1. Worcestershire Joint Services Review
Working together to ensure high quality, safe and sustainable health services in Worcestershire

2. What is the Joint Services Review ?
A review of health services to secure the best possible healthcare for county residents and ensure it is sustainable for the future.
Whilst the main focus is on acute hospital services and how they are organised, we will also look at how we improve the pathways of care between the acute hospitals and the community and general practices.
Working together to ensure high quality, safe and sustainable health services in Worcestershire

3. Why are we doing it ?
Demand for healthcare is rising year on year with our population living longer with chronic illnesses
On-going care needs must be met within existing resources
Providers being more efficient and productive is important but these measure alone will not be enough to manage the scale of financial challenge
We can do far more to look after patients at home and in the community
Challenging workforce issues facing the Acute Hospitals
Working together to ensure high quality, safe and sustainable health services in Worcestershire

4. Context: the NHS Challenge
Growing gap between need for care and funding available
Worcestershire share approx. £200M by 2015
Improving and sustaining quality with increasing demand and financial pressures
Working together to ensure high quality, safe and sustainable health services in Worcestershire

5. Context: system transformation
Enablers
Clinical leadership
Patient revolution
Partnerships
Innovation
Features
Care closer to home
Self-care
Fewer unplanned admissions
24 hr primary & community services
Reduced hospital capacity
Integrated care pathways
Reduced variation
Optimal use of assets
Improved quality and patient experience
Improved productivity and value for money
Sustainable system
Outcomes
Working together to ensure high quality, safe and sustainable health services in Worcestershire

6. Health select committee
The Challenge can only be achieved by fundamental changes in the way care is delivered …..and a wide process of service change on both a small and large scale.
We are concerned that NHS organisations are according the highest priority to short term savings ….. at the expense of planning service changes which would allow them to meet their financial and quality objectives in later years.
These changes should not be deferred: they must happen early to release the recurring savings that will be vital to meeting the Challenge
Working together to ensure high quality, safe and sustainable health services in Worcestershire

7. Scope of the Review
Will examine the full range of Acute Hospital Services.
Will examine the requirements for transformational change for Community and Primary Care services.
Will include a focus on the clinical pathways of care.
We are at the start of the process – there are no
pre-determined answers.
Working together to ensure high quality, safe and sustainable health services in Worcestershire

8. Vision and Outcomes of Review
A blueprint for developing a stronger health economy, equipped to provide and sustain quality health services for people of Worcestershire and able to withstand the financial pressures placed upon NHS organisations.
A clear vision and plan for acute services which ensures high quality, safe and sustainable services for county.
A business case which sets out a programme of strategic change for Acute Services and requirements for transformational change in wider community and primary care system.
Working together to ensure high quality, safe and sustainable health services in Worcestershire

9. The Review will be governed by 5 key principles:
Guiding Principles
The Review will be governed by 5 key principles:
Clinically led
Rigorous
Inclusive
Open & transparent
Managed & resourced
Working together to ensure high quality, safe and sustainable health services in Worcestershire

10. Clinically Led
Clinical leaders from local NHS have come together to jointly lead this review
They will lead the discussion on future options with patients and the public
They will make the formal recommendations on how we organise care and services against agreed criteria and quality metrics
Working together to ensure high quality, safe and sustainable health services in Worcestershire

11. Rigorous
All options for service reconfiguration fully assessed against best clinical evidence
Application of agreed criteria for generation and appraisal of options which fully assess the improvement in quality and safety
Expert Independent Clinical Scrutiny via an Independent Peer Review Panel chaired by Professor Bernard Crump
Working together to ensure high quality, safe and sustainable health services in Worcestershire

12. Inclusive
The review will involve, patients, the public, staff, partners and the media throughout.
Commitment is for a process carried out with integrity – open, honest, inclusive and timely
A Stakeholder Reference Board will give additional quality assurance on how we are engaging patients and the public throughout - chaired by Professor Rod Griffiths
Working together to ensure high quality, safe and sustainable health services in Worcestershire

13. Open & Transparent
Challenges facing our services and options for reconfiguration will be made public within our Engagement and Consultation Strategy
We are committed to meaningful engagement with the public throughout the process - giving opportunities to contribute and comment on the development of the options.
We will ensure that our public consultation meets all the statutory requirements (Section 242 of the NHS Act 2006) and prevailing guidance - including the Health Secretaries ‘Four Tests for Service Change’
Working together to ensure high quality, safe and sustainable health services in Worcestershire

14. Managed & resourced
The review is important and has a robust governance structure and decision-making process
The review is complex and involves many work streams and will be managed via a Programme Management Office and standardised Project management methodology
Partner organisations are committed to ensuring it has adequate clinical and management resources and support.
Working together to ensure high quality, safe and sustainable health services in Worcestershire

15. Project Plan – Phases and Timetable
Milestones
Timetable
Approval to Proceed SHA
December 2011
Approval to Proceed 3 Boards
January 2012
Phase 1 Set up
January / Feb
Phase 2 Modelling and Analysis
Early March
Phase 3 Clinically led Option Generation & Appraisal
End April
Phase 4 Draft Strategic Outline Case for Change
Early May
Phase 5 Independent Peer Review
End May
Phase 6 Draft Outline Business Case
Approval for Consultation
End June
Phase 7 Public and Stakeholder Consultation
July - Sept
Phase 8 Refinement of Options
Finalise Outline Business Case
October / Nov
Involve & engage

16. Summary
Our clinicians believe we can do more to improve quality and achieve better clinical outcomes for patients.
We face the challenge of achieving this in the face of growing financial and workforce pressures.
Doing nothing is not an option: productivity and efficiency alone will not be sufficient to address this challenge.
We need a fundamental rethink about how we provide care a
We are working in partnership and are committed to involve and engage staff, patients and the public throughout.

17. Worcestershire Joint Services Review
Working together to ensure high quality, safe and sustainable health services in Worcestershire