Swp consultation general presentation

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Programa de consulta de South Wales para el cambio en los servicios de diversos hospitales.
+ info: http://www.wales.nhs.uk/SWP/consultation-documents

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Swp consultation general presentation

  1. 1. The South Wales Programme A public consultation about the future of some hospital services for people living in South Wales and South Powys
  2. 2. Before we start … This is the start of an eight-week CONSULTATION Health boards are consulting on FOUR options No decisions have been made No hospitals will be closing or losing their A&E department No staff will lose their jobs as a result of this change Decisions will be based on EVIDENCE gathered so far and FURTHER EVIDENCE to emerge from consultation The evidence must point to IMPROVED OUTCOMES for patients
  3. 3. What do we want for South Wales and South Powys? We want all people living in South Wales and South Powys to have access to the best possible care whenever they need it, giving them the best possible chance of surviving their injury or illness and leading a full, independent life
  4. 4. The South Wales Programme We are working together to address problems facing our busy hospital services Frontline clinicians – doctors, nurses, midwives, therapists and paramedics – have been at the centre of this work We want to create a network of healthcare services for South Wales and South Powys, which provides as much care as locally as possible when safe to do so
  5. 5. What services are we talking about? Consultant-led maternity and neonatal care Inpatient children’s services Emergency medicine (A&E) care for the sickest and most seriously-injured patients
  6. 6. Where are these hospital services currently provided in South Wales? Powys
  7. 7. Why can’t we carry on as we are? Patients are not getting access to the best care and services do not meet clinical standards Senior doctors are not available at night or weekends We do not have enough doctors to provide these services in all hospitals – this is a UK problem but it’s worse in Wales Some services are at risk of collapsing because of the shortage of doctors
  8. 8. What’s the solution? To provide the best care for all patients all the time and to meet clinical standards, these services need to be provided in FOUR or FIVE hospitals across South Wales
  9. 9. What does this mean? All hospitals will continue to provide a wide range of care for local people The majority of A&E care will continue to be provided locally, just as now We will be creating a hospital system where clinicians want to come and work
  10. 10. What does this mean? The four services need to be provided together on the same hospital sites No hospitals will close but they will have different roles in the future No A&E departments will be lost but they will provide different levels of care
  11. 11. Engagement You understood why services need to change and a majority supported the ideas for change You’d like us to provide these services in as many hospitals as we safely can You were concerned about the impact on the Welsh Ambulance Service; on people living in deprived areas; on access and travel times and on public transport
  12. 12. Engagement We explained three hospitals are considered to be fixed points because of the range of services they already provide and the size of the population they cover: University Hospital Wales, Cardiff Morriston Hospital, Swansea Specialist and Critical Care Centre, a new hospital to be built near Cwmbran
  13. 13. Engagement Feedback from the public and our clinicians during engagement was used to develop six benefit criteria – the key issues against which all the options were assessed: Safety Quality Sustainability Access Equity Strategic fit
  14. 14. Engagement When we first spoke to you about our ideas for the future, we said there were six possible scenarios for the location of these services But, after looking at issues such as access and equity and the impact on the Welsh Ambulance Service and other hospitals in South Wales, two were ruled out: Four sites: UHW, Morriston Hospital, SCCC and Princess of Wales Hospital, Bridgend Five sites: UHW, Morriston Hospital, SCCC, Princess of Wales and Royal Glamorgan hospitals These also got the lowest scores against the benefit criteria
  15. 15. The options for consultation Option 1: UHW, Morriston Hospital, SCCC and Prince Charles Hospital Option 2: UHW, Morriston Hospital, SCCC and Royal Glamorgan Hospital Option 3: UHW, Morriston Hospital, SCCC, Prince Charles and Princess of Wales hospitals Option 4: UHW, Morriston Hospital, SCCC, Prince Charles and Royal Glamorgan hospitals
  16. 16. The options for consultation: option one Powys Morriston SCCC UHW Option one PCH
  17. 17. The options for consultation: option two Powys Morriston Morriston SCCC UHW Option two RGH Powys
  18. 18. The options for consultation: option three Powys Morriston SCCC UHW Option three PCH Option three POW Powys
  19. 19. The options for consultation: option four Powys Morriston SCCC UHW Powys Option four PCH Option four RGH
