STP

Options for changes to hospital and local care services survey

Following our post regarding listening events to discuss potential options for changing hospital and local care services in east Kent, alongside the public meetings and other engagement activity, Transforming health and social care in Kent and Medway have a survey open until 25 November for you to share your views on the current proposals. Please read this information about the potential changes before completing the survey.

If you are attending one of the listening events, information given may help you to complete the survey.

The survey link is: https://www.smartsurvey.co.uk/s/EastKentNHS2018/

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Events to explore potential options for health services change in east Kent

The NHS is holding eight public events to discuss potential options for changing hospital and local care services in east Kent.

At these events, between 30 October and 20 November, doctors and other NHS leaders will discuss with local people:

  • the benefits change could bring
  • how services outside hospitals are developing to maximise the care people get locally
  • how the two options for hospital services might affect people across east Kent
  • the next steps towards public consultation.

Caroline Selkirk, Managing Director of the four NHS clinical commissioning groups in east Kent*, said: “This is the next step in conversations we’ve been having with staff, patients and the public over recent years about why change is needed to health and care services in east Kent and how services could be improved.

“We have done a great deal to respond to what people in east Kent have told us they need, such as access to more appointments with GPs and nurses, including in the evening and at weekends; joining up care for people with the most complex conditions; and starting to hold more outpatient clinics in local communities.

“We have also been looking in depth at two potential options to improve hospital services in east Kent.

“These informal meetings with local communities, ahead of any formal public consultation next year, are a chance for local people and organisations representing patients to hear more about our work so far, and to help us understand the potential impact of the options we are currently looking at. We want to continue to gather a range of insights on the latest phase of our work.  What people tell us will be considered by the joint committee of east Kent clinical commissioning groups, before it decides whether both potential options for changes to hospital services go forward to public consultation.”

If you cannot make it to the events, there will be more information about the proposals added to www.kentandmedway.nhs.uk/eastkent shortly and an online survey will be open from mid-October.

You can register for one of the events online at www.kentandmedway.nhs.uk/eastkent. Alternatively, you can email info.eastkent@nhs.net or call 01622 211940 to reserve a place.

Date & time Venue
Wednesday 31 October

9.30am registration
9.45am – 12.45pm

Club Room, Elwick Club, Church Road, Ashford TN23 1RD
Thursday 15 November

6.15pm registration
6.30pm – 9.30pm

Holiday Inn (Ashford Central), Canterbury Road, Kennington, Ashford TN24 8QQ

 

NHS Ashford Clinical Commissioning Group  04 October 2018
www.ashfordccg.nhs.uk/news/blog/?blogpost=10939

Preferred option for stroke services

The NHS in Kent and Medway has today published the preferred option for three new specialist ‘hyper acute stroke units’ to be introduced across the county. This is part of an ongoing review of urgent stroke services led by local doctors and other clinicians. The aim is to reorganise services so that specialist stroke staff can more consistently deliver high quality care around the clock, and in so doing reduce deaths and long-term disability from stroke for local people.

The preferred option is to have hyper acute stroke units, alongside acute stroke units, at Darent Valley Hospital in Dartford, Maidstone Hospital and William Harvey Hospital in Ashford.

Currently stroke services do not consistently meet best-practice standards across the whole of Kent and Medway. The identification of a preferred option brings the NHS a step closer to improving stroke outcomes and reducing deaths and disability because of stroke. The preferred option was identified following careful consideration of the responses to a public consultation, all the evidence and data gathered during the four-year review, and further detailed evaluation of five shortlisted options including trust proposals for implementation.

The next stage in the review process is to develop a decision-making business case – a detailed document that will describe how the preferred option was selected and set out an implementation plan that will cover areas such as workforce, estates and capital requirement. A Joint Committee of the ten local NHS clinical commissioning groups that ran the consultation will examine this and then make a final decision on the future shape of urgent stroke services in January 2019.

Over the next few months the NHS will be gathering views and feedback on the proposed new approach to rehabilitation from stroke survivors, their families and carers, front-line staff, local councillors and the public to help inform detailed implementation plans. Look out for further information on the Kent and Medway NHS website www.kentandmedway.nhs.uk/stroke.

