Clinical Strategy Review

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Clinical Strategy Review
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Why?

• Our Orkney Our Health - outdated
• Redesign progress
• Orkney Health Care
• Outline Business Case
• New technology, new opportunities
• New team
• Empowered middle managers
• Clinicians willing to engage
• Remote and Rural recommendations
• Efficiency and Productivity framework
• Reduce unwarranted variation
• Need to understand how we spend our money

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Vision for Clinical Services

• People of Orkney to have health and wellbeing by
  having access to quality services which enable
  them to
• participate in preventative and anticipatory
  care
• Have access to appropriate treatment, including
  emergency services

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Clinical Strategy - the priorities

• National policy frameworks and direction
• Financial future
• Continue to deliver safe, effective and person
  centred care
• Create sustainability
• Recommendations from Remote and Rural
  Implementation Group
• Respond to changing demography

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Required for-

• Informing the Finance Strategy
• Informing the Property Strategy
• Informing the Workforce Strategy
• Driving the OBC
• Informing the SLAs required
• Agreement on what can/cant be provided
• Agreement on how/where services delivered

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What wont change

• Patient safety as top priority
• Planning for sustainability
• Community Services embedded in OHC
• Reliance on Mainland Scotland Health Boards for
  some services
• Need for integration with our partners OIC,
  SAS, NHS 24 etc

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Rural General Hospital RR definition

• Emergency centre for the community
• More advanced level of diagnostics
• Level 2 facility
• First line management of emergency admissions
  24/7
• Provide range of outpatient, day case, inpatient
  and rehabilitation services

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Primary Care ServicesR R definition

• Integrated - team and location
• Partnership approach between agencies and
  multidisciplinary teams
• Co-located where possible
• Preventative care
• Anticipatory care
• Emergency response

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Corporate Themes and Priorities

• Optimise Resource Utilisation
• Improve Health whilst Improving Inequalities
• Delivering Service Modernisation whilst improving
  patient experience
• Be an effective and safe organisation

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Efficiency and Productivity7 cost reduction
workstreams

• Evidence based care
• Preventative and early intervention
• Outpatients, community primary care
• Acute flow and capacity management
• Workforce productivity
• Prescribing, procurement, support/shared services
• Service redesign, innovation and transformation

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Evidence Based Care

• Disinvestment
• Thresholds
• NHS Evidence
• NICE/SIGN/QIS
• Patient Safety

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Will provide consistent and clear understanding
of service delivery

• Pharmacy Strategy
• Primary Care Strategy, including-
• - OOH (including SAS, NHS 24)
• - Enhanced Services
• - QoF
• - Isles Network of Care
• Community Services Model (OHC)
• Secondary Care Model

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Will give us clarity on

• SLA requirements
• UNPACs
• IPTR