nhs forth valley new zealand visit 2014 jane grant ceo
DESCRIPTION
NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO. Profile of Scotland. 5m population declining and ageing Urban central belt, remote areas in North Reliance on public sector-higher than UK Health status-lower than UK Inequalities-higher than UK Health spend-reaching European average. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/1.jpg)
NHS Forth Valley
New Zealand Visit 2014
Jane Grant CEO
![Page 2: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/2.jpg)
Profile of Scotland
• 5m population declining and ageing
• Urban central belt, remote areas in North
• Reliance on public sector-higher than UK
• Health status-lower than UK
• Inequalities-higher than UK
• Health spend-reaching European average
![Page 3: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/3.jpg)
Health system
• 11 mainland Boards• Responsible for health improvement and service
delivery• Strong governance & public accountability• Board membership• Integrated / regional / CHP approach within
health• Increasing emphasis on public sector
partnership working
![Page 4: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/4.jpg)
NHS Forth Valley
Co-terminous with 3 Local AuthoritiesFalkirkStirlingClackmannanshire
Forth Valley
![Page 5: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/5.jpg)
Population of Scotland
The changing demographic nationally
![Page 6: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/6.jpg)
Projected bed days by age band (All FV Residents only)
![Page 7: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/7.jpg)
Facts and Figures NHS Forth Valley
• Spending just under £500m per annum
• Around 8000 direct employees
• Serving a population of 300 thousand
• Covering an urban and rural area
• Operating 1 major hospital, 4 community hospitals, wide range of primary care and community based services
![Page 8: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/8.jpg)
Facts and Figures(2)
• 45,000 In Patients/Day cases in acute• 260,000 Hospital Out-patients• C1.5 m primary care consultations• 450,000 community nursing contacts• Many other community contacts for
children, psychology etc.• Staffing resource is therefore most
significant
![Page 9: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/9.jpg)
Generic Care Pathway
Tier 0Well
Tier 1Development of Symptoms
Tier 2Established Long Term Condition or Health Problem
Care managed in Community
Tier 3Enduring or complex problem.
Care mostly managed in community but requiring specialist input
Tier 4More serious exacerbations
or single episodesCare needs more complex
Tier 5End of
life care
Home and Community
Primary CareCommunity Pharmacy
Diagnostic, Outreach & Rehab Services
Community Hospital
Acute Hospital
HospiceCommunity HospitalCommunity
DiagnosisEvidence-based System awareness
Self managementRisk assessment Co-ordinated care
Co-ordinated admission, discharge and alternatives
Referral management
Health promotion Signposting
Integrated 24/7 partnership working
![Page 10: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/10.jpg)
Focus on Quality & Safety
• Quality & Safety Priorities– Reducing avoidable mortality– Reducing avoidable harm– Improving patient experience– Ensuring evidenced based care– Contributing to safely reducing costs and
increasing increasing time to care
![Page 11: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/11.jpg)
• Demographic
• Financial context
• Integration of all Health and Social Care
• Delivery of the 2020 Vision
Further Challenges
![Page 12: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/12.jpg)
More on Quality
Peter MurdochInterim Medical Director
![Page 13: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/13.jpg)
![Page 14: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/14.jpg)
Much more than buildingsDesign Principles 2004 • Improved patient flow and separation of
streams
• Ambulatory bias
• Community and integrated focus
• Right care by right person, right place, first time every time
• Multidisciplinary team working
• Flexibility
![Page 15: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/15.jpg)
Challenges
• Continuing drive to improve Quality & Safety• Person centred approach• Community focus• Consistency• Improving access• Optimising efficiency• Demographics and co-morbidity• Information driven improvement
![Page 16: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/16.jpg)
