1. Programme for Health Service Improvement in Cardiff and the Vale of Glamorgan CARDIFF AND VALE NHS TRUST YMDDIRIEDOLAETH GIG CAERDYDD A’R FRO

2. Overview  Background and context  National position  Regional position  Local position

3. Designed For Life (1) Improved Performance Reducing Inequalitie s Clinical Excellence Sustainability Designed for Life - Creating World Class Health and Social Care Clinical Networks Strong Commissioning Research & Development Workforce redesign IM&T Community involvemen t

4. Designed For Life (3) Levels of Care Local acute services Services provided at home & in the community Specialist and Critical Care Centres Tertiary and highly specialist services Determinants of Health EffectivenessBest PracticeLocal Needs Policy Development Cardiff and Vale NHS Trust Bro Morgannwg NHS Trust

5. 700 more doctors, 6000 more nurses and 2000 more AHPs 50% reduction in DtoCs (from 2003) Intermediat e care service plans Mental health targets Designed For Life (2) What does it mean…… March 2006March 2007March 2008March 2009 Dec 2009 March 2010 + Total maximum wait 16 months 12 month maximum wait for outpatient and 12 months for treatment 95% < 4 hours in A&E 5% reduction in medical emergency admissions 15% reduction in DToCs Regional acute service plans New financial strategy Further 5% reduction in MEAs 7 day services Cancer & CHD NSF Targets met Maximum total wait 26 weeks Three regional networks Modernisatio n Audits completed Urgent cancer treatment within 62 days CHD pathwa y targets 100% healthy schools

6. Designed For Life (4) – Regional Acute Services Plans  Secondary care reconfiguration plans by March 2006.  12 week process of public consultation/engagement from April  Strategic Outline Plans to WAG by November  The outcomes will underpin future capital investment decisions

7. What is happening across Wales?  “Designed for North Wales” – consulting on Balance of health services between hospital & Primary Care Strategic configuration of acute health services  Mid & West Wales – consulting on Establishment of 3 acute “delivery units” Single site for Swansea, and options for Dyfed, inluding new acute hospital  South East Wales ….. An engagement document ……

8. “Planning and Delivering Health Services in South East Wales”  Sets out the drivers for change  Sets out our key challenges Providing more services locally Implications of shift to primary and community Public education  Outlines progress in three sub regions & issues to be addressed  Demonstrates our commitment to working with stakeholders  Sets out the next steps and seeks feedback

9. Programme for Improving Health Services in Cardiff and VoG  More joined up  Ensure balance between local and specialist service issues  Stronger clinical engagement  Consistent and effective stakeholder involvement  Effective public engagement

10. How will it work? 3 BOARDS 3 Executive Teams Communications Group Programme for Health Services Improvement Project Board Clinical Reference Group Clinical Services Group Resources Group National/Regional Planning Processes HSC&WB Planning C&V Health Community Forum Finance Estates IM&TWorkforcePriority Work Areas

11. What must it deliver?  A clear and shared vision for health care services across Cardiff and VoG to deliver Designed for Life targets A “launch document” to be published with the Regional document An agreed strategic service plan by the Autumn 2006 and public consultation in summer 2007 A process for effective public engagement and public consultation

12. Model of Care  Safe services as locally as possible  Greater focus on improving health, in particular long term condition management  Improved integration with social care, particularly around intermediate and rehabilitation  Ensuring achievement of 2009 Access Targets

13. Priorities for early work  Primary and Community Services Resource centre model (to include CRI PCRC) Long term condition management Unscheduled Care Intermediate Care & Rehab  Mental health  Elective care & Access 2009  Children’s Services  Cancer services

14. Primary & Community based services  Resource centres Health & social care model …. Geographic basis to support integration  Long term condition management Agreed service model Proactive support  Unscheduled care Service model with clear pathways to provide effective assessment and alternatives to admission  Rehabilitation & Intermediate care Service model for step up and step down care Future of Westwing and Rookwood

15. Mental Health  Taking forward agreed strategy to improve community based services  Enabling the early closure of Whitchurch  Maximising potential for service integration, including Western Vale

16. Elective Care/Access 2009  Ensuring optimal use of capacity across UHW and Llandough  Separating elective and emergency flows where possible  Managing demand through development of agreed pathways

17. Children’s Services  Supporting ongoing development of community based services  Improving services for children and young people with mental health problems  Improving hospital based services for local children and those children in South Wales who need more specialist services as part of the Phase II development of the Children’s Hospital for Wales

18. Cancer Services  Developing a clear commissioning framework for SE Wales that reflects national guidance to improve outcomes for cancer patients  Establishing Cardiff as a centre of excellence for specialist cancer related surgery

19. What should it mean for patients and carers?  Right care, right time, right place, right professional More care in, or closer to home Targeted services based on need Improved continuity of care Less visits to hospital Greater input in to service planning

20. What might it look like?  A network of primary care resource centres (health and wellbeing RCs?)  Modern mental health services  Modern, integrated rehabilitation and intermediate care services provided in fit for purpose estate  Responsive, sustainable and high quality hospital based services

21. Our Timetable March/April 2006Launch local document and start process of listening and development May-September 2006 Clinical redesign workshops held and models and priorities for change identified November 2006Strategic Outline Plan produced for WAG Capital Investment Board January – March 2007 Test models through engagement process May-September 2007 Formal public consultation

22. How can you help us?  How are local services currently meeting your needs, and those of your family and friends? What is working well? What could be improved?  What are your priorities for improving health care services locally  Do you agree with the direction of travel we have set out?  What would help you and members of your family most in maintaining your health and independence?

23. Contact details  By email to: PHSI@cardiffandvale.wales.nhs.uk PHSI@cardiffandvale.wales.nhs.uk  By post to: Programme for Health Service Improvement Programme Office Cardiff & Vale NHS Trust Cardigan House Health Park Cardiff CF14 4XW