CLINICAL STRATEGY REVIEW

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Our Orkney Our Health - outdated Redesign progress Orkney Health & Care Outline Business Case New technology, new opportunities New team Empowered middle managers Clinicians willing to engage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

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

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

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/can’t be

provided Agreement on how/where services

delivered

What won’t change

Patient safety as top priority Planning for sustainability Community Services embedded in OH&C Reliance on Mainland Scotland Health

Boards for some services Need for integration with our partners –

OIC, SAS, NHS 24 etc

Rural General Hospital R&R 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

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

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

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

Evidence Based Care

Disinvestment Thresholds NHS Evidence NICE/SIGN/QIS Patient Safety

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 (OH&C) Secondary Care Model

Will give us clarity on

SLA requirements UNPACs IPTR