Transforming health and social care in Kent and Medway  17 September 2018
https://kentandmedway.nhs.uk/latest-news/identification-of-preferred-option-is-a-step-closer-to-improving-stroke-outcomes-in-kent-and-medway/

Reports on the stroke consultation published

The NHS in Kent and Medway have today published two reports arising from the recent consultation on changes to urgent stroke services, describing the consultation activity that was delivered and summarising the key themes from the responses received.

Urgent stroke services across Kent and Medway don’t consistently meet national quality standards and outcomes for people who have had a stroke aren’t always as good as they should be, despite the hard work of dedicated staff.

Earlier in 2018 the NHS in Kent and Medway, along with some parts of East Sussex and south east London held a public consultation on the future organisation of urgent stroke services in Kent and Medway.

Following the consultation, the NHS is publishing two reports today, one describing the consultation activity that was delivered and one detailing the responses to the consultation:

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Stroke Consultation deadline extended

The Joint Committee of Clinical Commissioning Groups for the Kent and Medway Stroke Review has taken the decision to extend the stroke consultation by one week. The consultation will now close at midnight on Friday 20 April.

The reason for this is that during the week of bad weather in late February and early March, we had to postpone a number of listening events, which have been rescheduled, and in response to feedback we have scheduled a number of additional events. Whilst these events will be concluded by the 13 April it is important to allow time for those attending to consider what they have heard and respond to the consultation. The extension would allow this and take into account time lost due to bad weather.

Transforming health and social care in Kent and Medway 29 March 2018
https://kentandmedway.nhs.uk/stp-workstreams/stroke/stroke-consultation-extended-to-friday-20-april-2018/

For more information on the consultation please see our previous post

https://southashford.org.uk/index.php/2018/02/27/improving-urgent-stroke-services-in-kent-and-medway-consultation/

Improvement proposed for stroke services

Further details about a proposal to establish three new ‘hyper acute’ stroke units in Kent and Medway have been announced today (Thursday 18 January 2018).  The proposed shortlist of potential options for the location of these units, which is still subject to final assurances and approval, is1:

  1. Darent Valley Hospital, Medway Maritime Hospital, William Harvey Hospital
  2. Darent Valley Hospital, Maidstone Hospital, William Harvey Hospital
  3. Maidstone Hospital, Medway Maritime Hospital, William Harvey Hospital
  4. Tunbridge Wells Hospital, Medway Maritime Hospital, William Harvey Hospital
  5. Darent Valley Hospital, Tunbridge Wells Hospital and William Harvey Hospital

Unlike current services, these hyper acute stroke units would operate with a multi-disciplinary team of stroke specialists, providing expert care round the clock with consultants on the wards seven days a week. The new units will allow people to get the best possible care in the vital first few hours and days immediately after their stroke – saving lives and reducing disability. The units would care for all stroke patients across Kent and Medway and from some neighbouring communities, in the critical first 72 hours after a stroke. We don’t currently have any hyper acute stroke units working in this way in Kent and Medway, patients are currently cared for in general stroke units.  Each site would also have an acute stroke unit where people may go after the initial 72 hours for further care until they are ready to be discharged, and a transient ischaemic attack (TIA or ‘mini stroke’) clinic.

These proposals would mean significant changes to the urgent stroke care currently provided in six hospitals across Kent and Medway. The proposed changes would affect every hospital in our area, residents in every part of Kent and Medway, and some beyond our boundaries. The proposed three new hyper acute stroke units would ensure all residents get consistently high-quality hospital-based stroke care regardless of where they live or what time of day or night a stroke occurs. However, under these proposals urgent stroke services would not be available at the other three hospitals in Kent and Medway.

The proposed changes are focused on ensuring the best care and outcomes for people who have a stroke, meaning faster diagnosis and treatment, fewer deaths, and less disability. To make these proposed changes we would need to invest up to £40million in hospitals and recruiting more staff across the county, but we expect a reduction in costs over time, mainly due to better recovery for patients who wouldn’t then need as much long-term care, and shorter hospital stays.

