Multiple challenges for hospitals

and healthcare in Europe

Charlotte Walker

Assistant Locality Manager

Primary, Community and Social Care – Llanelli

Acceptable trade-offs

Conte

xt

Context = policy, population health, community characteristics, other services etc.

The Determinants of World Class Health Care

Longley, M. (2012) The Best Configuration of Hospital Services for Wales: A Review of the Evidence. Cardiff: Welsh Institute for Health and Social Care

What do we know about Malta?

Population

of Malta

417,617

16% of the population are aged 65 years and over

359 churches

1.4 million tourists

Social

change -

Changing

family

dynamics

Free health care

Economic Challenge

Society is

Changing

Culture is becoming

more globalised

Demographic Challenges

Health and Social Care

Expectations are Increasing

Religion – societal change – Churches in hospital and home

GP Shopping – Registration with own GPFree Care – At point of delivery

Family dynamics – changing needsService expectations – individuals need to change

Scarce resources –

community care team

Focus on elderly institutions – everyone grows old

Increasing demand for beds –

strengthen bed management

Limited financial

commitment –

forward planning

Financial and political – not aligned

Financial planning –

under-allocation of fundsAgeing population –

fewer taxpayers

Culture is becoming more

globalised

Significant demographic changes

Challenge

of Societal

Change

Challenge of Demographic

Change

Challenge of Cultural ChangeChallenge of Economic

Change

12

Quality and Safety◦ Build upon the high standard services in community◦ Shift emphasis from beds to community◦ Improve use of ID◦ Public engagement

Access◦ Densely populated country enabling easy access to services◦ Demographic challenge – ‘Youth Brain Drain’ V Ageing Population◦ Acknowledgement and ownership of the ageing agenda

Workforce◦ Build upon competent & confident workforce with rich skill mix◦ Developing advanced skills in the community◦ Increase opportunities for younger population to limit ‘brain drain’ – training incentives

Cost◦ Robust integrated financial planning and control required◦ Added value through joint working (integration) and resultant increased capacity

M – Maltese cultureA – Ageing societyL – Learning environment

T – Transformational A – Active ageing This is my

Postcard from Malta we had a GREAT time!

Dankeschön

Aitäh

Tack

Grazzi Hafna

Diolch

Thank you!