Gresham College London SAFEGUARDING LONDONS HEALTH The Future

Gresham College London SAFEGUARDING LONDON’S HEALTH The Future of London’s Hospitals Dr. Patricia Oakley Director, Practices made Perfect Ltd Teaching and Research Fellow Organisational Psychology and HRM Birkbeck and King’s Colleges, London Tel: 0845 862 0372 office@practices. co. uk www. practices. co. uk

The Future of London’s Hospitals Key Issues q London’s Hospitals are constantly changing – past 30 years. q “Going Local” is a constant Policy theme. q Advances in Drugs, Technology and Therapeutics drive change. q London’s “Hospitals” – an Eclectic Mix for the Next 30 Years. q Academic Health Science Research Centres and Networks of Integrated Healthcare Providers. 08 d 15311 gso © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd. , Alpha House, 100 Borough High Street, London, SE 1 1 LB Tel: 0845 862 0372. Fax: 0845 862 0373.

The Future of London’s Hospitals are constantly changing – last 30 years Friern Barnet New End, Hampstead The Royal Free, Hampstead St. Mary Abbot’s, Kensington Westminster Queen Mary’s, Roehampton Liverpool Road, Angel The Royal Free, Grays Inn Road Londo n Jewish The London, Whitechap el Bethnal Green Mile End St. Clements St. Stephen’s, Chelsea St. John’s, Batterse a 08 d 15311 gso © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd. , Alpha House, 100 Borough High Street, London, SE 1 1 LB Tel: 0845 862 0372. Fax: 0845 862 0373.

The Shape of Things to Come: The Hospital of the Future (Rawlinson Kelly Whittlestone) Devolved Self-Care Model Health Maintenance Centres • • • Primary Care Facilities Children’s Services. Maternity Services. Outpatients. Clinical Support. Diagnostic & Treatments. Self Care Centres Intensive Intervention Centre Patient “Hotel” Recuperation Services Aided Living Centres • • Rehabilitation Services. Day Hospitals. Respite Service. Hospice Care. Self Care Centres 08 d 15311 gso Home Care Services Adapted from: Technology, Catalyst for Change in Healthcare – Bonnie. © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd. , Alpha House, 100 Borough High Street, London, SE 1 1 LB Tel: 0845 862 0372. Fax: 0845 862 0373.

Research Strategies and Practice Trends Assess the Impact of “EARLY HEALTH” q Strategy – broader, more efficient model of healthcare. q Trends – emphasis on prediction to shift from postsymptomatic presentation to pre-symptomatic diagnosis. q Practices – clinical convergence and overlaps driven by technological advances. q Information – technology and advanced informatics and decision-making to support safer practices. q Therapeutics – shift to personalised targeted therapies. 08 d 15311 gso © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd. , Alpha House, 100 Borough High Street, London, SE 1 1 LB Tel: 0845 862 0372. Fax: 0845 862 0373.

The Future of London’s Hospitals The Next 30 Years q Care of the Elderly – physically well and mobile, socially engaged and psychologically content. q Chronic Disease Management including Mental Health and Carer Support. q Specialist Surgical & Therapeutic Interventions. q New Science: Pharmaco-Therapeutics and Genetics, Molecular Imaging & Diagnostics. 08 d 15311 gso q Building technologies and flexible designs underpinned with real-time information e. g. Electronic Transfer of Prescriptions, Digital X-ray, Just-in-Time Training Programmes. © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd. , Alpha House, 100 Borough High Street, London, SE 1 1 LB Tel: 0845 862 0372. Fax: 0845 862 0373.

The Future of London’s Hospitals “A Multiplicity of Hospitals working in a Networked System” But there are many other providers of care Trauma & Major Specialist Hospitals “District” General Hospitals “Local” General Hospitals “Hospital” @ Home Service Specialist Hospitals, including Children’s Hospitals Day & Elective Surgery Hospitals New “Community” Hospitals (modelled along the lines of the White Paper specification) 08 d 15311 gso © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd. , Alpha House, 100 Borough High Street, London, SE 1 1 LB Tel: 0845 862 0372. Fax: 0845 862 0373.

The “Polyclinic” Service Specification q Mums and Babies Services. q Child Health and Child Mental Health Promotion. q Adult Mental Health. q Long Term Conditions. q End of Life Management. q Planned Care. 08 d 15311 gso q Diagnostic and Treatments. © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd. , Alpha House, 100 Borough High Street, London, SE 1 1 LB Tel: 0845 862 0372. Fax: 0845 862 0373.

An Eclectic Mix of Service Providers “High St” Campus Hospital@Home Services Low-Med Tech Podiatry & Dental Centres Pharmacy & Medicines Management Centres Primary Care General Centres Practices Health Wellness & Women Centres Rapid Diagnostic & Treatment Centres Day Case Centres Mobile Imaging Services Imaging + Diagnostic Centres Ultra High-Tech Local General Hospitals District General Gene Therapy & Pharmacogenetics Protected Hospitals Service Caring Environment for the Mentally Ill “Polyclinics” Major Trauma Centres Specialist R&D Centres 08 d 15311 gso Hospital Campus © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd. , Alpha House, 100 Borough High Street, London, SE 1 1 LB Tel: 0845 862 0372. Fax: 0845 862 0373.

Strategic Development Framework A Potential London Integrated Healthcare Foundation Trust * Policy Very Local “Go Solo” @ Home – Goal: individual (& carer) Keep as much clinical and care support as possible very local and accessible. well and independent Local Reactive and Proactive Support for individual (& carer) @ Home - Specialist s helping Local Services Reactive # Support @ Home & in Homes - and • First Responder Local Specialist Service Centres - Academic Health Science Research Service Centres • • • Trauma Centres. Specialist Centres. Transplant Centres. Genetics Services. Research Institutes. • • • Cancer. Renal. Rheumatology. Diabetes. Urology. • • • Voluntary Support. Charities. Social Enterprises. Friends and Family. Community Support. GPs and Community Physicians. District Nurses. Social Workers. Care Assistants. Pharmacists. Stabilisation Team. • Rapid Reaction Teams. • Medical & Surgical Adm. Units. • Diagnostic & Treatment Centres. • Intermediate Care Packages. 08 d 15311 gso © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd. , Alpha House, 100 Borough High Street, London, SE 1 1 LB Tel: 0845 862 0372. Fax: 0845 862 0373.

The Future of London’s Hospitals Looking to the Future q Local population needs are complex and changing e. g. East London. q London’s Hospitals have always been at the leading edge of research and practice developments e. g. Guys, King’s and Tommies. q Research and Practice are coming together to create powerful Research Institutes & better care e. g. Imperial and the Hammersmith & Charing Cross Group. q Care Networks facilitated by strong clinical leadership, technology and team-based working are an increasing feature e. g. North London’s cancer network. 08 d 15311 gso q Local care and support underpins the above. © Practices Made Perfect Ltd. *Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd. , Alpha House, 100 Borough High Street, London, SE 1 1 LB Tel: 0845 862 0372. Fax: 0845 862 0373.