Richard Cluett, Vanguard Healthcare
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Delivering Operational Resilience
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Richard Cluett, Vanguard Healthcare
- 2. Operational Resilience ‘The capacity to recover quickly from difficulties’
- 3. Mobile Healthcare Facilities Ready to receive patients in as little as two weeks Can move between multiple sites Require little enabling work Complete flexibility in hire period
- 4. The Shrewsbury and Telford Hospital NHS Trust • Operates two large acute hospitals: The Princess Royal Hospital and the Royal Shrewsbury Hospital • The main provider of acute hospital care for over 500,000 people from Shropshire, Telford & Wrekin and mid Wales
- 6. Three challenges 1. February 2014 – The Trust is required to refurbish one of two endoscopy suites to gain JAG accreditation, doing so will significantly impede endoscopy activity 2. June 2014 – The Trust experiences growing waiting lists in two of its busiest specialities 3. November 2015 – In anticipation of a busy winter period, the Trust dedicates a number of wards to medicine, slowing day surgery activity
- 7. One Solution
- 8. Maintaining Endoscopy Activity The mobile endoscopy suite was on site for just 30 working days... ... In this period over 200 patients were treated on the unit
- 10. Outcomes Treatment remained at The Royal Shrewsbury Hospital – carried out by NHS Clinicians Patients continued to receive timely care Achieved JAG accreditation
- 13. A Visiting Hospital The Visiting Hospital was on site at the Princess Royal Hospital for 134 working days... ... Allowing NHS clinicians to treat 742 patients on site
- 15. Outcomes Access rates increased significantly Pressure reduced on other specialities Patients received treatment in a familiar surrounding
- 17. Mark ‘s response
- 18. An ongoing success The latest partnership between the Trust and Vanguard Healthcare is ongoing, to date the following outcomes have been achieved: Over 400 patients treated Safeguarded elective capacity Increased emergency access
- 19. Mark ‘s response
- 20. Partnership Vanguard offered options for equipping and staffing the unit Total flexibility around the timing of each project Vanguard offered tailored support including logistics, training and business planning
- 21. Delivering Operational Resilience Delivering on national policy Driving down waiting times Preventing outsourced pathways Reacting to changing demographics
- 22. Questions?
Hinweis der Redaktion
- Question: How have mobile healthcare facilities factored into the operational resilience of the Shrewsbury and Telford Hospital NHS Trust? Answer: Mark briefly runs through each of the contracts (Run time: 00:40)
- Question: What role did the mobile endoscopy suite play in helping the Trust achieve JAG accreditation? Answer: Need to build single-sex wards, thus ongoing refurbishment works with existing facilities decanted into the mobile unit (Run time: 01:00)
- Question: Did the Trust consider any alternatives to bringing Vanguard’s units on site to deal with this backlog? If so what made utilising a mobile facility preferable? Answer: Other options included outsourcing; there were issues finding providers with capacity and even then patients are unhappy to leave the site for treatment. Vanguard allowed the Trust to control the entire pathway. (Run time: 00:48)
- Contract ran: 16.06.14 - 19.01. 15
- Question 1: It’s not uncommon for Hospitals to dedicate additional ward space to medicine over winter, as you have done here, what has the Vanguard unit allowed you to do differently? Answer 1: No escalation area, creative scheme which saw medical ward into day unit and day activity to the mobile unit. Preserving activity over winter and preventing a growing waiting list Question 2: How successfully has this worked into your winter contingency planning? Answer 2: Allowed the Trust to move low risk patients into the unit (Run time: 01:31)
- Question: How has the Trust’s partnership with Vanguard developed as each new challenge has been addressed? Answer: The relationship has evolved over the last three years, staff are familiar with the units, set up is simple – the trust are looking at a major overhaul over the next few years and Vanguard can offer clinical space to decant services to (Run time: 01:05)