Creating world class health services for Staffordshire Mark

Creating world class health services for Staffordshire Mark Hackett Chief Executive “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

Overview Why do services at Mid Staffs Trust need to change? How will these changes benefit patients across Staffordshire? How will the changes affect staff? Our vision for the future Listening and responding to your views “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

WHY DO SERVICES NEED TO CHANGE? “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

Ensuring safe, sustainable care and services • Mid Staffs Trust not clinically or financially sustainable - to be dissolved on order of Secretary of State • On 1 st November 2014 all Mid Staffs staff will transfer to UHNS or Wolverhampton & management of Stafford Hospital will transfer to UHNS • Will create one Trust across two hospitals of equal importance • Most services will continue at Stafford Hospital & new services will be developed in line with TSAs’ clinical model, approved by Monitor • Nine out of 10 patients will continue to receive care at Stafford • Changes will not adversely affect our existing patients - capacity will be in place at Stoke-on-Trent to meet additional demand • Service changes benchmarked against Health Equality Impact Assessment “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

How quickly will services need to change? • UHNS is implementing approved clinical model • Increasing concerns about safety and sustainability of services which require UHNS to move services from Stafford in 2014/15 to ensure patient safety & quality, confirmed by CQC • Immediate priority to make changes at Stafford to enable transfer of acute & major inpatient surgery, consultant led obstetrics & inpatient paediatric services to Stoke-on. Trent “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

Creating capacity in Stoke on Trent • More than 750 nurses recruited in past 12 months • £ 40 m+ capital investment • Four wards being re-commissioned in Lyme Building (former Children’s Centre) to create 64 beds • New 12 bed critical care unit under construction • 50+ beds being created in state of the art modular unit & 2 new theatres to create Orthopaedic Centre • Loop road & new car parks now being completed • Significant increase in dedicated disabled parking to 204 spaces, including 26 outside Lyme Building entrance • On track for January 2015 “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

When will services move from Stafford? • Inpatient acute & major surgery, consultant led obstetrics & inpatient gynaecology will transfer once additional critical care capacity in place & refurbishment of Lyme Building completed • Inpatient paediatrics will transfer once additional wards available to enable Ward 218 at Stoke-on-Trent to become part of Children’s Centre • Midwife Led Unit, ante/postnatal services, paediatric assessment & surgical daycases will continue at Stafford Any move of obstetric services on safety grounds will be temporary pending outcome of review into these services by NHS England “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

Transport 999 Services • Re-directed to reflect new TSA defined patient pathways • Available to support Midwife Led Unit High Dependency (HD) vehicles • 2 HD vehicles for patient transfer 24/7 between 2 hospitals – 1 based at Stafford, 1 at Stoke-on-Trent Staff • Pilot arrangements for staff transfer – operating 6 am-11 pm between Stafford & Stoke-on-Trent from 1 October 2014 Public Transport • Travel for carers, relatives & visitors to meet requirements of Health Equality Impact Assessment - being discussed with CCG “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

HOW WILL CHANGES BENEFIT PATIENTS? “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

Enhancing care and services at Stafford Hospital • Improving & developing existing services & creating new ones • Enhancing & expanding accommodation for outpatients, radiology & ambulatory care on ground floor • Total refurbishment of A&E • New and improved wards & modern theatres on new second floor • Greater privacy & dignity for patients “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

Some early improvements at Stafford Hospital • Remodelling A&E & creating integrated GP Out of Hours/A&E service • Investing in MRI scanner enabling more daycase surgery in Stafford & more hip & knee surgery, currently undertaken in Cannock • Bringing bowel screening services in Stafford & Stoke-on -Trent together to create leading centre for bowel screening • Developing services in Stafford for long term conditions – e. g. COPD, heart failure & diabetes (already at Stoke-on -Trent) “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

HOW WILL CHANGES AFFECT STAFF? “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

Benefits for staff • Greater opportunities for learning & professional development • Enhanced leadership & staff appraisals • Combined Trust will help attract best people to come & work, research & learn • World class training & education in collaboration with university partners at Keele & Staffordshire “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

Our vision for the future 2025 Vision To become one of the top university teaching hospitals in the UK by 2025 and establish a world class reputation by 2030 “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

Becoming a specialist hospital • 7, 500 staff based at City General • Specialist services for regional population of 3 million • General services for population of 500, 000 in North Staffordshire • UHNS treats more than 750, 000 patients each year • Turnover is £ 508 m “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

2025 is critical to our future • Demography - Increasingly ageing population • Technology - Major opportunities • Competition - Private sector & private provision of community care & chronic disease • Care closer to home Government committed to caring for patients as close as possible to where they live • Service concentration & supporting smaller hospitals • Research and development • Financial outlook • Healthcare demand rising by 2/3% - cost/ productivity increase of 5/7% • Patient choice changing relationship between GP and consultant • Hospitals must attract patients • People expect customer orientated services, 7 day access, use of technology & rapid actions • Relative disinvestment in some traditional district general services • Specialised tertiary care will increase “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

How are we going to achieve this? • New culture - outwardly focused, performance orientated, commercially astute • Develop broader range of partnerships with providers & private sector • Improve quality & cut out waste • Foster a clinically led organisation • Invest in infrastructure & people - training & education, ability to attract & retain staff • Embrace technology - £ 20 m+ for IT across sites • Research income will grow by £ 10 m in 7 years • Move to consultant delivered 7 day week service, physicians delivering more community care “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

Your views matter • Your views on how we carry out service changes are important to us • Will help us to ensure patients are at the centre of healthcare & services • We have commissioned a wide ranging, ongoing patient & public engagement programme • This will be delivered independently by Healthwatch – Stoke & Staffordshire • Will enable us to take your views into account as we implement changes in line with approved clinical model “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

Patient and public engagement programme • Reference panel chaired by Healthwatch & reporting to Local Transition Board & UHNS Assurance Panel – will continue HEIA work, advise on public engagement & plans as well as issues from public engagement sessions • Panel membership – representatives of Stoke & Stafford service user & disability groups, Health Select Committees & OSCs, CCGs, UHNS/Mid Staffs staff, Mid Staffs FT Membership/UHNS Shadow Council, SSOTP, Healthwatch, local media, Support Stafford Hospital group, Jeremy Lefroy MP • 5 focus groups by end October – key themes to include obstetrics, paediatrics, transport • Public roadshows from now to November – Stoke/Newcastle, Moorlands & Stafford • Regular meetings with Support Stafford Hospital group “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”

YOUR QUESTIONS “We will be a leading centre in healthcare, driven by excellence in patient experience, research, teaching and education. ”