Tel: 0845 862 0372 www.practices.co.ukoffice@practices.co.uk

Dr. Patricia OakleyDirector, Practices made Perfect Ltd

Teaching and Research FellowOrganisational Psychology and HRM

Birkbeck and King’s Colleges, London

Gresham College London

SAFEGUARDING LONDON’S HEALTHSAFEGUARDING LONDON’S HEALTH

The Future of London’s HospitalsThe Future of London’s Hospitals

08d15311gso © 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

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.

The Future of London’s HospitalsThe Future of London’s Hospitals

Key IssuesKey Issues

Queen Mary’s, Roehampton

St. John’s, Battersea

St. Mary Abbot’s, Kensington

St. Stephen’s, Chelsea

Westminster

The Royal Free, Grays Inn Road

Liverpool Road, Angel

Friern Barnet

The Royal Free, Hampstead

New End, Hampstead

The London, Whitechapel

London Jewish

Mile End

St. Clements

Bethnal Green

The Future of London’s HospitalsHospitals are constantly changing – last 30 years

The Future of London’s HospitalsHospitals are constantly changing – last 30 years

08d15311gso

© 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

08d15311gso © 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

Aided Living Centres

• Rehabilitation Services.• Day Hospitals.• Respite Service.• Hospice Care.

Health Maintenance Centres

• Children’s Services.• Maternity Services.• Outpatients.• Clinical Support.• Diagnostic & Treatments.

Intensive Intervention Centre

Patient “Hotel” Recuperation Services

Self Care Centres

Home Care Services

Self Care Centres

Primary Care

Facilities

Adapted from: Technology, Catalyst for Change in Healthcare – Bonnie.

08d15311gso © 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

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.

Assess the Impact of “EARLY HEALTH”

Research Strategies and Practice TrendsResearch Strategies and Practice Trends

08d15311gso © 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

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 real-time information e.g. Electronic Transfer of Prescriptions, Digital X-ray, Just-in-Time Training Programmes.

The Future of London’s Hospitals

The Next 30 Years

08d15311gso © 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 HospitalsThe Future of London’s Hospitals

“A Multiplicity of Hospitals working in a Networked System”

New “Community” Hospitals (modelled along the lines of the White Paper specification)

“Hospital” @ Home Service Day & Elective Surgery Hospitals

Specialist Hospitals, including Children’s Hospitals

“Local” General Hospitals

“District” General Hospitals

Trauma & Major Specialist Hospitals

But there are many other providers of care

08d15311gso © 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

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.

The “Polyclinic” Service SpecificationThe “Polyclinic” Service Specification

08d15311gso © 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

Ultra High-Tech

Low-Med Tech

Hospital Campus

“High St” Campus

An Eclectic Mix of Service Providers

Protected Caring Environment for the Mentally Ill

Local General Hospitals

Podiatry & Dental CentresHospital@Home

Services

Imaging + Diagnostic

Centres

Mobile Imaging Services

Primary Care Centres

Health Wellness & Women CentresPharmacy &

Medicines Management Centres

General Practices

District General Hospitals

Major Trauma Centres Specialist R&D

Centres

Gene Therapy & Pharmacogenetics

Service

Day Case Centres

Rapid Diagnostic& Treatment

Centres

“Polyclinics”

08d15311gso © 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 FrameworkA Potential London Integrated Healthcare Foundation Trust*

• GPs and Community Physicians.• District Nurses.• Social Workers.• Care Assistants.• Pharmacists.

Reactive and Proactive Support for individual

(& carer) @ Home -

• First Responder and Stabilisation Team.

• Rapid Reaction Teams.• Medical & Surgical Adm. Units.• Diagnostic & Treatment Centres.• Intermediate Care Packages.

• Cancer. • Renal.• Rheumatology.• Diabetes.• Urology.• Trauma Centres.

• Specialist Centres.• Transplant Centres.• Genetics Services.• Research Institutes.

Academic Health Science Research Service Centres -

Local Specialist Service Centres -

Reactive # Support @ Home & in Homes -

“Go Solo” @ Home – individual (& carer) well

and independentLocal

Specialists helping Local

Services

Very LocalPolicy

Keep as much clinical and care support as possible very local and accessible.Goal:

• Voluntary Support.• Charities.• Social Enterprises.• Friends and Family.• Community Support.

08d15311gso © 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

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.

Local care and support underpins the above.

The Future of London’s HospitalsThe Future of London’s Hospitals

Looking to the Future