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