www.pathtoexcellence.org.uk A reminder of our case for change - - PowerPoint PPT Presentation

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A reminder of our case for change

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Helping people understand the issues

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Context and bigger picture

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Prevention

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Out of hospital

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Out of hospital

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• More specialist care in the community

rather than hospital

• Improving triage for routine

GP appointments

• Rethinking outpatient care

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Which hospital services are involved in Phase Two?

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What is the ambition?

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• Striving for ‘clinical excellence’ and best possible outcomes

for patients

• Better access to consultant-led specialist care 7 days a week
• Reduce variations which currently exist in outcomes and

experience

• Creating hospital services which attract key staff to

South Tyneside and Sunderland

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Quashing the rumours

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BUT…

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• We have to do things differently if we want to offer truly

excellent services and the best possible clinical outcomes for each and every person

• Currently rated ‘requires improvement’ in South Tyneside

and ‘good’ in Sunderland

• We want to be recognised nationally as ‘OUTSTANDING’

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Phase Two – Story so far

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Feedback from staff

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Feedback from patients and public (June 2018)

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Feedback from patients and public (October 2018)

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Design process in reaching our working ideas

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Sharing our working ideas – some important caveats:

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• This is NOT formal public consultation
• We are sharing our early thinking, learning from Phase One

and in line with Consultation Institute best practice

• Now entering a period of engagement to gather views to help

influence future scenarios for formal public consultation

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Core hurdle criteria

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Working idea: Least change

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this will require capital investment

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Working idea: Some change

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this will require capital investment

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Working idea: Greater change

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this will require capital investment

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Planned care and outpatients

What are we already doing?

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Specialty Number of appts now being delivered in South Tyneside Rheumatology Approx 350 Renal medicine Approx 580 Opthalmology Approx 600 Total Approx 1,500

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Clinical support services

Demand for diagnostic imaging growing at 10% per year nationally across the NHS over the last decade:

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this will require capital investment

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Plans for engagement activities

• Directorate briefings and face to face conversations

with hospital staff

• Cross-site staff engagement events w/c 25 March
• Public awareness / roadshow activity working with

Healthwatch throughout March

• Focus group activity with targeted patient groups
• Core stakeholder meetings and briefings including local

democratic involvement

• GP engagement in March

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What happens next?

Expected key milestones:

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Update on engagement April 2019

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Covering

• Reminder about 2018 activity
• Update on 2019 activity so far
• Next activity planned

Some stats are still being finalised – full report pending

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Engagement activity type Target group Date Number of participants Report 1 – Path to Excellence staff survey Staff survey – quantitative benchmarking survey to gather staff opinions on what they feel are the issues Trust staff across all specialties Field work December, January 2018 Report March 2018 710 Report 2 – patient experience review – national review and local interviews Desk review of nationally available insight (Emergency Department survey 2016) (Adult Inpatient survey 2016) Comments from NHS Choices Local facilitated interviews with patients Patients with lived experiences of:  Emergency care  Planned care and

• ut patients

 Emergency surgery Review and field work carried out in February 2018 Report March 2018 Emergency Department survey 2016 sample size 598 Adult Inpatient survey 2016 sample size 1005 Local facilitated interviews total number 126 Total number of responses included in this report: 1804

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Report 3 - Planned surgery and outpatient care, and emergency care  Two surveys targeting patients who had been in receipts of services in both hospitals – quantitative responses with some opportunity for qualitative responses  Patients with lived experience of planned surgery and outpatient care  Patients with lived experience of emergency care Field work during May to June 2018 Report July 2018  Planned surgery and outpatient care – 583  Emergency care – 437 Total respondents – 1,020 Report 4 – staff engagement workshops – March 2018  Staff engagement workshops took place

• ver three days to ask

staff what they thought were the important issues around making improvements to services, hope and aspirations.  members, healthwatch Staff working in specialities  Clinical support services  Surgery, theatre and critical care (including elective and specialist services)  Medicine and emergency care March 2018 198 staff participated across three events

www.pathtoexcellence.org.uk – –     

Report 6 - draft case for change engagement survey November 2018  Ten-week period of engagement in public areas General public Field work during September, October 2018 Report November 2018 1030 Report 5 – staff engagement workshops – July 2018  Staff engagement workshops took place

