1. Healthcare for the Future Public Consultation

2. Consultation 
NHS Cumbria CCG has the legal responsibility for leading local consultations.
Working closely with other NHS organisations and the Success Regime.
Outcome of public consultation is an important factor in health service decision making - others factors include clinical, financial and practical considerations.

3. Consultation No decisions made – nothing is pre-determined.
We are here to listen to you.
Responses will be analysed independently.
No decisions will be made until the spring 2017.
Public consultation is not a vote on, or a veto over, any form of change.

4. We face some big challenges…
Overall population health is not good
Difficulty attracting doctors, nurses and others
Too many hospital admissions and long stays
The NHS is significantly overspent
CQC - some services inadequate or need improving

5. Uncertainty isn’t helping…
Need to remove the uncertainties
Need to tackle the difficult issues
Need the public’s help in making decisions

6. We have a compelling vision… “A centre of excellence for integrated
health and social care provision
in rural, remote and
dispersed communities”

7. Delivery through Integrated Care Communities
Joined up care - communities of 20k to 70k people
Involving NHS, social care & voluntary sector
Care at home or close to home
More people remain independent for longer
Reduce the need to attend or stay in hospital
Greater use of technology & home adaptations

8. Integrated Care Communities + CHANGE =
Safer services
Of higher quality
That are clinically sustainable
And financially sustainable

9. So what are the potential service changes we are consulting on?

10. Children’s services
Inpatients at CIC & WCH - low-risk only at WCH overnight, short stay assessment at CIC and WCH
Inpatients at CIC with short stay assessment at WCH and CIC
Full consolidation at CIC with
paediatric outpatients only at
WCH
* NHS preferred option in bold and purple

11. Maternity services
Antenatal and postnatal care continues at WCH and CIC with all options
Consultant-led maternity care at CIC and WCH
Midwife-led unit only at WCH
Full consolidation at CIC

12. Community hospital inpatient beds
Four options that see consolidation of inpatient beds
Consolidation on six hospital sites
Consolidation on five hospital sites
Consolidation on a different five hospital sites
Consolidation on three hospital sites

13. Emergency and acute care
Outpatient care and elderly care at CIC and WCH in all options
24/7 A&E at WCH and CIC
24/7 Urgent Care Centre and daytime A&E at WCH
24/7 Urgent Care Centre at WCH with A&E at CIC

14. Hyper-acute stroke services
Rehabilitation services at CIC and WCH with both options
Five day a week stroke services – as at present
Dedicated hyper-acute stroke service at CIC

15. The local NHS financial position
Overspend now - £70m
Overspend in £163m (if we do nothing)
More efficient working- can save £85m
New ways of working – can save £45m
Clinical changes – can save £2.1m

16. The future for West Cumberland Hospital
Some acute surgery returning
Some trauma returning
More planned surgery taking place
Major new diagnostic suite planned
More people treated at WCH than before

17. QUESTIONS & COMMENTS