum wait 16 months

12 month maximum wait for outpatient and 12 months for treatment

95% < 4 hours in

A&E

5% reduction in medical emergency admissions

15% reduction in DToCs

Regional acute

service plans

New financial strategy Further

5% reduction in MEAs

7 day services

Cancer & CHD NSF Targets

met

Maximum total wait 26 weeks

Three regional networks

Modernisation Audits

completed

Urgent cancer

treatment within 62

days

CHD pathwa

y targets

100% healthy schools

Designed For Life (4) – Regional Acute Services Plans

Secondary care reconfiguration plans by March 2006.

12 week process of public consultation/engagement from April

Strategic Outline Plans to WAG by November

The outcomes will underpin future capital investment decisions

What is happening across Wales?

“Designed for North Wales” – consulting on Balance of health services between hospital &

Primary Care Strategic configuration of acute health services

Mid & West Wales – consulting on Establishment of 3 acute “delivery units” Single site for Swansea, and options for Dyfed,

inluding new acute hospital South East Wales …..

An engagement document ……

“Planning and Delivering Health Services in South East Wales”

Sets out the drivers for change Sets out our key challenges

Providing more services locally Implications of shift to primary and community Public education

Outlines progress in three sub regions & issues to be addressed

Demonstrates our commitment to working with stakeholders

Sets out the next steps and seeks feedback

Programme for Improving Health Services in Cardiff and VoG

More joined up Ensure balance between local

and specialist service issues Stronger clinical engagement Consistent and effective

stakeholder involvement Effective public engagement

How will it work?

3 BOARDS

3 Executive

Teams

Communications Group

Programme for Health Services Improvement

Project Board

Clinical Reference Group

Clinical Services Group

Resources Group

National/Regional Planning

Processes

HSC&WB Planning

C&V Health Community Forum

Finance EstatesIM&T Workforce Priority Work Areas

What must it deliver?

A clear and shared vision for health care services across Cardiff and VoG to deliver Designed for Life targets A “launch document” to be published

with the Regional document An agreed strategic service plan by the

Autumn 2006 and public consultation in summer 2007

A process for effective public engagement and public consultation

Model of Care

Safe services as locally as possible Greater focus on improving health, in

particular long term condition management Improved integration with social care,

particularly around intermediate and rehabilitation

Ensuring achievement of 2009 Access Targets

Priorities for early work

Primary and Community Services Resource centre model (to include CRI

PCRC) Long term condition management Unscheduled Care Intermediate Care & Rehab

Mental health Elective care & Access 2009 Children’s Services Cancer services

Primary & Community based services

Resource centres Health & social care model …. Geographic basis to support integration

Long term condition management Agreed service model Proactive support

Unscheduled care Service model with clear pathways to provide

effective assessment and alternatives to admission Rehabilitation & Intermediate care

Service model for step up and step down care Future of Westwing and Rookwood

Mental Health

Taking forward agreed strategy to improve community based services

Enabling the early closure of Whitchurch

Maximising potential for service integration, including Western Vale

Elective Care/Access 2009

Ensuring optimal use of capacity across UHW and Llandough

Separating elective and emergency flows where possible

Managing demand through development of agreed pathways

Children’s Services

Supporting ongoing development of community based services

Improving services for children and young people with mental health problems

Improving hospital based services for local children and those children in South Wales who need more specialist services as part of the Phase II development of the Children’s Hospital for Wales

Cancer Services

Developing a clear commissioning framework for SE Wales that reflects national guidance to improve outcomes for cancer patients

Establishing Cardiff as a centre of excellence for specialist cancer related surgery

What should it mean for patients and carers?

Right care, right time, right place, right professionalMore care in, or closer to homeTargeted services based on needImproved continuity of careLess visits to hospitalGreater input in to service

planning

What might it look like?

A network of primary care resource centres (health and wellbeing RCs?)

Modern mental health services Modern, integrated rehabilitation

and intermediate care services provided in fit for purpose estate

Responsive, sustainable and high quality hospital based services

Our Timetable

March/April 2006 Launch local document and start process of listening and development

May-September 2006

Clinical redesign workshops held and models and priorities for change identified

November 2006 Strategic Outline Plan produced for WAG Capital Investment Board

January – March 2007

Test models through engagement process

May-September 2007

Formal public consultation

How can you help us?

How are local services currently meeting your needs, and those of your family and friends? What is working well? What could be improved?

What are your priorities for improving health care services locally

Do you agree with the direction of travel we have set out?

What would help you and members of your family most in maintaining your health and independence?

Contact details

By email to: PHSI@cardiffandvale.wales.nhs.uk

By post to:Programme for Health Service ImprovementProgramme OfficeCardiff & Vale NHS TrustCardigan HouseHealth Park Cardiff CF14 4XW