SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

7a. Clinical, vision, standards and service models
This chapter describes how patients in NW London will be treated in the future to ensure
they receive the highest standards of care. Services will be provided locally where possible
and centralised where necessary. Services will also be integrated across organisational
boundaries to provide a seamless experience of care in a range of care settings. This
chapter sets out the vision for improving services in out of hospital settings and how these
services will be delivered, as well as the vision for urgent and emergency care, maternity
and paediatric services. Clinicians have developed a set of clinical standards for each of
these areas and these standards will underpin quality within any future configuration of acute
services. The clinical standards have been brought together into a set of eight service
models that are used as the building blocks of the recommended option for the future of
healthcare provision in NW London.
This chapter builds on our pre-consultation work using feedback received during consultation
to refine the proposals. This chapter has four parts; the first part is a summary of the clinical
vision, the recommended standards of care to deliver the vision (for out of hospital,
emergency and urgent care, paediatrics and maternity) and the recommended service
models to deliver the standards of care; the final three sections describe the work
undertaken by our Clinical Implementation Groups (CIGs) as they developed our clinical
proposals.
7.1 The vision for care in NW London
Prior to consultation clinicians set out their vision for care in NW London. Achieving this
vision would address the challenges described in the Case for Change. Clinicians then
described the care standards and the settings of care required to deliver the vision and the
benefits in the Case for Change. The Department of Health‟s National Clinical Advisory
Team (NCAT) scrutinised our proposals for in hospital care prior to consultation and made a
number of recommendations for further work. We received feedback on our proposals during
consultation. London Health Programmes (LHP) developed their pan London Quality
Standards for in hospital care (published early 2013).
To consider the implications of NCAT, consultation feedback and the LHP work on our
proposals we:
Established three Clinical Implementation Groups (CIGs) to refine our clinical
proposals for urgent and emergency care, maternity and paediatrics
Supported the CCGs as they developed their clinical proposals for out of hospital
care.
This chapter describes the final vision, standards and service models for in hospital and out
of hospital developed by our CIGs and local CCGs and endorsed by our Clinical Board.
NCAT provided a final assessment of the proposals prior to JCPCT decision making.
7.1.1 A pledge by local clinicians
Local clinicians want the health system in NW London to be one in which people are cared
for in a high quality, consistent, integrated way in the most appropriate setting.
NHS NW London is committed to giving everyone:
The support needed to take better care of themselves
7a. Clinical vision, standards and service models 95