Regional Planning – What is it?

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Presentation transcript:

Regional Planning – What is it? Dr. Annie Ingram Regional Planning & Workforce Coordinator 27 October 2004

Why? Statutory duty NHS Scotland corporate responsibility for Scottish Population Sustainability of services Workforce Issues Regional redesign

Regional Planning is… Not new – just more formalised A collaboration between NHS Boards Flexible – different partners for different services Service and workforce planning A tool to ensure all populations have access to specialist services Regional and inter-regional – also all Scotland level Underpinned by the principles of subsidiarity and proportionality

Regional Planning is not … An additional layer of bureaucracy Separate from NHS Boards About undermining NHS Board responsibilities Autonomous

Temple & Unfinished business Agenda for Change 48 Hour Access Appraisals Consultant Contracts Activity GP Contract Quality New Deal Junior Doctors Emergencies The NHS Paradigm National Priorities Out of Hours Royal Colleges Cost / Manpower Access Service Delivery Remote&Rural Temple & Unfinished business Waiting Times Training & Education Medical Science Working Time IT Capacity Joint Futures

Challenges? Understanding Buy-in Governance & accountability Priorities – National, Regional, Local Financial barriers Resolving disagreements How to engage & involve

Regional Planning Framework Developed collaboratively between NHS Boards Implemented by HDL 3 elements: Creating the regional agenda Rules of engagement for decision making Financial Framework

Model for Interventional Neuroradiology 300 patients ruptured aneurysm 30-40 symptomatic unruptured aneurysm Success with ISAT trial 2 centres participated 150%-200% increase in activity (2000-2003) Need for sustained funding

Proposed Model Critical mass: 2-2.5m population Two centres, established as a network Shared call – 7 days not overnight Maximum wait for treatment 48 hours Linked by image transfer Agreed protocols

Issues 15 NHS Boards v Corporate NHS Scotland Regional or Inter-regional ethos? Financial pressures – how can we invest? Governance & accountability Performance management Need for the HDL

“Virtually all States agree… But there is no agreement on the details… In the eyes of your peoples the difficulty in reaching agreement does not excuse you failure to do so.” Kofi Annan, Address to 58th UN General Assembly, 23 Sept 2003.