Proposals to Deliver Planned Careat Cannock Chase Hospital

Welcome

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Toilet facilities

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Tonight’s event

• Presentation

• Round table discussion

• Create questions to be put to the team

• Use post it notes at any time you wish to record your point or question

• Flip chart pads available for topics not relating to this event

• Your views are really needed

Hello, my name is…

CCG• Pat Roberts – Lay Member for PPI• Dr Helen Hibbs – Clinical Accountable Officer• Peter Snowdon – Senior Communications and Engagement

ManagerRWT• Dr Jonathan Odum – Medical Director• Gwen Nuttall – Chief Operating Officer• Maxine Espley – Director of Planning & Contracting• Helen Davis – Head of Strategy

Proposals toDeliver Planned Careat Cannock Chase Hospital

What we will cover

• Overview of the current position and why we need to change

• Planned Care at Cannock Chase Hospital – our proposal

• Proposed timeline for specialty transfer

How things are now

• An increasing demand on inpatient beds at New Cross

• Continuing uncertainty for patients arising from:• Delays in admission from the Emergency Department • Moves between wards• Delays in discharge• Cancellation of operations• Delays in having your operation, once you’re admitted• And, sometimes we don’t get it right leading to poor care and experience

• An opportunity to change how services are delivered when RWT acquires Cannock Chase Hospital

How we developed proposals

• Senior doctors at RWT have led the process

• We have listened to patients either formally and informally

• We have looked at clinical models thatwork well in other parts of the countryand abroad

• Using Cannock Chase Hospital to benefitthe patients of Wolverhampton

Our proposals

We are proposing to provide the following care at Cannock Chase Hospital:

Day Case Surgery

Day Case Medicine

Planned Inpatient Surgery

We propose to provide day case surgery for the specialties shown in the table below. Appointments, including pre-operative assessment will be offered at the hospital closest to the patient (or their choice)

Specialty Available at New Cross as well?

General Surgery (examples of this include hernia repair and gall bladder surgery)

Yes

Orthopaedics (includes shoulder, hands, foot & ankle surgery)

Yes

Breast Surgery Yes

Urology (includes bladder and kidney) Yes

Dermatology/plastic surgery (removal of lumps and lesions) Yes

Day Case SurgeryAdults only

We plan to provide day case investigations and treatments for the medical specialties shown in the table below:

Day Case MedicineAdults only

Specialty Example of procedures Available at New Cross as well?

Endoscopy Colonoscopy, gastroscopy, sigmoidoscopy

Yes

Rheumatology Day care and intravenous treatments for conditions such as rheumatoid arthritis

Yes - Complex patients only

Dermatology Phototherapy, intensive topical skin treatments

Yes - Complex patients only

We plan to provide planned inpatient surgery for the specialties shown in the table below.

Preoperative assessment will be offered at the hospital closest to the patient (or their choice) and all patients at Cannock will be assessed to ensure they are not complex.

Planned Inpatient SurgeryAdults only

Specialty Available at New Cross as well?

General Surgery (examples of this include hernia repair and gall bladder surgery)

Yes - Complex patients only

Orthopaedics (includes hip, knee, foot & ankle and upper limb surgery)

Yes - Complex patients only

Breast Surgery Yes - Complex patients only

Urology (includes bladder and kidney) Yes - Complex patients only

Dermatology/plastic surgery (surgery on the skin) Yes - Complex patients only

Proposed timescales

2014 2015 2016 2017Aug - SeptOct Nov Dec Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

ConsultationRe-modeling CCHRWT takes over CCH

Proposed transfersOrthopaedicsRheumatologyDermatologyEndoscopy General SurgeryUrology

How many patients will be affected?

The table below shows the approximate number of patients who would receive care and treatment at Cannock Chase Hospital. All patients who are treated at Cannock will have to meet the clinical criteria for surgery.

Total Activity at New Cross 2013/14

Proposed Transfer to Cannock

Remaining activity at New Cross

% proposed to transfer

A&E attendances 109305 0 109305 0

Inpatient/Daycase 45835 9849 35986 21.5

Unplanned admissions 47419 0 47419 0

Outpatient attendances (including procedures) 519592 22766 496826 4.4

Creating the right environmentto deliver services

It is important to us that the clinical environment meets the same standards as that in the rest of RWT. As part of the transfer of services from MSFT, RWT has been able to get some funding from the Department of Health to refurbish and remodel the facilities at Cannock Chase Hospital including:

• Building a new Endoscopy Unit• Creating a Musculoskeletal Unit for rheumatology patients • Refurbishing the inpatient and day case Wards• Refurbishing the outpatient areas• Building some new theatres

What are the benefits?

• More certainty over the date of your procedure

• A better experience for all patients

• Improved quality of clinical services and health outcomes

• Keeping local services safe - a clinically and operationally sustainable service model

• Treatment in an improved environment

• More effective use of public resources

Your views

This is your chance to tell us your hopes or concerns about the proposals we have explained this evening.

Table discussion & questions20 minutes

• Tell us how concerned/unconcerned you are about our proposals, telling us your reasons why

• If you have any questions, note them on the feedback slips so we can answer them at the end

Thank you.