Engagement events
May 2016
Thank you for your interest
• Today is part of a series of events to get input of
local people into developing services
• The format is round table discussions, led by a
facilitator and recorded by a note taker.
• This is NOT part of a formal consultation. No
options are under discussion.
• We plan a formal consultation on options from
November 2016
For more information about the Better Health Programme:
www.nhsbetterhealth.org.uk
• Twitter: www.twitter.com/NHSBetterHealth
• Facebook: /nhsbetterhealthprogramme
Agenda
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Sharing first draft of local plans for Darlington
Background to Better Health Programme
Video – principles and draft framework
Workshop/discussion
Next steps
Increasing
elderly
population
Specialist
teams provide
better
outcomes
Increasing
long term
conditions
Better
Health
Recognised
shortage of
specialist
skills
Supporting
independent
living
Greater
financial
stability
Durham, Darlington and Tees
Vision:
“Meeting patient needs now
and future proofing for the coming generation
with consistently better health and social care
delivered in the best place
and within available resources.”
Durham, Darlington and Tees
Our vision is in line with the national vision
• Highly responsive, effective and personalised services
outside of hospital for people with urgent but non-life
threatening needs.
• People with more serious or life threatening emergency
needs treated in centres with the very best expertise
and facilities in order to reduce risk and maximise their
chances of survival and a good recovery.
• Planned care in an environment separate from
emergency care which avoids unnecessary delays and
cancellations.
Durham, Darlington and Tees
Better Health Programme
PCT led Acute services
legacy project
2012 - 13
Securing Quality in
Hospital Services
(SeQIHS)
2013 - 15
Better Health
Programme
2016 - 20
• A programme of clinically led work that considers the future of health
services in Darlington, Durham and Tees
• Led by CCGs, supported by Foundation Trusts
• Working with local authorities, stakeholders and patient representatives
Durham, Darlington and Tees
Play video here
Durham, Darlington and Tees
Your views – workshop discussion
Durham, Darlington and Tees
Your views
• We want to seek your views to help us in developing the
way ahead.
• We can then use your feedback to help us develop the
decision making criteria and the scenarios for how care
could be provided in the future.
• There are three areas in particular where we would
like you to share your thoughts…
Durham, Darlington and Tees
Principles for the future
1. Care delivered through a network of hospitals and community
services
2. More seamless care close to or in the patient’s home where
safe and effective, access to urgent and community care 24/7
3. Patients only admitted to hospital where it is no longer safe or
effective for them to be cared for in the community
4. Access to specialist opinion 24/7 where this improves outcome,
e.g. heart attack, stroke, trauma, or internal bleeding
5. Planned care organised so there is no unnecessary waiting, no
cancellations and patients not exposed to risk of infections
Durham, Darlington and Tees
Draft framework of care
Better Health Programme
Jan 2016
Durham, Darlington and Tees
Your views
• Do you support the principles of care as a reasonable
direction of travel?
• Do you support the draft framework of care as a
reasonable direction of travel?
• Any ideas or questions you have to enhance the draft
framework for care, or issues raised?
• What are your priorities for improving care for patients
and for decision making criteria?
• What are your thoughts about the blueprint for primary
care and healthy town proposal?
• Any other comments/suggestions?
Durham, Darlington and Tees
Ground rules:
• Everyone’s voice is equally valid
• Respecting other views (they won’t all be the same as
yours but it doesn’t make them wrong!)
• Sharing your views in a constructive way
• Looking forward not backward
• Keeping to time
• One person talking at a time!
Durham, Darlington and Tees
Next steps
• We will use your feedback to help us develop the
decision making criteria and the scenarios for how care
could be provided in the future.
• We will feedback as part of the next phase of
engagement, planned for during June/July.
Durham, Darlington and Tees
Review of standards
Draft framework of care
Timeline
January 2016
May 2016
Draft long list of scenarios
June 2016
Draft decision making criteria
Draft shortlist of scenarios
September 2016
Public consultation on options
November 2016
Decision
April 2017
Durham, Darlington and Tees
Your views
You can also share views with us via:
• Email: [email protected]
• Twitter: www.twitter.com/NHSBetterHealth
• Facebook: /nhsbetterhealthprogramme
For more information about the Better Health
Programme: www.nhsbetterhealth.org.uk
Durham, Darlington and Tees
Thank you!
Additional Slides
(used at the Darlington events)
LOCAL HEALTH CHIEFS SLATED FOR NOT ACTING
• More of our older residents are finding themselves in hospital needlessly when they
could be cared for in their own homes of the community
• Bed blocking is worse than ever with delays on discharge and delays for those needing
urgent admission
• Elective surgery cancellations and delays are high as hospitals try but fail to balance
the needs or emergency and planned care
• There is a significant lack of consultant cover at all of our A&Es meaning treatment by
senior staff is the luck of the draw for patients
• NHS Agency and Locum staff rates are higher than ever before across the country
• Reports show quality levels are lower than a decade ago as standards are slipping
across our hospitals
Primary Care
Blueprint
Primary Care
Blueprint
Primary Care
Blueprint
Summary of urgent response
1.Urgent/on the day needs of complex/vulnerable- met within
care hubs or at rapid assessment bases where appropriate
2. Urgent/on the day needs of the rest- either within hub if
capacity as usual or at central point at DMH site, but a primary
care service-appt or walk in
3. Rapid assessment areas supporting the primary care central
response team with rapid specialist opinion and investigation
What does this mean for
Darlington?
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Practices working closer together to share expertise
Improved access for primary care advice 7 days a week
Better communication between the teams looking after you
Services wrapped around patients based on need
You won’t always need to see a GP – other health and
wellbeing professionals will be available
– Physiotherapists
– Nurse practitioners
– Pharmacists
– Mental Health support workers
What doesn’t it mean?
• That practices are closing
• That continuity of care for Long Term
Conditions will be lost
• That you will lose your named GP
Primary Care
Blueprint
Possible Darlington
Healthy New Town
What will this mean to people in the East Darlington Village?
Primary Care
Blueprint
Possible Darlington
Healthy New Town