SERVICE TRANSITION PLAN SUMMARY. 1 Jan 2015 IHSS Service Transition Plans (version 8) 1

Transcription

1 SERVICE TRANSITION PLAN SUMMARY 1 IHSS Service Transition Plans (version 8) 1

2 Summary Service Transition Plan Headlines XXX Target milestone date unknown pendency link Activity period Oct Nov c Jan Feb March Ap ril Specialty Ju n Jul Se p Oc t c c M Ar Consultantled obstetrics General Surgery, Trauma, Gynae Alongside MLU established at County MLU at County running alongside consultant led births Enabling works for freestanding County MLU Current service continues to be provided at County 16 th January MLU (free standing) continues to be provided at County 16 th January Obstetrics transfer to Royal & RWT (Consultantled births) Daycase surgery moves from Royal to County (Upper / lower GI/ ENT/ Orthopaedics) 2 nd February Wards 112/113 handed over to surgery at Royal 9 th February Inpatient general surgery, inpatient trauma and inpatient Gynae transferred from County to Royal (EL and NEL) 9 th February SAU closes on County site Child Health Current service continues to be provided at County 15 th January SCBU transferred to Royal (NICU) 2 nd February Paediatric inpatient surgery transferred to Royal (NEL) Mid May I/P paediatric beds and daycase transferred to Ward 218 (Royal ) & RWT Paediatric assessment to continue in Shugborough subject to ongoing evaluation Evaluate and change Paediatric Assessment staffing model (to achieve TSA model) Medicine Current clinical model continues Clinical Redesign Programme June Oncology/Haematology service transfer completed with RWT IHSS Service Transition Plans (version 8) Emergency Gastro move (County to Royal)

3 Summary Transition milestone maps CLINICAL DIVISIONS Division Page Surgical 4 Specialised Services 5 Medicine 7 Women, Children and Clinical Support Services 8 Estates milestones (specific to clinical divisions) 10 IHSS Service Transition Plans (version 8) 3

4 Surgical Division Transition Plan Oct Nov c Jan Feb March Ap ril Specialty Ju n Jul Se p Oc t c c M Ar Critical Care General Surgery Current service continues to be provided at County Critical care continues to be provided as per current arrangements Preparation of new model of service care at County post surgery moves 9 th February Critical care Additional capacity available at Royal (12 beds) March 15 Critical care transfer Level 3 beds from County to Royal in line acute medical model 2 nd Feb: Royal: Wards 112/113 handed over to surgery (28 beds) 2 nd 9 th Feb: Royal: Lyme surgical wards move 2 nd Feb Paediatric NEL inpatient surgery moves to Royal (less than 1 bed) 6 9 th Feb: General surgery moves from County to Royal (EL and NEL) (28 beds) 9 th Feb: SAU closes at County Level 3 critical care capability remains at County Daycase surgery increases at County, including transfer from Royal (Upper / lower GI/ ENT/ Orthopaedics). Specialised Surgery Theatres, Anaesthetics and PreAms rmatology provision at County provided by SLA with Wolverhampton SLA in place for UHNM to provide anaesthetic cover to Cannock Theatre activity & HSDU provided as is at County Engagement with architects on works required to support orthodontic, oral/max fax and dermatology at Stafford redevelopment 9 th Feb 15 Theatre capacity in place to support surgery transition County workforce skills mix changes and extended session length changes completed County site prep for Spec Surgery facilities Aug 15 2 new modular theatres at Royal clinically operational IHSS Service Transition Plans (version 8) 4

5 Specialised Services Division Transition Plan Specialty Oct Nov c Jan Feb Mar Apr May Jun Jul Aug Sept Oct c Cardiology 9 th Feb 15: County Cath lab activity transferred to Royal Review Cardiac Review inpatient cardiology activity Review cardiology requirements associated with general medical rotas and acute medical model 31 st March 15: Reassignment of ward 2 and ACU to medicine. Cardiology service split with RWT completed. Addition of subspecialty cardiology OPD clinics and ambulatory care (devices, electrophysiology, tertiary heart failure, arrhythmia and interventional cardiology clinics) County cardiology outpatient service provision to continue Neurosciences Stroke service to maintain current design and provision Stroke service to developed in line with best practice guidelines. Further development of Stroke rehabilitation services County neurophysiology to change to 3 days per week. Neurophysiology paediatric service to transfer to Royal (OPD). Expansion of neurology clinics at County to include sub speciality OPD clinics (e.g. Parkinsons, MS, epilepsy) SLA with RWT Nurse Specialists (six months). UHNM to recruit for permanent position. 31 st March 15: SLA with RWT ceases IHSS Service Transition Plans (version 8) 5

6 Specialised Services Division T&O Specialty Oct Nov c Jan Feb Mar Apr May Jun Jul Aug Sept Oct c Trauma and ASA 34 high risk elective T&O continues to be provided at county (SLA with RWT consultants) Transfer of daycase activity from Royal to County 9 th Feb: Transfer of NE (Trauma) activity from County to split between RWT/Royal Additional trauma theatre capacity at Royal to compensate for County Orthopaedic day case beds (Royal Ward 227) transferred to Royal Wards 104/5. Additional beds to facilitate transfer of T&O activity provided within Ward 227 Remodelling of County fracture clinic sessions to provide 5 day AM service Commencement of elective PM clinics at County Increase elective orthopaedic to County (laminar flow theatre dependent) IHSS Service Transition Plans (version 8) 6

