2. Designed for Life Towards World Class Health and Social Care
March 2006

3. If you take nothing away, take this
Wales needs a new strategy like it needs a hole in the head
Wales needs a process to make change happen
Designed for Life is not a “paint by numbers” answer but a call to action to make the change happen
We will only get health solutions for health problems if we, the service, own and deliver the change
Clinical leadership is vital: without it we will fail
Managers and WAG must change to enable those at the front line to drive the change
This time the crisis is real : In 2009 the NHS in Wales will implode if we do nothing (or pretend to do something)
That means we have 3 years, 5 months, 1 week and 8 hours left

4. Challenges of the 21st Century
Concentrate on Health
But now we need to accelerate the modernisation of health and social care delivery
Not an either / or , but a both / and
Urgency in our approach

5. Tri-partite approach Health Healthcare Social care Strategy
Well Being Strategies
Health Challenge Wales
Healthcare
Designed for life
Social care Strategy
Designed to Care

6. Why urgency? But… Health and Social Care Many successes
Significant evidence of how to modernise services
But…
Health and Social Care
Unsustainable configuration of services
Systems that do not deliver responsively and quickly enough
Poor demand management
Future recruitment at risk
Financial Investment will only make a failing system bigger

7. Intellectual Underpinning
Looked at the best evidence internationally
Institute for Health Improvement
Modernisation Agency
Professor Chris Ham
Built into “Designed for Life”
Design approach
Step change delivery
How to deliver whole system transformation
Staff and users lead change, the centre facilitates it

8. Why Designed for Life ?
Designed : Adds value , delivers quality, “Fit for purpose”, achieved through professional team effort
For Life : Adds to the quality of life, not just years to life but life to years
What is proposed is not a plan but a process

9. How ? 10 year picture : Vision 2015 3 year strategic frameworks
What will it be like to be a service user or carer
3 year strategic frameworks
How we will get there
Focus for the service
Phase 1 : Redesign Healthcare so that we end long waiting and create a system that works
Phase 2 : Quality and workforce reform
Phase 3 : Full Engagement by bringing the health and healthcare agenda together
New planning systems and investment at the right time and the right services

10. Four Types of Healthcare Organisations
Primary Care
Networks
Local Acute
Services
Critical &
Specialist Units
Tertiary Services

11. A key step
Consultation on the part we will play in making this vision happen
Not where or when but how are we going to do it
10 key areas to debate and agree on how we will all contribute to achieving OUR vision
Publish a detailed Implementation Plan

12. 10 enablers Performance management Research and evaluation
Benchmarking
Service Reconfiguration
Education and training
Finance
Professional Leadership
Clinical Networks
Strategic Partnerships
Information and ICT

13. Engagement Building a national consensus “A Picture of Health”
NHS Confed
BMA
RCN
CHC
Public Engagement
Kidderminster Factor

14. …And Finally… 4 key values Will deliver
Staff and users will drive the transformation of services
Staff and users must become the masters of the system not its servants
Services must be of the quality we would want ourselves or our family to receive
Managerial and Professional Excellence will be the norm
Will deliver
The right service to the right patient at the right place at the right time
…World Class…

15. …A Final thought...
“Whilst we all understand the past our responsibility is to create the future”