1. Tel: 0845 862 0372 www.practices.co.uk office@practices.co.uk Dr. Patricia Oakley Director, Practices made Perfect Ltd Teaching and Research Fellow Organisational Psychology and HRM Birkbeck and King’s Colleges, London Gresham College London SAFEGUARDING LONDON’S HEALTH The Future of London’s Hospitals

2. 08d15311gso © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372. Fax: 0845 862 0373. www.practices.co.uk  London’s Hospitals are constantly changing – past 30 years.  “Going Local” is a constant Policy theme.  Advances in Drugs, Technology and Therapeutics drive change.  London’s “Hospitals” – an Eclectic Mix for the Next 30 Years.  Academic Health Science Research Centres and Networks of Integrated Healthcare Providers. The Future of London’s Hospitals Key Issues

3. Queen Mary’s, Roehampton St. John’s, Battersea St. Mary Abbot’s, Kensington St. Stephen’s, Chelsea Westminster The Royal Free, Grays Inn Road Liverpool Road, Angel Friern Barnet The Royal Free, Hampstead New End, Hampstead The London, Whitechapel London Jewish Mile End St. Clements Bethnal Green The Future of London’s Hospitals Hospitals are constantly changing – last 30 years The Future of London’s Hospitals Hospitals are constantly changing – last 30 years 08d15311gso © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372. Fax: 0845 862 0373. www.practices.co.uk

4. 08d15311gso © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372. Fax: 0845 862 0373. www.practices.co.uk The Shape of Things to Come: The Hospital of the Future (Rawlinson Kelly Whittlestone) Devolved Self-Care Model Aided Living Centres Rehabilitation Services. Day Hospitals. Respite Service. Hospice Care. Health Maintenance Centres Children’s Services. Maternity Services. Outpatients. Clinical Support. Diagnostic & Treatments. Intensive Intervention Centre Patient “Hotel” Recuperation Services Self Care Centres Home Care Services Self Care Centres Primary Care Facilities Adapted from:Technology, Catalyst for Change in Healthcare – Bonnie.

5. 08d15311gso © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372. Fax: 0845 862 0373. www.practices.co.uk  Strategy – broader, more efficient model of healthcare.  Trends – emphasis on prediction to shift from post- symptomatic presentation to pre-symptomatic diagnosis.  Practices – clinical convergence and overlaps driven by technological advances.  Information – technology and advanced informatics and decision-making to support safer practices.  Therapeutics – shift to personalised targeted therapies. Assess the Impact of “EARLY HEALTH” Research Strategies and Practice Trends

6. 08d15311gso © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372. Fax: 0845 862 0373. www.practices.co.uk  Care of the Elderly – physically well and mobile, socially engaged and psychologically content.  Chronic Disease Management including Mental Health and Carer Support.  Specialist Surgical & Therapeutic Interventions.  New Science: Pharmaco-Therapeutics and Genetics, Molecular Imaging & Diagnostics.  Building technologies and flexible designs underpinned with real-time information e.g. Electronic Transfer of Prescriptions, Digital X-ray, Just-in-Time Training Programmes. The Future of London’s Hospitals The Next 30 Years

7. 08d15311gso © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372. Fax: 0845 862 0373. www.practices.co.uk The Future of London’s Hospitals “A Multiplicity of Hospitals working in a Networked System” New “Community” Hospitals (modelled along the lines of the White Paper specification) “Hospital” @ Home Service Day & Elective Surgery Hospitals Specialist Hospitals, including Children’s Hospitals “Local” General Hospitals “District” General Hospitals Trauma & Major Specialist Hospitals But there are many other providers of care

8. 08d15311gso © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372. Fax: 0845 862 0373. www.practices.co.uk  Mums and Babies Services.  Child Health and Child Mental Health Promotion.  Adult Mental Health.  Long Term Conditions.  End of Life Management.  Planned Care.  Diagnostic and Treatments. The “Polyclinic” Service Specification

9. 08d15311gso © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372. Fax: 0845 862 0373. www.practices.co.uk Ultra High-Tech Low-Med Tech Hospital Campus “High St” Campus An Eclectic Mix of Service Providers Protected Caring Environment for the Mentally Ill Local General Hospitals Podiatry & Dental Centres Hospital@Home Services Imaging + Diagnostic Centres Mobile Imaging Services Primary Care Centres Health Wellness & Women Centres Pharmacy & Medicines Management Centres General Practices District General Hospitals Major Trauma Centres Specialist R&D Centres Gene Therapy & Pharmacogenetics Service Day Case Centres Rapid Diagnostic & Treatment Centres “Polyclinics”

10. 08d15311gso © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372. Fax: 0845 862 0373. www.practices.co.uk Strategic Development Framework A Potential London Integrated Healthcare Foundation Trust * GPs and Community Physicians. District Nurses. Social Workers. Care Assistants. Pharmacists. Reactive and Proactive Support for individual (& carer) @ Home - First Responder and Stabilisation Team. Rapid Reaction Teams. Medical & Surgical Adm. Units. Diagnostic & Treatment Centres. Intermediate Care Packages. Cancer. Renal. Rheumatology. Diabetes. Urology. Trauma Centres. Specialist Centres. Transplant Centres. Genetics Services. Research Institutes. Academic Health Science Research Service Centres - Local Specialist Service Centres - Reactive # Support @ Home & in Homes - “Go Solo” @ Home – individual (& carer) well and independent Local Specialists helping Local Services Very Local Policy Keep as much clinical and care support as possible very local and accessible. Goal: Voluntary Support. Charities. Social Enterprises. Friends and Family. Community Support.

11. 08d15311gso © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372. Fax: 0845 862 0373. www.practices.co.uk  Local population needs are complex and changing e.g. East London.  London’s Hospitals have always been at the leading edge of research and practice developments e.g. Guys, King’s and Tommies.  Research and Practice are coming together to create powerful Research Institutes & better care e.g. Imperial and the Hammersmith & Charing Cross Group.  Care Networks facilitated by strong clinical leadership, technology and team-based working are an increasing feature e.g. North London’s cancer network.  Local care and support underpins the above. The Future of London’s Hospitals Looking to the Future