This was the presentation I gave to the Tripartite International Medical Symposium in Melbourne on 13th March 2015

1. The hospital of the
future
Dr Chris Roseveare
Consultant Physician in Acute Medicine
Immediate Past President, Society for Acute Medicine
@croseveare

3. The year 2000….

4. Key priorities for NHS Plan 2000
 More staff – and better paid
 Faster access to treatment – particularly in A&E
 Higher quality of care and cleanliness in hospitals
 ‘Bring Back Matron….’

5. Matron returns……….
….and we get a ‘4 hour target’

6. Dramatic improvements………….

7. 3hrs 45 – 4hrs
But sometimes the target
becomes the target…

8. 2011: A new government:
A new direction….?

9. Followed by another
change of direction…..

10. Where are we now?

12. Slippage……

13. Where are we going?

14. The five year forward view….

15. Focus on Public
Health / Illness
Prevention
Integration of health and
social care budgets Multi-speciality
community
providers
Expand and
develop primary
care
Better Integration of
Emergency Services

16. £30 Billion Funding Gap by 2021
Action on
Illness
Prevention
Efficiency
savings year on
year
Staged funding
increase
‘as economy allows’

17. The future hospital commission…..
Established by RCPL 2011
5 work streams and steering group
Extensive patient involvement
Report published 2013

19. ‘There are times when I have felt like
a parcel, passed around the hospital
from ward to ward, sometimes in the
middle of the night’

20. Co-ordinated care:
‘Chief of Medicine’
‘Acute Care Hub’
Continuity of
care as the
‘norm’
Patient experience
valued as much as
clinical
effectiveness
‘Patients do not move wards unless necessary for clinical care’
‘High quality, sustainable care provided 7 days a week’

22. Rediscover & Value the ‘Generalist’
• Acute Physicians
• Geriatricians
• ‘Dually Accredited Specialists’

25. Thank you…..
‘The future, according to some scientists, will
be exactly like the past….
…..only far more expensive’
John Sladek