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July 2015 
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Shortlist
Pop Up Stands
Pre-Election Break

Integrated Impact Assessment
Developing the Options
Rural Urgent Care
Community Fit
Get involved
Contact us

 
Welcome to the latest edition of the NHS Future Fit newsletter. There has been a huge amount of work going on so we have plenty to update you on and lots to tell you about our plans for the months ahead as we move towards formal consultation. 
Shortlist 

The shortlist was announced in February 2015. For those of you who haven’t already seen it please see image below. 

The Emergency Centre will be support a network of Urgent Care Centre's. These would be located in the two urban centres of Telford and Shrewsbury. In addition, the programme is developing proposals for a number of rural urgent care centres in discussion with local communities, based around existing facilities and services.

There will be more on the rural urgent care proposals later in this newsletter. 
Pop Up Stands 
 
Following the announcement of the shortlist, a series of 13 ‘pop up’ stands took place across Shropshire, Telford and Wrekin and Mid Wales. The aim was to talk to as many people as possible about the NHS future Fit programme and give them an opportunity to feedback their views on the case for change and the newly announced shortlist. The stands proved to be a great success giving the team a chance to talk to a wide range of people and get some valuable feedback. A more detailed report on the pop up stands can be found here

If you didn't get chance to come along to one of our pop up stands we will be joining fellow healthcare colleagues at a number of up and coming events such as the National Eisteddfod of Wales, Shrewsbury Flower Show and Telford Health Fair. To find out where we are going to be visit our events section of our website at www.nhsfuturefit.co.uk
 
Pre-Election Break

From 30 March until 7 May, whilst we honoured the pre-election period known as Purdah, we had the chance to reflect on the work we had done and plan for the months ahead. Throughout the month we took the opportunity to update staff on the programme so far and hold some small focus groups as part of our preparation for the Integrated Impact Assessment. 
Integrated Impact Assessment

As part of the Integrated Impact Assessment we have been holding small focus groups to discuss health care services specifically aimed to reach people within different characteristic groups for example age, ethnicity and disability.

These audiences, in many cases, regularly use hospital services but report finding it difficult to access information about forthcoming changes.  A huge amount of work was undertaken looking at how the proposed changes will affect different people across Shropshire, Telford & Wrekin and Powys and their feedback will be used to further develop the impact assessment work.  
Developing the Options

A series of workshops have taken place to look at the shortlisted options including the design of the buildings and what service need to be where and draft plans.

The writing of the Strategic Outline Case (SOC) is nearing completion. This includes the Benefits Realisation Plan which sets out the main benefits we want to gain from the programme.

Work is also nearing completion on the costs involved in each of the options to see how affordable they are for the commissioners and providers. 
Rural Urgent Care 

Work has been taking place to look at the development of a rural urgent care offer for Shropshire that   works across the whole area, builds on existing local services and is sensitive to the needs of local people as well. It was agreed that the best starting point to achieve this would be to hold conversations between Telford and Wrekin and Shropshire CCGs, Shropshire Community Health NHS Trust, local GPs and clinicians and patients. It was also agreed that any potential Urgent Care Centres would only be considered in communities that were already served by an existing community hospital and/or Minor Injuries Unit.

The proposal is that Urgent Care Centres would be open for longer than MIUs, with extra facilities and overnight beds for people who need help urgently but whose condition isn’t life threatening. They will be networked to the Emergency Centre which forms another key component of the NHS Future Fit clinical model and able to share knowledge, staff and some equipment. The first round of locality meetings was to consider to what extent each area can support the delivery of a minimum level of Urgent Care Centre services and then to look at what additional more extensive care could be achieved. Participants were encouraged to post their thoughts on a ‘worry wall’ and an ‘innovation wall’ throughout the session as well as take part in discussions related to their views and experiences of urgent care when living in a rural area. All the information gathered will be used to inform the development of a rural care offer.

The first round of locality meetings have been completed and the second round looking specifically at developing the Urgent Care Centres will be taking place over the next month in Bishops Castle, Whitchurch, Ludlow, Bridgnorth and Oswestry.
Community Fit 

As you are aware the NHS Future Fit programme is all about looking at the future of hospital services and as part of this considering how we can bring care closer to home. It goes without saying that in doing this we need to understand the impact this will have on primary and community care.

This is where the Community Fit programme comes into play. It will look at the types of service required in primary care and community services to accommodate the move from inpatient care to community based care alongside new ways of working and better joined up community care. In the same way as the NHS Future Fit programme is will consider how changes to demographics, the aging population and demand on services will impact on the use of primary and community healthcare services.

Work on the first phase has already begun and is planned to continue until November 2015 when it will deliver:
  • A description of activity currently taking place in primary care, community services, mental health and social care across Shropshire and Telford and Wrekin.
  • An agreed catalogue of care packages delivered by each of these sectors
  • An agreed estimate the impact of demographic change on activity levels within these sectors
  • A linked health and social care dataset, identifying patients receiving care from two or more sectors and describing they care they receive
  • A description of the activity that the NHS Future Fit models anticipate will move out of the acute setting and therefore may have an impact on primary care, community services, mental health and social care services.
Following feedback from the Provider Forum launch of Community Fit a workstream has been developed focusing on the contribution from voluntary and Third Sector partners. An assessment of this contribution and ways and means in which these can be used to their full potential will be completed during phase one.

More information on the Community Fit programme will be available later in the year. 
Get Involved

Your thoughts and experiences are key in helping the NHS Future Fit programme design a service which meets the needs of the local population and delivers the best service possible.

In order to do this we want to provide you with regular information and the opportunity to take part in locally run workshops which will help design and shape local healthcare.

Register to be added to our mailing list - in return we will:
  • Keep you up-to-date with developments
  • Send you details of any events we are hosting or attending
  • Keep you up to date with information about future programme developments
 
Contact Us:

E-mail: nhsfuturefit@nhs.net
Twitter: @NHSFutureFit
Telephone: 0300 3000 903
www.nhsfuturefit.co.uk
Copyright © 2015 NHS Future Fit, All rights reserved.


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