“Shaping our Future in North Somerset”

Public Engagement Meetings

Background

National Change towards more choice, more personalised care and empowerment of patients to improve their health

North Somerset is working with local people, NHS professionals and partner agencies to develop plans for future health care for North Somerset Residents

Context

North Somerset PCT must produce a strategic plan (strategic outline case) for health services by October 2005

This plan will set out options for change, and will– Reflect the key drivers for change, and policy framework– Be in line with Bristol Healthcare Services Plan (BHSP) Model of

Care– Demonstrate affordability – Have the support from public and professionals

Our Vision is for:

A shift of focus from illness to health. Patients to be treated and cared for at home or as near their

homes as possible Providing the right care, at the right time and place, by the right

professional (including self care) A focus in what patients need Making the most of resources to achieve excellence which is

affordable Enabling GPs, their practice staff, dentists and pharmacists to

see more people

A Patient Led NHS

A Patient-led NHS – builds on

the best from the past

Better quality, more capacity stimulated

by financial incentives

People offered better services to maintain

health, not just to treat sickness

Locally driven service, operating to a national framework

and standards

A choice for patients of when and where

they are treated

A joined up service which enables

integrated care for patients

Applying learning from around the world in a new

institute for skills and innovation

More insight into local communities to

improve how effectively we can

help them

www.dh.gov.uk/PublicationsAndStatistics

Drivers for change

Changing expectations (public and professionals) Health inequalities Demographic change Technology Workforce Affordability Quality and Outcomes Accountability

Principles drawn from the BHSP Model of Care

Improve quality, safety and outcomes Right care, right time, right place, right professional

(including self care) Emergency and planned care pathways separated

as far as possible Focus on services and patient experience, Maximise resources to achieve excellence

A Change in focus

Out of Hospital Care

(Long Term Conditions)

Hospital Care (acute

treatment)

Current Service Map

25 general medical practices, working out of 31 locations

1 community hospital (Clevedon) Under-developed community service, with

pockets of innovation Links to Weston, UBHT and NBT Good examples of service integration with

local authority Independent, private and voluntary sector

Hazard Warning

We will need to:

– Agree some core assumptions

– Ensure we build in flexibilityPredicting the future is

difficult and we will get some things wrong

Key Assumptions (1)

Our users will:– Be confident in using information and

technology – Expect responsive, personal and high

quality integrated services– Want to receive more care at home, or as

close to home as possible

Key Assumptions (2)

Demographic change inc. 40,000 additional people in Weston/Worle over next 20 years and 8,000 in Portishead.

The rate of growth in funding will reduce after 2008/09

Pressures for centralisation and devolution will continue

Key Assumptions (3)

If capacity and incentives are in place within primary care, we think we could:

Reduce non-elective admissions by up to 24% (7,000) annually by 2013

Avoid 5% (400) inpatient admissions and 10% (2,100) daycases in 3 years

Reduce new outpatient attendances by 35% (19,000) by 2008/09

Reduce A&E attendances by 40% by 2007/8

So What?

Our strategic outline case will need to:

• Set out our priorities for developing capacity in the community to enable primary and community services to work with communities to maintain health

• Set out our priorities and preferred options for achieving this

Emerging Areas - Portishead

The PCT is working to develop a new permanent GP premises for Harbourside adjacent to Portishead Medical Centre.

•What extra services you would like to see included in the development e.g. physiotherapy or podiatry?

•How can we make best use of the other community based services in North Somerset e.g. Clevedon Hospital?

Emerging Areas – Clevedon

The PCT wants to enable Clevedon Community Hospital to deliver modern 21st century services for the surrounding area.

•What do you want your modern community hospital to provide? Should it include a minor injuries unit, diagnostics, outpatient appointments and community therapies etc.?•How we can make the services more accessible, especially for the more people?

Emerging Areas – Weston

Some GP practices in Weston are developing new premises, as their current buildings are outdated. One possibility is to include a Walk In Centre within this development.

What services would you like to see provided in this development?What are your views about a Walk In Centre Where could the development be_ bearing in mind the limited availability of sites in Weston?

Emerging Areas – Worle

We plan to develop new premises in Worle to cope with the population growing by 40,000 in Weston and Worle in the next 20 years.

What extra services would you like to see provided more locally?How can we ensure that any development enhances the community services in Weston?

Next Steps

Formal staff and public engagement – will run until the end of September

North Somerset will prepare the Strategic Outline Case (SOC) by end of October 2005 to feed into BHSP

Formal public consultation on the detailed SOC is planned for November until the end of January 2006

Continued Input to Engagement Process

You can continue have give their views on Shaping Our Future by:

– Emailing: haveyoursay@nsomerset-pct.nhs.uk – Freephone: 0800 015 5127 – Send via Freepost to;

The Bristol Health Services Plan (North Somerset)FREEPOST BS1078King Square HouseKing SquareBristol BS2 8EE

We would like to hear what you think …

What are your views on our vision?

What do you think about the areas we have identified?

Are there other areas we should consider?

Are there any other changes happening in North Somerset that we need to build in to our plans for local services?

What is most important for you when improving local services?