1. 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

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

3. 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

4. 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

5. 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

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

7. What You said

8. 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

9. Paul Parsons The Consultation Institute Independent Facilitator

10. 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

11. 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

12. 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?

13. Understanding patient choices
Activity 1
Understanding patient choices

14. Take a Break

15. Understanding patient priorities
Activity 2
Understanding patient priorities

16. 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