1. Creating Change Together
Lesley McLay
Chief Executive

2. Everyone has the Best Care Experience Possible
Person Centred
Safe
Effective

3. Understanding our Challenge
North of Scotland
Understanding our Challenge
Balfour Hospital
Western Isles Hospital
Gilbert Bain Hospital
Focus in past 10 or 15 years on inpatient care models, replicated in all of our communities and based in an ageing estate.
Review and Benchmarking – greater clarity and understanding.
Estate costs
Pay bill
Multiple sites with low capacity
Infrastructure costs
Admin and Management
Resulted in higher costs – highest mainland operating costs for inpatients
26 hospital sites in Tayside
>60% of property asset base is more than 30 years old
Highest mainland Board for average weekly inpatient costs
Average of 90 delayed discharges per day
Caithness General Hospital
Aberdeen Royal Infirmary
Raigmore Hospital
Perth Royal Infirmary
Ninewells Hospital
Benchmarking

4. National Clinical Strategy
Clear Roadmaps to
Develop Our Strategy…
National Clinical Strategy
Realistic Medicine
…based on regional partnerships

5. Approach To Governance, Planning & Delivery
Hospital Standardised Mortality Rate
Nursing Workforce tools consistently applied
Adoption of new medicines for optimum care
Patient Feedback and patient experience (93% rated care as excellent or good and we were 4% higher than Scottish average rated experience as positive overall)
NHS Education for Scotland reported training environment is satisfactory and there is good engagement about medical training. Recent visit to PRI noted to be particularly positive with regard to quality of training experienced by doctors in training.
Overall positive findings from the inspections HIS carried out in the last year to assess compliance with infection control standards.
AHSP – first Academic Health Science Partnership in Scotland – pioneering partnership.
Board reassurance and confident of quality care we continue to provide despite financial challenges

7. Achievements so far Regional CAMHS Network & Inpatient Unit
Programme being built over 5 years, with clinician engagement and in partnership
Highlights:
Standardisation of orthopaedic joint implants
Rationalisation of property and estate through redesign Little Cairnie, Aberfeldy
iFit – medical record tracking
eRostering, plus standardisation of shift patterns and implementation of Safe Care
Theatre Assistants and Physician Associates
In 2016/17, significant transformation programmes up and running – Shaping Surgical Services and Mental Health Transformation
Regional CAMHS Network & Inpatient Unit
Integrated Secure Care
Cancer Pathways
Children’s Pathways NoSPRN, NeSCANN
Stracathro Regional Treatment Centre

8. Questions