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Regional Planning – What is it?
Dr. Annie Ingram Regional Planning & Workforce Coordinator 27 October 2004
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Why? Statutory duty NHS Scotland corporate responsibility for Scottish Population Sustainability of services Workforce Issues Regional redesign
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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
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Regional Planning is not …
An additional layer of bureaucracy Separate from NHS Boards About undermining NHS Board responsibilities Autonomous
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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
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Challenges? Understanding Buy-in Governance & accountability
Priorities – National, Regional, Local Financial barriers Resolving disagreements How to engage & involve
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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
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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 ( ) Need for sustained funding
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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
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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
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“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.
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