1. Shrewsbury & Telford NHS Trust Sustainable Services Programme Update Mid Wales Healthcare Collective -12th March 2018

2. Aims of this presentation
To share:
A brief update on Sustainable Services Programme (SSP) and the wider Future Fit programme and a quick reminder of the key elements of the clinical model
Plans of the proposed emergency and planned care sites and a high level description of what goes where as described in the Outline Business Case (OBC) 2

3. The options for consultation – balanced hospital sites
Option 1 (Emergency Care at RSH, Planned Care at PRH)
ED and Critical Care at RSH
Majority of planned care at PRH
24 hour Urgent Care Centre, Outpatients, Diagnostics at both RSH and PRH
Option 2 (Emergency Care at PRH, Planned Care at RSH)
ED and Critical Care at PRH
Majority of planned care at RSH
24 hour Urgent Care Centre, Outpatients, Diagnostics at both PRH and RSH
Option 1 – identified as the preferred option by the Future Fit Programme Board 3

4. Sustainable Services Programme update
Future Fit:
Pre Consultation Business Case approved by CCGs
Public Consultation – CCGs currently awaiting approval from NHSE to progress
For the Trust (in addition to supporting the above):
Considering deliverability options in terms of phasing and affordability – positive discussions regionally and nationally
Progressing the workforce transformation – 5 year plan
Final submission of OBC – following the outcome of consultation 2018

5. Sustainable Services Programme – improving patient experience and flow
Current
Future
RSH
PRH
Emergency Care Site
Planned Care Site
A&E
AMU
A&E
AMU
UCC
Day Case
Short stay
ED/ UCC
CAU
SAU
AEC
CAU
Inpts
Critical Care
Inpts
CDU
AEC
Inpts
CDU
AEC/ CDU
CAU
Day Case
Inpts
ITU
Day Case
ITU
Short stay
Short stay
Uncoordinated flow of patients
Coordinated & cohorted flow of patients

6. The Potential OBC Solution - Essential Service Change (Options 1 and 2)
Service balance based on clinical adjacency needs and resolving workforce issues
Emergency Care Site
Both Sites
Planned Care Site
Elective and Day Case Surgery
Endoscopy
Beds
approx 350
Including:
240 inpatient beds and
110 day case / endoscopy beds
Elective Orthopaedics
Breast Service
Frailty and Elderly Care
Rehabilitation
Emergency Department
Critical Care Unit (HDU, ITU)
Ambulatory Emergency Care (AEC)
Beds
approx 510 beds
Including:
Acute Stroke Unit
Coronary Care Unit
Women and Children’s
Orthopaedic trauma
Acute Medicine
24 hour Urgent Care Centre
Outpatients
(including Fracture Clinic)
Diagnostics
Day Case Renal Unit
Integrated Care Pathways – LTC, Frail and Elderly etc
NB Inpatient bed base does not include Neonatology and Critical Care numbers

7. Emergency Site ·Emergency Department RSH Site PRH Site
· 24 hour Urgent Care Service
· Critical Care Unit
· Ambulatory Emergency Care (AEC)
· Approximately 510 beds including:
· Acute Stroke Unit
· Coronary Care Unit
· Women and Children’s inpatient services
· Orthopaedic Trauma
· Acute Medicine
· Complex planned care
· Outpatients
· Diagnostics
· Day Case Renal Unit
PRH Site

8. Emergency & Urgent Care Services
Complaints/conditions to be treated at the Emergency Department are those that threaten life and limb and include:
anaphylaxis and life threatening respiratory problems
stroke
severe chest pain
severe trauma to chest and abdomen
open or multiple fractures
moderate burns
poisoning and drowning
Complaints/conditions to be treated within Urgent Care Centre are those accidents and illnesses that need same day treatment:
sprains and simple fractures
cuts and scrapes
asthma
ENT conditions
scalds
bites and stings

9. Planned Care Site ·24 hour urgent care centre PRH Site RSH Site
· All adult Day Case procedures
· All planned surgical procedures for patients not requiring Critical Care
· Approximately 350 beds including:
· Elective Orthopaedics
· Single site Breast Service
· Medical beds for stable patients requiring acute care closer to home
· Frailty and elderly care
· Rehabilitation
· Outpatients
· Diagnostics
· All planned Endoscopy
· Day Case Renal Unit
 · Women and Children’s Services, including:
Maternity Outpatients, Scanning and Day Assessment Unit
Midwifery Led Unit (MLU)
Children’s and Neonatal outpatients
Early Pregnancy Assessment Service (EPAS)
Gynaecology outpatients and procedures
RSH Site

11. For more information or to get in touch…
SaTH Sustainable Services Group
Phone:
Web:
Post: Stretton House, Royal Shrewsbury Hospital, Shrewsbury
Thank you 11