• ver three days where

staff carried out an evaluation appraisal of a long list of ideas against the hurdle criteria. To note this is part of the best practice pre-consultation process where technical experts apply criteria to help make a shorter working list of ideas  The sessions were

• bserved by members of

the independent stakeholder panel including elected members, HealthWatch Staff working in specialities  Clinical support services  Surgery, theatre and critical care (including elective and specialist services)  Medicine and emergency care July 2018 200

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Report 7 - Public listening panel December 2018 Invited stakeholders December 2018 Four organisations/interest groups presented evidence Broadcast live on face book 1,700 views in total 35 shares Report 8 Evaluation setting Targeted stakeholders December to March 2018 Stakeholder events - 28 Validation survey (short) 133 – Staff Validation survey (in-depth)– Stakeholders 6 Prioritisation survey general public – 610 (more being inputted)

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January 2019 onwards

• 28 roadshow drop-in events engaging with

hundreds of people in shopping centres, supermarkets, primary care centres and hospital outpatients

• Over 160 staff took part in three dedicated

staff ‘evaluation’ sessions to find out more about current thinking and work together across both hospital trusts to review working ideas against a RAG system

• 11 focus group sessions involving over 100

patients with experience of LTCs or participants involved with groups supporting

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Analytics

Distribution / flyer power March 2019

18,000 flyers 1245 outlets

• 193,563 reach of media coverage and social media

sponsored ads (please note that people could have seen this information multiple times)

• Over 8,382 engagements and 12,883 visitors and
• ver with page sponsored video and content

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Council meetings/CAFS/VCS network meetings

Thursday 7 March 2019

10am

West Shields, Cleadon and East Boldon Community Area Forum

Tbc

Saturday 9 March

10.30am – 2pm

WHiST South Tyneside

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Tuesday 12 March 2019

6pm

Riverside Community Area Forum

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Thursday 21 March

6pm

East Shields and Whitburn Community Area Forum

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Wednesday 3 April

Tbc

Partnership Board Meeting – South Tyneside CCG

Tbc

Thursday 4 April

Tbc

South Tyneside CCG PPI

Tbc

Monday 8 April

10am

Hebburn Community Area Forum

Tbc

Thursday 18 April

Tbc

Jarrow and Boldon CAF

Tbc

www.pathtoexcellence.org.uk Focus Groups Monday 4 March Grace House Disability carers group Cancelled due to delayed launch Wednesday 6 March 1pm HealthWatch Sunderland Volunteers 8 TBC HOPs Wellbeing Sunderland Form completed TBC Tuesday 12 March Apna Ghar (women from BME communities in South Tyneside) 3 Tuesday 12 March Tbc BlissAbility Disability Support Group – South Tyneside 7 Thursday 14 March 11am Diabetes UK South Tyneside 10 Friday 15 March 2.45pm Breathe Well - South Tyneside (respiratory patient support group) 21 Friday 15 March 2pm Essence Service Sunderland – women’s group 11 Friday 15 March 5-6pm Cardiology Patient Support Group – South Tyneside 10 Monday 18 March 1pm Cancer Patient Carer Group – Sunderland 6 Wednesday 27 March Tbc HealthWatch South Tyneside Young Person’s group (16-24 years) Tbc Tuesday 26 March 10am – 12 noon Age Concern South Tyneside (ACTS ) Older people engagement morning 27

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Social media sponsored posts March 2019 Boost 1 Read the update case for change

Post engagements 1132 Reach 13761 March 2019

Boost 2 Watch the animation

Clicks 138 Reach 12136 March 2019

Boost 3 Complete the survey

Engagements 599 Reach 15366 March 2019

Boost 4 Join our journey roadshow events

Engagement 434 Reach 10884

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Next activity

• Evaluation events x 4
• Public hearing listening panel 10th May
• Stakeholder panel to develop communications

strategy

• Formal JHOSC meeting in May (solutions

development process and communications strategy development)

• TCI assurance session 15th May
• Joint CCG GB session (Durham, Sunderland, South

Tyneside) 18 April

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Thank you

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We need your views

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