Gresham College London
SAFEGUARDING LONDON’S HEALTH
The Future of London’s Hospitals
Dr. Patricia Oakley
Director, Practices made Perfect Ltd
Teaching and Research Fellow
Organisational Psychology and HRM
Birkbeck and King’s Colleges, London
Tel: 0845 862 0372
office@practices.co.uk
www.practices.co.uk
The Future of London’s Hospitals
Key Issues
 London’s Hospitals are constantly changing –
past 30 years.
 “Going Local” is a constant Policy theme.
 Advances in Drugs, Technology and Therapeutics
drive change.
 London’s “Hospitals” – an Eclectic Mix for the
Next 30 Years.
 Academic Health Science Research Centres and
Networks of Integrated Healthcare Providers.
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© Practices Made Perfect Ltd.
*Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372 . Fax: 0845 862 0373 . www.practices.co.uk
The Future of London’s Hospitals
Hospitals are constantly changing – last 30 years
Friern Barnet
New End,
Hampstead
The Royal Free,
Hampstead
St. Mary Abbot’s,
Kensington
Liverpool Road,
Angel
The Royal Free,
Grays Inn Road
Westminster
London
Jewish
The London,
Whitechapel
Bethnal Green
Mile End
St. Clements
St. Stephen’s,
Chelsea
Queen Mary’s,
Roehampton
St. John’s,
Battersea
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© Practices Made Perfect Ltd.
*Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372 . Fax: 0845 862 0373 . www.practices.co.uk
The Shape of Things to Come: The Hospital of the Future
(Rawlinson Kelly Whittlestone)
Devolved Self-Care Model
Health Maintenance
Centres
•
•
•
•
•
Primary
Care
Facilities
Children’s Services.
Maternity Services.
Outpatients.
Clinical Support.
Diagnostic & Treatments.
Self Care
Centres
Intensive
Intervention
Centre
Patient “Hotel”
Recuperation
Services
Aided Living Centres
•
•
•
•
Rehabilitation Services.
Day Hospitals.
Respite Service.
Hospice Care.
Self Care
Centres
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Home Care
Services
Adapted from: Technology, Catalyst for
Change in Healthcare – Bonnie.
© Practices Made Perfect Ltd.
*Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372 . Fax: 0845 862 0373 . www.practices.co.uk
Research Strategies and Practice Trends
Assess the Impact of “EARLY HEALTH”
 Strategy – broader, more efficient model of healthcare.
 Trends – emphasis on prediction to shift from post-
symptomatic presentation to pre-symptomatic diagnosis.
 Practices – clinical convergence and overlaps driven by
technological advances.
 Information – technology and advanced informatics and
decision-making to support safer practices.
 Therapeutics – shift to personalised targeted therapies.
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© Practices Made Perfect Ltd.
*Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372 . Fax: 0845 862 0373 . www.practices.co.uk
The Future of London’s Hospitals
The Next 30 Years
 Care of the Elderly – physically well and mobile, socially
engaged and psychologically content.
 Chronic Disease Management including Mental Health and
Carer Support.
 Specialist Surgical & Therapeutic Interventions.
 New Science: Pharmaco-Therapeutics and Genetics,
Molecular Imaging & Diagnostics.
 Building technologies and flexible designs underpinned with
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real-time information e.g. Electronic Transfer of
Prescriptions, Digital X-ray, Just-in-Time Training
Programmes.
© Practices Made Perfect Ltd.
*Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372 . Fax: 0845 862 0373 . www.practices.co.uk
The Future of London’s Hospitals
“A Multiplicity of Hospitals working in a Networked System”
But there are many
other providers of care
Trauma & Major
Specialist Hospitals
“District”
General Hospitals
“Local”
General Hospitals
“Hospital”
@ Home
Service
Specialist Hospitals, including
Children’s Hospitals
Day & Elective Surgery Hospitals
New “Community” Hospitals
(modelled along the lines of the
White Paper specification)
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© Practices Made Perfect Ltd.
*Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372 . Fax: 0845 862 0373 . www.practices.co.uk
The “Polyclinic” Service Specification
 Mums and Babies Services.
 Child Health and Child Mental Health
Promotion.
 Adult Mental Health.
 Long Term Conditions.
 End of Life Management.
 Planned Care.
 Diagnostic and Treatments.
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© Practices Made Perfect Ltd.
*Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372 . Fax: 0845 862 0373 . www.practices.co.uk
An Eclectic Mix of Service Providers
“High St”
Campus
Hospital@Home
Services
Low-Med
Tech
Podiatry &
Dental Centres
Pharmacy &
Medicines
Management Centres
Primary
Care
General
Centres
Practices
Health Wellness
& Women
Centres
Rapid Diagnostic
& Treatment
Centres
Day Case
Centres
Mobile
Imaging
Services
Imaging +
Diagnostic
Centres
Ultra
High-Tech
Local General
Gene Therapy &
Hospitals
District General
Pharmacogenetics
Protected
Hospitals
Service
Caring Environment
for the Mentally Ill
“Polyclinics”
Major Trauma
Centres Specialist R&D
Centres
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Hospital
Campus
© Practices Made Perfect Ltd.
*Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372 . Fax: 0845 862 0373 . www.practices.co.uk
Strategic Development Framework
A Potential London Integrated Healthcare Foundation Trust*
Policy
Very Local
Goal:
Keep as much clinical and care support as possible very local and accessible.
Local
Reactive and Proactive
Support for individual
(& carer) @ Home -
Specialists
helping
Local
Services
Reactive # Support @
Home & in Homes Local Specialist
Service Centres -
Academic Health Science
Research Service Centres •
•
•
•
•
Trauma Centres.
Specialist Centres.
Transplant Centres.
Genetics Services.
Research Institutes.
“Go Solo” @ Home –
individual (& carer) well
and independent
•
•
•
•
•
• First Responder and
Stabilisation Team.
• Rapid Reaction Teams.
• Medical & Surgical Adm. Units.
• Diagnostic & Treatment Centres.
• Intermediate Care Packages.
•
•
•
•
•
GPs and Community Physicians.
District Nurses.
Social Workers.
Care Assistants.
Pharmacists.
Cancer.
Renal.
Rheumatology.
Diabetes.
Urology.
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© Practices Made Perfect Ltd.
*Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372 . Fax: 0845 862 0373 . www.practices.co.uk
•
•
•
•
•
Voluntary Support.
Charities.
Social Enterprises.
Friends and Family.
Community Support.
The Future of London’s Hospitals
Looking to the Future
 Local population needs are complex and changing e.g.
East London.
 London’s Hospitals have always been at the leading edge
of research and practice developments e.g. Guys, King’s
and Tommies.
 Research and Practice are coming together to create
powerful Research Institutes & better care e.g. Imperial
and the Hammersmith & Charing Cross Group.
 Care Networks facilitated by strong clinical leadership,
technology and team-based working are an increasing
feature e.g. North London’s cancer network.
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 Local care and support underpins the above.
© Practices Made Perfect Ltd.
*Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., Alpha House, 100 Borough High Street, London, SE1 1LB Tel: 0845 862 0372 . Fax: 0845 862 0373 . www.practices.co.uk