Creating Change Together Lesley McLay Chief Executive

Everyone has the Best Care Experience Possible Person Centred Safe Effective

Understanding our Challenge North of Scotland Understanding our Challenge Balfour Hospital Western Isles Hospital Gilbert Bain Hospital Focus in past 10 or 15 years on inpatient care models, replicated in all of our communities and based in an ageing estate. Review and Benchmarking – greater clarity and understanding. Estate costs Pay bill Multiple sites with low capacity Infrastructure costs Admin and Management Resulted in higher costs – highest mainland operating costs for inpatients 26 hospital sites in Tayside >60% of property asset base is more than 30 years old Highest mainland Board for average weekly inpatient costs Average of 90 delayed discharges per day Caithness General Hospital Aberdeen Royal Infirmary Raigmore Hospital Perth Royal Infirmary Ninewells Hospital Benchmarking

National Clinical Strategy Clear Roadmaps to Develop Our Strategy… National Clinical Strategy Realistic Medicine …based on regional partnerships

Approach To Governance, Planning & Delivery Hospital Standardised Mortality Rate Nursing Workforce tools consistently applied Adoption of new medicines for optimum care Patient Feedback and patient experience (93% rated care as excellent or good and we were 4% higher than Scottish average rated experience as positive overall) NHS Education for Scotland reported training environment is satisfactory and there is good engagement about medical training. Recent visit to PRI noted to be particularly positive with regard to quality of training experienced by doctors in training. Overall positive findings from the inspections HIS carried out in the last year to assess compliance with infection control standards. AHSP – first Academic Health Science Partnership in Scotland – pioneering partnership. Board reassurance and confident of quality care we continue to provide despite financial challenges

Achievements so far Regional CAMHS Network & Inpatient Unit Programme being built over 5 years, with clinician engagement and in partnership Highlights: Standardisation of orthopaedic joint implants Rationalisation of property and estate through redesign - Little Cairnie, Aberfeldy iFit – medical record tracking eRostering, plus standardisation of shift patterns and implementation of Safe Care Theatre Assistants and Physician Associates In 2016/17, significant transformation programmes up and running – Shaping Surgical Services and Mental Health Transformation Regional CAMHS Network & Inpatient Unit Integrated Secure Care Cancer Pathways Children’s Pathways NoSPRN, NeSCANN Stracathro Regional Treatment Centre

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