1. “Our Health, Our Care, Our Future” NHS Lothian Draft Strategic Plan 2014-2024

2. Why do we need a strategic plan? To provide the best care consistently To maintain and raise quality standards To meet the needs of a changing population To change our relationship with patients and their carers – putting patients at the centre To work more closely with other public services To work more efficiently.

3. What are the challenges we face? Demography, inequalities and ill health Multiple and chronic illnesses (Multimorbidity) Health service demand and rising expectations Tighter finances

4. What will success look like? Improving the quality of care through: increasing the role of primary and community care integrating health and social care safer healthcare environments improving unscheduled and emergency care improving our approach to multiple and chronic illnesses involving people in their care and in service improvements.

5. What will success look like? Improving health of the population by focusing on: early years underlying causes of health inequalities preventative measures on alcohol, tobacco, dental health, physical activity early detection of cancer.

6. What will success look like? Better value and financial sustainability, by: Adapting the workforce Innovating to raise quality and reduce costs Raising efficiency and productivity Designing care pathways delivering what matters to patients. Identifying areas for disinvestment – where there is no contribution to the health of the population.

7. What will success look like?

8. What we are going to do – the headlines patient-centred, whole-system, pathways approach Scottish Patient Safety Programme multimorbidity action plan an end to ‘silo’ working access to primary care and community teams reduce and eventually eliminate delays in patients’ discharge improve the care for older people

9. What we are going to do – the headlines (continued) Focus major hospital care on 4 sites RIE, WGH, St Johns & new REH develop a new East Lothian Community Hospital and adapt the use of Midlothian Community Hospital Further enhance community mental health services and redevelop the Royal Edinburgh Hospital improve children’s services redesign cancer pathways and build a new Regional Cancer Centre revise emergency care at the Western General Hospital expand acute receiving and assessment capacity at the Royal Infirmary of Edinburgh

10. What we are going to do – the headlines (continued) a new configuration of acute inpatient services at RIE, WGH and SJH do more on a day case basis review outpatient services improve service quality and generate £40m cash-releasing savings each year innovate to improve the value of all (not just new) investment.

11. How are we going to do it…….? ……..by putting patients at the centre of our plans! focus on the patients’ journey and experience four names, Callum, Hannah, Scott and Sophie, to represent four groups of patients work with patients, staff, GPs, third sector,social care colleagues to design a better way of doing things different working arrangements for clinical and other staff.

12. How are we going to do it…….? Integrating health and social care systems Adapting the workforce Better use of information eHealth Innovation Organisational development Managing the finances

13. Next Steps 2 April 2014 – Draft plan approved by NHS Lothian Board 21 April 2014 - “Our Health, Our Care, Our Future” consultation launched May, June, July 2014 - meetings with staff, patients groups, third sector organisations, carers, community groups, local authorities, Scottish Government and other stakeholders to analyse patent pathways, consider options and develop specific proposals; 8 th August 2014 – Consultation closes 1 st October 2014 – NHS Lothian Board receive definitive Strategic Plan for approval.

14. How to get involved Take the time to review the plan Discuss with your colleagues –What are your priorities to transform our services? –What can you do to help us deliver Our Health, Our Care, Our Future? Respond to the consultation questions: Does this plan address the most important issues? Have we missed anything really significant? If so what? Is there anything else you would like to tell us before finalising the plan?

15. How to get involved Comment on the proposed criteria for making decisions Comment on the NHS Lothian Health Inequalities Plan Comment on the NHS Lothian Strategy for Cancer All above available at www.nhslothian.scot.nhs.uk/OurOrganisation/ourHealth OurCareOurFuture

16. How to get involved Complete the on-line questionnaire at: www.nhslothian.scot.nhs.uk/OurOrganisation/ourHealthOurCare OurFuture Respond to the consultation questions – E mail us at ( OurHealth.OurFuture@nhslothian.scot.nhs.uk) Write to: Professor Alex McMahon, Director of Strategic Planning, NHS Lothian, Waverley Gate, 2-4 Waterloo Place Edinburgh EH1 3EG