3. Staying healthy
A greater focus on tackling hospital acquired infections
Partnerships with organisations and investment in proven
health improvement programmes
A focus on healthy eating and physical activity - linked to
2012 Games
All healthcare staff to promote physical and mental
health
Improved health protection, especially sexual health and
greater support for carers
4. Maternity and newborn care
Early assessment of women’s social and medical needs.
Antenatal and postnatal care provided in local
one-stop settings
Choice of location for birth
Continuity of care throughout antenatal, labour
and postnatal periods. 1:1 midwife care in established labour
Significant increase in the number of
midwife-led units
Obstetric units should have around 98-hour
consultant presence
5. Children
Better co-ordinate care for children with a life-
limiting or life-threatening illness
Encourage healthy lives
Prioritise childhood immunisation
People who deal with ill children need to have
specialist skills and expertise
Provide specialist care for children on fewer sites
6. Mental health
Local treatment, and discussion of whether, as admission
to mental health units decrease, inpatient beds are
needed in every borough
Early intervention and clearer pathways to care
Reduce the fear and stigma of asking for help and give
service users more control over their lives
Services for those most at risk
Improving the quality of care and encouraging
specialisation
7. Planned care
More specialised inpatient care should
be regionalised
Shift basic surgery, diagnostic and outpatient
services out of major hospitals
Better use of day-case procedures
Improve community-based services (e.g. GPs for
routine appointments before 9am, in the evenings
and at weekends, and rehabilitation)
8. Acute pathway
Many current A&E attendees could be treated in the
community
Major trauma, heart attack, emergency surgery and
stroke services should be regionalised
A single point of contact (by telephone)
for urgent care
9. End of life
Individuals should be supported to express
a preference for a place of death
A co-ordinator role is needed to ensure patients’
preferences are met
All organisations should meet good practice (e.g.
gold standards framework)
10. How we could provide care
Working together to provide more
accessible, better, safer and more
efficient services
11. Academic Health Centre
• An AHSC is a new concept in this country although
proven in other countries.
• Integrates strategies for service, education and
research
• Achieved through:
– Single mission and a unified governance and management
structure
• Delivered by:
– Creation, utilisation and dissemination of new knowledge
12. What is an AHSC?
• International quality in education, research and clinical services
• Strategic and operational alignment of research, education and
clinical services, leading to faster translation of discoveries into
treatments that benefit patients
• Integration of the organisation and its mission with local
healthcare provision (not just medical education, research and
acute services)
• Aligned governance of the academic and service components
exemplified by combined leadership for the academic and clinical
activities
• Integrated operational management at level of delivery
13. Integrating teaching, research and healthcare provision
– demonstrable clinical benefits
HSMRs (Hospital Standardised Mortality Ratios): London hospitals vs
non-London hospitals (HSMR all England year 2005-6=100)
0
20
40
60
80
100
120
140
2001-02 2002-03 2003-04 2004-05 2005-06
HSMR
Inner London Teaching
Other London non-Teaching
England outside London
Source: Dr Foster Unit at Imperial
14. • On 1st October Imperial
College Healthcare NHS
Trust was launched
through the merger of
Hammersmith Hospitals
NHS Trust and St Mary’s
NHS Trust and
integration with Imperial
College London.
• Integrated board and
management team
The creation of the UK’s first Academic
Health Science Centre
