1. Future Hospital Commission: HC 2013, 17 April 2013 Dr Mark Temple Acute Care Fellow Royal College of Physicians

2. RCP Health Bill survey All members & fellows - March 2012 Top 5 Concerns – wider health agenda 1.Lack continuity of care 2.Efficiency savings/funding 3.Clinical staff shortages 4.Health reforms 5.Education training & research Recommend hospital to relative? 10% No, 25% not sure

3. Key challenges Physicians: Hospitals on the edge RCP September 2012 Lack of continuity of care (information following pts) Changing patients, changing needs Out-of-hours care Medical workforce crisis Francis : putting pts first Patients: Continuity joined up care Communication Involvement in decisions – patient family, carers Dignity, compassion, respect “moved like parcels in hospital”

4. What is the Future Hospital Commission? Set up by the RCP Reports to: RCP president & Council (June 2013) Multi-professional steering group Chaired by Professor Sir Michael Rawlins Range of additional stakeholders Launch due September 2013 Longer-term programme of work – RCP led implementation of recommendations, pilot sites

5. Principle: Patient centred care - meet requirements of patients/carers (their perspective) Standard patients can state: 1. I knew who was in charge at all times 2. I was kept informed about my illness & my care discussed with me 3. I knew who to ask about my care 4. New staff explained their role 5. All the staff I met were well informed about me & my illness 6. In hospital my care was provided by one team on one ward 7. Throughout my admission I was kept informed about my discharge 8. Following discharge, the staff in the community were well informed: about what happened in hospital & what care I needed 9. I was clear about arrangements for my care after my discharge and who to contact if I became unwell

6. Five workstreamsFour cross cutting themes 1.Patients and compassion 2.Place and process 3.People – the workforce 4.Data for improvement 5.Planning and infrastructure Patient experience, quality Education, training & research, communication Culture, leadership and management Health economics, efficiency & effectiveness