Northern Staffordshire Community Hospitals Options Appraisal Case for Change Northern Staffordshire Community Hospitals Options Appraisal Wednesday 14th February 2018 North Staffordshire and Stoke on Trent CCGs In partnership with the community and partners

Dr Lorna Clarson Clinical Director, Partnerships & Engagement North Staffordshire and Stoke-on-Trent Clinical Commissioning Groups

Since we last met The West Midlands Clinical Senate has considered the broader scope of the work The Governing Bodies have considered the Independent Reconfiguration Panel report We have been communicating what you said newsletter & media your work was published on the websites Winter pressures remain across the system

Today we will develop the local offer Understand the choices local people would make in where to travel for community hospital services Understand the priorities patients want commissioners to consider when considering plans for changes to services

What we did last time Shortlist of options Considered data to understand the health needs of local people Shortlist of options Local Health Needs and Services Criteria What you said Consolidated what we heard when you spoke at the Listening Events Discussed what’s important when we make our decisions From the perspective of each location and a whole population perspective

Criteria Must Have - determined by external factors Affordable Quality care Fit with national and local strategy Assessment Criteria Clinically sustainable Meets need Accessible

What You said

Services You Suggested From the last event and CHAD analysis of data a core offer for each site has emerged.   Walk in centre Minor Injuries Unit Out of Hours Extended skill mix i.e. GP led – prescribing – ANP Outpatients – Current provision plus tailored services based on local needs Beds – slightly differing provision by site Diagnostics – X-ray – Ultrasound – ECG Mental Health –crisis care, counselling , day care Dementia Services – ranging from memory clinic to Centre of Excellence Phlebotomy – based on required demand in each locality. Hub - wellbeing - voluntary sector - social prescribing - Care navigators GP Services – Differing provision by site

Paul Parsons The Consultation Institute Independent Facilitator

Suggested Ground Rules No right or wrong answer – we want your opinion We’re working together to develop a consensus to influence the decision-making process, we will respect each other’s opinion All contributions are treated equally, and all opinions respected We all reserve the right to change our minds as we talk We are all adults – take breaks as needed or required One conversation at a time please Chatham House Rule – no comments will be attributable

Services you Suggested Ref Service Haywood Bradwell Leek Longton Cheadle 1 WIC/MIU/OOH √ 2 Outpatients 3 Beds 4 Diagnostics 5 Mental Health 6 Dementia 7 Phlebotomy 8 Hub 9 GP Services 10 Pharmacy   11 Maternity 12 Respite 13 Lifestyle 14 Children’s Services 15 Dietetics 16 Audiology 17 Podiatry 18 Physiotherapy 19 Dental

Let’s Review Progress Is this what you expected? Do you recognise the feedback you’ve heard? Is there anything else the commissioners should be taking into account? What concerns do you have about what you’ve heard?

Understanding patient choices Activity 1 Understanding patient choices

Take a Break

Understanding patient priorities Activity 2 Understanding patient priorities

Next Steps Marcus Warnes – Accountable Officer We will take away todays work and consolidate your thoughtsEstablish a reference group for each location analyse each scenario develop the viable solutions Then we will:- finalise and submit the Pre-consultation Business Case to NHS England undertake formal consultation keep you informed