NHS Greater Manchester
Safe & Sustainable Programme
AGMA Health Commission
13th July 2012
Leila Williams, Director of Service Transformation
Partnership
Safe &
Sustainable
Public Health
Voluntary
Sector
Local
Authority
Scope
• Accepted approach of co-design & co-production
• Reform of different parts of healthcare system – in parallel &
together – each at different stages moving forward
• Need to recognise interdependencies but make and maintain
momentum in each area
• Make progress locally where change can be made locally
Potential barriers to success include:
Barriers
Mitigating action
Loss of focus
• Clear understanding of scope and how related
work programmes fit together
Public resistance to change
• Clear messages being developed
• Programme of communication & engagement
across Greater Manchester
• Shared responsibility for delivery
Politics & elections
• MPs briefing
• Civic leadership within whole system leadership
framework
• Consultation planned for 2013
Organisations’ perceptions
• Involvement of provider organisations
A public facing name ....
•
together with public & residents, partners, providers
•
healthier citizens & organisations
•
‘says what it does on the tin’
Safe & Sustainable Framework:
Step 1 Completed by July 2012
Identified & established a
Clinical Congress
 Completed initial Case for
Change Template
 Reviewed & Sourced Data
 Developed DRAFT Case for
Change Document
 Amended DRAFT Case for
Change based following
Clinical Congresses
Case for change snap shot:
Variation in practice & outcomes
• 550 lives a year in Greater Manchester (& Cheshire) could be
saved if the UK meets the European average survival rates –
about 1 per practice – late presentation a key factor
• Emergency general surgery is carried out in 10 acute hospitals
in Greater Manchester, but not always with consultant staff
present and not always with routine admission to a critical care
bed after surgery, even for high risk cases - leads to
inconsistent quality of care and poorer patient outcomes
• The number of emergency medical readmissions within two
days of discharge has gradually increased over the last two
years
Safe & Sustainable
Variation in practice & outcomes
•
Centralisation of stroke services for 1/3 of patients is saving
250 lives a year in GM. Most District Acute Stroke centres are
failing to deliver key performance indicators. Plans to
centralise remaining services to save more lives
•
Patients admitted to cardiology wards have a 20% lower
mortality rates compared to those admitted to general
wards
•
Even after Making it Better, we still have children’s inpatient
units that average less than 13 overnight beds filled
(summer and winter)!
Safe & Sustainable
Step 1: Where
are we now?
Step 4:
Step 2:Where
do we want to
be?
Step 3: What is
the Gap?
THE STORY
for Public
Discussion
A conversation about ....
Change is imperative
& change is good
Our commitment to
We know because
ourwe
GM residents
We can’t achieve this
have already seen
it
What does best care
without you
But more change islook like?
We all need to take
needed Creating a shared
responsibility to create
vision
better services
What
Everyone needs
tochanges may be
needed to achieve the
take an active
contribution to health best?
Discussion