“Shaping our Future in North
Somerset”
Public Engagement
Meetings
Background


National Change towards more choice, more
personalised care and empowerment of patients
to improve their health
North Somerset is working with local people,
NHS professionals and partner agencies to
develop plans for future health care for North
Somerset Residents
Context

North Somerset PCT must produce a strategic plan (strategic
outline case) for health services by October 2005

This plan will set out options for change, and will
–
–
–
–
Reflect the key drivers for change, and policy framework
Be in line with Bristol Healthcare Services Plan (BHSP) Model of
Care
Demonstrate affordability
Have the support from public and professionals
Our Vision is for:






A shift of focus from illness to health.
Patients to be treated and cared for at home or as near their
homes as possible
Providing the right care, at the right time and place, by the right
professional (including self care)
A focus in what patients need
Making the most of resources to achieve excellence which is
affordable
Enabling GPs, their practice staff, dentists and pharmacists to
see more people
A Patient Led NHS
More insight into
local communities to
improve how
effectively we can
help them
Applying learning
from around the
world in a new
institute for skills
and innovation
Better quality, more
capacity stimulated
by financial
incentives
People offered better
services to maintain
health, not just to
treat sickness
A Patient-led
NHS – builds on
the best from
the past
A joined up service
which enables
integrated care for
patients
Locally driven
service, operating to
a national framework
and standards
A choice for patients
of when and where
they are treated
www.dh.gov.uk/PublicationsAndStatistics
Drivers for change








Changing expectations (public and professionals)
Health inequalities
Demographic change
Technology
Workforce
Affordability
Quality and Outcomes
Accountability
Principles drawn from the
BHSP Model of Care





Improve quality, safety and outcomes
Right care, right time, right place, right professional
(including self care)
Emergency and planned care pathways separated
as far as possible
Focus on services and patient experience,
Maximise resources to achieve excellence
A Change in focus
Out of Hospital
Care
(Long Term
Conditions)
Hospital Care
(acute
treatment)
Current Service Map






25 general
medical practices, working out of
31 locations
1 community hospital (Clevedon)
Under-developed community service, with
pockets of innovation
Links to Weston, UBHT and NBT
Good examples of service integration with
local authority
Independent, private and voluntary sector
Hazard Warning
We will need to:
–
–
Predicting the future is
difficult and we will get
some things wrong
Agree some core
assumptions
Ensure we build in
flexibility
Key Assumptions (1)
Our users will:
– Be confident in using information and
technology
– Expect responsive, personal and high
quality integrated services
– Want to receive more care at home, or as
close to home as possible
Key Assumptions (2)



Demographic change inc. 40,000 additional people in
Weston/Worle over next 20 years and 8,000 in
Portishead.
The rate of growth in funding will reduce after
2008/09
Pressures for centralisation and devolution will
continue
Key Assumptions (3)
If capacity and incentives are in place within primary
care, we think we could:
 Reduce non-elective admissions by up to 24%
(7,000) annually by 2013
 Avoid 5% (400) inpatient admissions and 10%
(2,100) daycases in 3 years
 Reduce new outpatient attendances by 35%
(19,000) by 2008/09
 Reduce A&E attendances by 40% by 2007/8
So What?
Our strategic outline case will need to:
• Set out our priorities for developing capacity in the
community to enable primary and community
services to work with communities to maintain health
• Set out our priorities and preferred options for
achieving this
Emerging Areas - Portishead
The PCT is working to develop a new permanent GP
premises for Harbourside adjacent to Portishead
Medical Centre.
•What extra services you would like to see included in
the development e.g. physiotherapy or podiatry?
•How can we make best use of the other community
based services in North Somerset e.g. Clevedon
Hospital?
Emerging Areas – Clevedon
The PCT wants to enable Clevedon Community
Hospital to deliver modern 21st century services for the
surrounding area.
•What
do you want your modern community hospital to
provide? Should it include a minor injuries unit,
diagnostics, outpatient appointments and community
therapies etc.?
•How we can make the services more accessible,
especially for the more people?
Emerging Areas – Weston
Some GP practices in Weston are developing new
premises, as their current buildings are outdated. One
possibility is to include a Walk In Centre within this
development.
What
services would you like to see provided in this
development?
What are your views about a Walk In Centre
Where could the development be_ bearing in mind the
limited availability of sites in Weston?
Emerging Areas – Worle
We plan to develop new premises in Worle to cope with
the population growing by 40,000 in Weston and Worle in
the next 20 years.
What
extra services would you like to see provided
more locally?
How can we ensure that any development enhances
the community services in Weston?
Next Steps



Formal staff and public engagement – will
run until the end of September
North Somerset will prepare the Strategic
Outline Case (SOC) by end of October 2005
to feed into BHSP
Formal public consultation on the detailed
SOC is planned for November until the end
of January 2006
Continued Input to Engagement Process

You can continue have give their views on Shaping
Our Future by:
–
–
–
Emailing: [email protected]
Freephone: 0800 015 5127
Send via Freepost to;
The Bristol Health Services Plan (North Somerset)
FREEPOST BS1078
King Square House
King Square
Bristol
BS2 8EE
We would like to hear what you
think …
What are your views on our vision?
What do you think about the areas we have identified?
Are there other areas we should consider?
Are there any other changes happening in North Somerset that we
need to build in to our plans for local services?
What is most important for you when improving local services?