A Joint Committee of the ten clinical commissioning groups in Kent, Medway, Bexley and High Weald Lewes Havens is meeting to discuss the shortlist on 31 January 2018.  The joint committee meeting is held in public and will take place from 13.00-16.00, in the Council Chamber at County Hall, Sessions House, Maidstone ME14 1XQ.  It is a meeting in public, but places are limited by the venue so if you would like to attend this meeting, please book your place and register in advance at https://strokejcccg.eventbrite.co.uk.  For those without access to the internet, places can be booked by calling the Joint Committee admin office on 01892 638331.

If the shortlist above is approved, a wide public consultation will begin in February on the future shape of urgent stroke services in Kent and Medway. The consultation will provide further opportunity to help design the best stroke services and to continue to engage staff, stakeholders, patients and local communities in the issues important to them about stroke services.

When the consultation begins we will publish our consultation document. The consultation document will set out the reasons why we believe Kent and Medway needs three hyper acute stroke units and a range of potential options for where they could be located. It will also summarise the issues we have considered to select the shortlist – from travel times through to staffing issues and how long it would take to establish hyper acute stroke units at different hospitals across the area.

We recognise that people have concerns when hospital services change, but we strongly believe change is needed to improve care. These proposals represent a major investment in stroke services and a commitment to making consistently high-quality care available for all stroke patients, regardless of where you live or when a stroke happens.

We will update this information with further details of our formal public consultation once it starts, and how to get involved and share your views, if the required assurance processes are met, in early February.

Background to the stroke review

We started reviewing our stroke services in started 2015. We did this because whilst staff in our stroke services are working extremely hard to provide the best care that they can, we know that things would be better, for both patients and staff, if we developed our stroke services further. We want our stroke services to meet the latest national best practice standards so that patients get have the best chance of the best outcome after a stroke. These new ways of working have been introduced in other parts of the country and are bringing significant benefits to patients. In London, hyper acute stroke units have reduced deaths from stroke by nearly 100 a year.

There has been a detailed process to consider potential options for the future shape of hospital-based urgent stroke services. Over the course of the review we looked at:

  • a long list that considered different numbers of hyper acute stroke units
  • a medium list of possible three-site options
  • the shortlist of deliverable three-site potential options which is being announced today.

Our proposed shortlist has been through a rigorous process and takes account of other work, particularly in east Kent, around changes to acute hospital services.

Find out more about the stroke review here

Transforming health and social care in Kent and Medway 18 January 2018
https://kentandmedway.nhs.uk/latest-news/improvement-proposed-stroke-services-kent-medway/

1 The order is not a ranking and we are not identifying a preferred option until we have fully and carefully considered all the evidence and data available

What’s the model?

We all want health and social care services that can meet our needs now and in the future.  However, health, social and public health services face new challenges that mean they need to change the way hey work to improve care and get better value for the money that is available.

Find out more about the Case for Change and the emerging Sustainability and Transformation plan that will set out the strategy for dealing with the challenges that face health, social and public health services visit:

Transforming health and social care in Kent and Medway website
http://kentandmedway.nhs.uk/ and

Better health and care in east Kent website
http://eastkent.nhs.uk/

#KMlistens

The case for change: recruitment

There are real challenges
recruiting enough GPs and practice nurses

We all want health and social care services that can meet our needs now and in the future. However, health, social and public health services face new challenges that mean they need to change the way they work to improve care and get better value for the money that is available.

To find out more about the Case for Change and the emerging Sustainability and Transformation plan that will set out the strategy for dealing with the challenges that face health, social and public health services visit:

Transforming health and social care in Kent and Medway website
http://kentandmedway.nhs.uk/ and

Better health and care in east Kent website
http://eastkent.nhs.uk/

#KMlistens

The case for change: ‘bed blocking’

Evidence shows that every day
around 1,000 people in Kent and Medway
are in a hospital bed when they no longer need to be

We all want health and social care services that can meet our needs now and in the future.  However, health, social and public health services face new challenges that mean they need to change the way they work to improve care and get better value for the money that is available.

To find out more about the Case for Change and the emerging Sustainability and Transformation plan that will set out the strategy for dealing with the challenges that face health, social and public health services visit:

Transforming health and social care in Kent and Medway website
http://kentandmedway.nhs.uk/ and

Better health and care in east Kent website
http://eastkent.nhs.uk/

#KMlistens