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Big picture thinking

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NHS Scotland 2009

BusinessHealth & Medicine
1 of 34
Seeing the Bigger Picture The NHS in transition Charlotte Leggatt MDN Northern Region Facilitator
Aims of the session ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A World Picture ,[object Object],[object Object]
THE USA – a topical issue!! ,[object Object],[object Object],[object Object],[object Object],[object Object]
The USA – How do they intend to do it ,[object Object],[object Object],[object Object],[object Object]
The Global Economy
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A Changing Society ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Demographics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Demographics – what does this really mean for society ,[object Object],[object Object],[object Object],[object Object],[object Object]
Demographics – impact on health services ,[object Object],[object Object],[object Object],[object Object]
Long Term Conditions ,[object Object],[object Object],[object Object],[object Object]
Long Term Conditions ,[object Object],[object Object],[object Object],[object Object]
Or put another way Capacity and demand are out of kilter
Kerr Report 2005 ,[object Object]
Better Health Better Care ,[object Object],[object Object],[object Object],[object Object]
General Practice and Heat Targets ,[object Object],[object Object],[object Object],[object Object],[object Object]
Heat Targets ,[object Object],[object Object],[object Object],[object Object]
Heat Targets ,[object Object],[object Object]
Heat Targets ,[object Object],[object Object],[object Object],[object Object],[object Object]
Heat Targets ,[object Object],[object Object],[object Object],[object Object],[object Object]
18 Week RTT Service Re-Design & Transformation ,[object Object]
Specific Measure for 18RTT ,[object Object],[object Object]
Real opportunity for radical change CATALYSTS FOR CHANGE 18 weeks referral to treatment Financial pressures Aging population European working time directive Shorter waiting times Mental health Long term conditions
18 Weeks RTT: High Level Themes Improve Referral Management & Access to Diagnostics (Pathways) Redesign of Pathways (ENT, Ortho, Diabetes) Corporate Enabling Activities Actively Manage Follow Ups Actively Manage Admissions and Discharges Theatres & Treat Day Surgery as the Norm Define, Measure, Monitor and Performance Manage Management of Waiting Lists / Appointments 18 Weeks RTT Service Re-Design and Transformation 2008-2011
2008/09 Practice Direct Impact (£203.4m)
Whole System Re-design Hospital Care = £££ The changing role of the GP Collaborative Working Social Care Community Nursing Patient Expectations Non health related issues Extended role of Primary Care
Whole System Re-design in practice ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What skills will Managers Need ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
On a personal level, from one to another ,[object Object],[object Object],[object Object],[object Object],[object Object]
If you remember nothing else….. ,[object Object],[object Object]
On self belief ,[object Object],[object Object]
He also said this – his mantra ,[object Object]

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Big picture thinking

  • 1. Seeing the Bigger Picture The NHS in transition Charlotte Leggatt MDN Northern Region Facilitator
  • 2.
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  • 15. Or put another way Capacity and demand are out of kilter
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  • 25. Real opportunity for radical change CATALYSTS FOR CHANGE 18 weeks referral to treatment Financial pressures Aging population European working time directive Shorter waiting times Mental health Long term conditions
  • 26. 18 Weeks RTT: High Level Themes Improve Referral Management & Access to Diagnostics (Pathways) Redesign of Pathways (ENT, Ortho, Diabetes) Corporate Enabling Activities Actively Manage Follow Ups Actively Manage Admissions and Discharges Theatres & Treat Day Surgery as the Norm Define, Measure, Monitor and Performance Manage Management of Waiting Lists / Appointments 18 Weeks RTT Service Re-Design and Transformation 2008-2011
  • 27. 2008/09 Practice Direct Impact (£203.4m)
  • 28. Whole System Re-design Hospital Care = £££ The changing role of the GP Collaborative Working Social Care Community Nursing Patient Expectations Non health related issues Extended role of Primary Care
  • 29.
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  • 34.