Encouraging Culture Change
• Openness, honesty and candour• Striving for excellence • Reflective learning • Commitment to Improvement and Quality-• Continue to learn and embed range of QI
methods• Effective leadership • Information driven • Clarity and communication
![Page 17: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/17.jpg)
New Vision
• Beyond boundaries – working together for a healthier future
• Radically reviewing systems across all sectors
• Commitment and momentum to radical and transformational change needed
![Page 18: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/18.jpg)
Tom Steele
Director of Strategic Projects & Property
![Page 19: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/19.jpg)
Responsibilities Include
• Operational estates and facilities management services
• Strategic asset planning and development
![Page 20: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/20.jpg)
• Operational services are delivered in house as well as contracted out
• Strategic priorities:– Locality service and infrastructure planning– Current projects:
• Stirling care village• Doune Health Centre• FVRH CHP power plant• IMT strategy• Vehicles and fleet management• Medical Equipment
![Page 21: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/21.jpg)
Fiona Ramsay
Director of Finance
![Page 22: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/22.jpg)
Community Health Partnership £ 92.7mSpecialist and Ambulatory Care £ 78.6mEmergency and Inpatient Services £ 72.0mWomen and Children £ 22.5mPrimary Care Prescribing £ 53.7mGeneral Practitioners £ 40.5mDentists, Pharmacists, Opticians £ 30.1mArea Wide Services/PFI £ 84.2mSpecialist Services outwith Forth Valley £ 43.4m
Total £ 517.7m
Finance
![Page 23: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/23.jpg)
Estimated Scottish Government DEL Expenditure – June 2010 Budget Results (2010/11 Prices)
20,000
22,000
24,000
26,000
28,000
30,000
32,000
£ M
illio
ns
(20
10
-11
Price
s)
2009-10 2025-2616 years
£42 billion
![Page 24: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/24.jpg)
Key issues- Pension Changes- Demographic pressures- Delivery of Waiting Times Targets- Emergency Care demand and flow- Deliver more care in home/community- Prescribing / Technology
Need to reduce costs by 3% per annum to ‘stand still’ and expected to move resources to community…
Finance
![Page 25: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/25.jpg)
Helen Kelly
Director of Human Resources
![Page 26: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/26.jpg)
NationalNHSScotland
• Staff Governance Standard
• Partnership Working with Trade Unions
• Workforce Vision & Implementation PlanEveryone Matters
![Page 27: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/27.jpg)
LocalNHS Forth Valley
• Workforce Strategy
• Staff Experience
• Values Matters Programme
• Workforce Planning
![Page 28: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/28.jpg)
Our PeopleNHS Forth Valley Workforce by Job Family (headcount)
ADMINISTRATIVE SERVICES, 989, 17%
ALLIED HEALTH PROFESSION, 542, 9%
DENTAL, 14, 0%
HEALTHCARE SCIENCES, 189, 3%
MEDICAL (TRAINED), 327, 6%
MEDICAL (TRAINING GRADES), 202, 3%
MEDICAL AND DENTAL SUPPORT, 89, 1%
NURSING / MIDWIFERY, 2122, 37%
NURSING / MIDWIFERY (UNQUALIFIED), 849, 14%
OTHER THERAPEUTIC, 182, 3%
PERSONAL AND SOCIAL CARE, 13, 0%
SENIOR MANAGERS, 28, 0%
SUPPORT SERVICES, 398, 7%
ADMINISTRATIVE SERVICES
ALLIED HEALTH PROFESSION
DENTAL
HEALTHCARE SCIENCES
MEDICAL (TRAINED)
MEDICAL (TRAINING GRADES)
MEDICAL AND DENTAL SUPPORT
NURSING / MIDWIFERY
NURSING / MIDWIFERY (UNQUALIFIED)
OTHER THERAPEUTIC
PERSONAL AND SOCIAL CARE
SENIOR MANAGERS
SUPPORT SERVICES
![Page 29: NHS Forth Valley New Zealand Visit 2014 Jane Grant CEO](https://reader036.vdocuments.us/reader036/viewer/2022062309/56814d70550346895dbac2f9/html5/thumbnails/29.jpg)
Challenges
• Workforce Planning and Development – right person, right skills, right time, ensuring our workforce has time to learn
• Developing Leaders and Succession Planning for Emerging Leaders to address the workforce demographic
• Supporting a culture of Quality and Improvement whilst still responding to demand and pace of service delivery
• Embedding Staff Governance Standard and workforce values in practice and recognising staff for ‘Values-based’ performance and achievement
• An integrated future and developing a multi-professional and multi-agency approach to team working