7 Medical Division Transition Plan O ct Specialty 2 7 Nov c Jan Feb March Ap ril Ju n Jul Se p Oc t c c M Ar Division Clinical redesign programme Acute and General Medical Model Redesign Programme Communication Plan to include Launch of Community Engagement and Enfranchisement in Regeneration of NHS in Stafford Managing Integration Governance requirements, including IT Training, Policies and Procedures and SLAs Medical Model Review across County and Royal Sites to Stabilise Implemented TSA Model General Medicine (incl Elderly) Specialist Medicine Clinical Service livery maintained at Stafford in Year 1 (Renal, Elderly Care and Endocrine) Aruna Gen Med Ward (Stoke) SLA in place for to continue current Gastro/Endoscopy provision Gen Med Ward 218 (Royal) Transfers to Modular Ward (Royal). Replaced by Paediatrics Medical Model Review across County and Royal Sites to stabilise implemented TSA Model (Gastro, Respiratory) Winter pressure beds closed Capital programme development for decontamination in Endoscopy JAG Accreditation (Royal & County) Emergency Gastro move (County to Royal) Transfer NIV to Royal Emergency Medicine & Short Stay Recruitment to stabilise and build for implementation of TSA model: (Respiratory, Gastroenterology and Acute Physicians) Clinical Redesign Governance (A&E Redesign to accommodate Paed assessment and Frail Elderly) Maintain AMU (And Frail Elderly Model ) at County until Medical Model Review is completed Subspeciality Medical Beds move to Royal Oncology, Haematology Review Haematology Model and Align MDTs with UHNM County Haem Haematology Capital programme development for IP Haem at Royal Beds move to & Medical Royal Physics Oncology Identify Capacity Requirements and Recruit accordingly Chemotherapy Day Unit at IHSS Service Transition Plans (version 8) County capital works 7

8 Women s & Children's Division Transition Plan Oct Nov c Jan Feb March April Jun Specialty Jul Sep Oct c c Mar Obstetrics 16 th January 15 Freestanding MLU continues to be offered at County Alongside MLU established at County MLU at County running alongside consultant led births Enabling works for freestanding County MLU 16 th January 15 Obstetrics transfer to Royal (Consultantled births) 16 th January 15 Obstetrics transfers from County to Wolverhampton (EL and NEL) 28 th Feb 15 Ultrasound, Ante/Post natal assessment & outpatients at County move adjacent to MLU area 28 th Feb 15 Early pregnancy assessment (EPAU) at County moves adjacent to MLU area Gynae Gynae elective and nonelective inpatient continues to be provided at County 9 th Feb Inpatient Gynaecology transfer to Royal (EL and NEL ) 9 th Feb IP Gynae transfers from County to Wolverhampton (EL and NEL) Gynae Daycase (Cannock population) transfer to Wolverhampton Gynae daycase continues to be provided at County (from daycase ward) Ambulatory gynaecology continues to be provided at County Child Health Current service continues to be provided at County 2 nd Feb Paediatric inpatient surgery moves to Royal (NEL) Mid May 15: Paediatric medical patients transfer to Royal and RWT 15 th Jan 15 SCBU moves to Royal to NICU Mid May 15 I/P paediatric beds and daycase transferred to Ward 218 (Royal) Hospital at Home service for Stafford children (step up and step down) in place Paediatric assessment to continue in Shugborough subject to ongoing evaluation Evaluate and change Paediatric Assessment staffing model (to achieve TSA model) IHSS Service Transition Plans (version 8) 8

9 Clinical Support Services Transition Plan 2016 Specialty Sep Oct Nov c Jan Feb March April May Jun Jul Aug Sept Oct c Imaging Pre InteleRad system (Graphnet) InteleRad IT operational on both Royal & County SLA in place for continued use of Cannock MRI 30 th June 2015 MRI available at County Nuclear medicine provided at County (phased/gradual reduction) Nuclear Medicine centralised at UHNM SLA in place for use of complex RWT MRI Single PACS & CRIS across both sites Pharmacy Transfer of radio pharmacy SLA from RWT to UHNM Pharmacy continues to be provided as current service 31 c Aseptic unit centralised at UHNM County Day Case Chemotherapy Unit (linked to estates work) Centralising distribution and procurement Pathology Transfer microbiology and cellular pathology to UHNM hub v of essential blood sciences lab at County Multidisciplinary blood sciences County team Roll out of GP order comms Outpatients SLA for patient access/netcall/room booking SLA in place for current use of Cannock outpatient facilities to continue IHSS Service Transition Plans (version 8) Combined Stafford/UH Outpatients Waiting Lists

10 Estates Workstream 2016 Sep Oct Nov c Jan Feb March April May Jun Jul Aug Sept Oct c Royal 2/3 Modular critical care unit available (12 beds) 31/1 Lyme Wards 112 & beds available 9/2 4 beds available additional capacity (28 beds Surgery) Mid May UHNS 2 x Modular Wards available 56 Beds (Medicine) August 2 Modular Theatres available (Surgery) 22/12 Springfield (phase 1 offices) 9/2 Springfield (phase 2 offices) September Lyme 110 &111 available (28 beds Surgery) County Reconfiguration/refurbishment programme developed in conjunction with clinical models Jan 15 Freestanding MLU within current Stafford delivery suite June 15 MRI installed at Stafford Nov 15 Renal Estate projects to support Theatres A&E Chemotherapy Wards Infrastructure improvements Car parking IHSS Service Transition Plans (version 8) 10