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Published byGrace Cunningham Modified over 8 years ago
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CLINICAL STRATEGY REVIEW
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Why? Our Orkney Our Health - outdated Redesign progress Orkney Health & Care Outline Business Case New technology, new opportunities New team Empowered middle managers Clinicians willing to engage Remote and Rural recommendations Efficiency and Productivity framework Reduce unwarranted variation Need to understand how we spend our money
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Vision for Clinical Services People of Orkney to have health and wellbeing by having access to quality services which enable them to: participate in preventative and anticipatory care Have access to appropriate treatment, including emergency services
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Clinical Strategy - the priorities National policy frameworks and direction Financial future Continue to deliver safe, effective and person centred care Create sustainability Recommendations from Remote and Rural Implementation Group Respond to changing demography
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Required for:- Informing the Finance Strategy Informing the Property Strategy Informing the Workforce Strategy Driving the OBC Informing the SLAs required Agreement on what can/can’t be provided Agreement on how/where services delivered
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What won’t change Patient safety as top priority Planning for sustainability Community Services embedded in OH&C Reliance on Mainland Scotland Health Boards for some services Need for integration with our partners – OIC, SAS, NHS 24 etc
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Rural General Hospital R&R definition Emergency centre for the community More advanced level of diagnostics Level 2+ facility First line management of emergency admissions 24/7 Provide range of outpatient, day case, inpatient and rehabilitation services
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Primary Care Services R& R definition Integrated - team and location Partnership approach between agencies and multidisciplinary teams Co-located where possible Preventative care Anticipatory care Emergency response
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Corporate Themes and Priorities Optimise Resource Utilisation Improve Health whilst Improving Inequalities Delivering Service Modernisation whilst improving patient experience Be an effective and safe organisation
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Efficiency and Productivity 7 cost reduction workstreams Evidence based care Preventative and early intervention Outpatients, community & primary care Acute flow and capacity management Workforce productivity Prescribing, procurement, support/shared services Service redesign, innovation and transformation
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Evidence Based Care Disinvestment Thresholds NHS Evidence NICE/SIGN/QIS Patient Safety
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Will provide consistent and clear understanding of service delivery Pharmacy Strategy Primary Care Strategy, including:- -OOH (including SAS, NHS 24) - Enhanced Services - QoF -Isles Network of Care Community Services Model (OH&C) Secondary Care Model
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Will give us clarity on SLA requirements UNPACs IPTR
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