  20. 20. The options All the options have been assessed against the benefit criteria – safety, quality, sustainability, access, equity and strategic fit. We have also looked at their impact on patients, the Welsh Ambulance Service, NHS workforce and finance. The option which has emerged from this process as the best fit is a five-site model option three: UHW, Morriston Hospital, SCCC, Prince Charles and Princess of Wales hospitals
  21. 21. What does this mean for pregnant women? Women will continue to have the choice of a home birth or a midwife-led birth centre as they do now Antenatal clinics and postnatal care will be available locally, as now Consultant-led care for the one in three women who need a doctor during birth, including a Caesarean section, will be provided in FOUR or FIVE hospitals
  22. 22. What does this mean for neonatal care? Neonatal intensive care will be provided in three hospitals: UHW, Morriston Hospital and SCCC (Royal Gwent Hospital in the interim), as now High dependency neonatal care will be available in the FOUR or FIVE hospitals providing consultant-led maternity care. This will improve standards and safety
  23. 23. What does this mean for children? Most children, when they are sick or injured, are safely treated at home or in their local community, without having to spend the night in hospital. Only the most seriously ill or injured children – thankfully small numbers – are admitted to hospital.
  24. 24. What does this mean for children? A full range of outpatient, diagnostic and same or next day clinics will continue to be provided locally, as now We are continuing to investigate the best way to provide local children’s assessment services Inpatient care for the sickest and most seriously- injured children will be based in FOUR or FIVE hospitals. This will improve standards and safety
  25. 25. What does this mean for emergency medicine (A&E)? The majority of people who currently come to A&E departments do not need the skills of highly- trained emergency medicine doctors. DID YOU KNOW Our A&E departments do different jobs?
  26. 26. What does this mean for emergency medicine (A&E)? We want to increase the chance of people with the most serious injuries and illnesses seeing a senior doctor, who is experienced in emergency medicine, when they come to hospital. To do this, we need to provide consultant-led emergency medicine care in FOUR or FIVE hospitals.
  27. 27. What does this mean for emergency medicine (A&E)? The majority of people who are acutely unwell or who have a minor injury will continue to be cared for at their local hospital, as now.
  28. 28. Terry’s fallen off a ladder – where does he go? Bleeding from the head and unconscious? Contact 999. Terry will go straight to UHW in Cardiff by ambulance A broken leg? Terry will go straight to his nearest hospital of the FOUR or FIVE providing consultant-led emergency medicine care Worried his ankle’s broken? Terry will go to his local A&E department or minor injury unit
  29. 29. The options All the options have been assessed for their impact on a range of factors, including impact on patients, the Welsh Ambulance Service, NHS workforce and finance. The option which has emerged from this process as the best fit is option three: UHW, Morriston Hospital, SCCC, Prince Charles and Princess of Wales hospitals BUT WHAT DO YOU THINK?
  30. 30. What about the other hospitals? All our hospitals are important and they will all have an important role in the future, but they won’t be doing the same things
  31. 31. What does this mean? We will provide as much care as locally as possible when it is safe to do so FOUR or FIVE hospitals will provide consultant-led maternity and neonatal care, inpatient children’s services and emergency medicine Other hospitals will provide other clinical services
  32. 32. Considering equality in the South Wales Programme We want to make sure we consider the specific needs of all people who use NHS services when making any changes In particular we want to look at and minimise the impact on different communities, especially the “protected characteristic” groups We want to work with you during this process
  33. 33. What happens next? The consultation ends on Friday July 19, 2013 The responses will be analysed and shared with community health councils in September and health boards will meet in October to make a decision about the future of consultant-led maternity and neonatal care, inpatient children’s services and emergency medicine (A&E)
  34. 34. Tell us what you think WRITE TO US: South Wales Programme Feedback, PO Box 4368, Cardiff, CF14 8JN EMAIL YOUR COMMENTS TO: swpresponse@wales.nhs.uk WRITE TO YOUR COMMUNITY HEALTH COUNCIL: contact details available at www.wales.nhs.uk/swp QUESTIONNAIRE: Complete the questionnaire in the consultation documents or at www.wales.nhs.uk/swp Q
  35. 35. Want more information? Full details about the consultation, including dates of public meetings across South Wales and South Powys, are available on our websites: www.wales.nhs.uk/swp www.wales.nhs.uk/swp/hafan 0300 083 0020 (24-hour answer phone) www.facebook.com/SouthWalesProgramme

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