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

# Standard
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Any previous or planned contact with a healthcare professional should be visible to all relevant
community health and care providers, in particular, when a patient is admitted or discharged
from hospital. This should ensure that care providers are aware of any planned or outstanding
activities required for the individual.
Following admission to hospital, the patient's GP and relevant providers will be actively
involved in coordinating an individual‟s discharge plan (including intermediate care and
reablement) as well as continuing care needs
All providers will be held to account against these standards during the implementation
phase and local GPs in their CCGs are putting in place processes to ensure they are
delivered. A clear clinician-led system based around peer review will be critical to ensure
that performance is transparent. In addition, a system led by clinicians will be put in place to
manage performance so that benefits for patients are delivered. For further details of the
implementation governance arrangements refer to Chapter 17.
7.3 Clinical standards for hospital care
To drive the improvements in clinical quality and reduce the variation that has been
documented in the Case for Change, clinicians have developed a set of clinical standards.
The clinical standards have been defined for the same three clinical areas (emergency and
urgent care, maternity and paediatrics) to support the visions. Delivery of the clinical
standards creates the need for changes that drive the hospital reconfiguration proposals,
ultimately leading to improved clinical outcomes for patients as well as improved
experiences for both patients and staff.
Clinicians started to develop the standards in 2011 before the formal launch of Shaping a
healthier future, this work concluded prior to consultation. These standards were reviewed
by NCAT (in April 2012), who endorsed the work. During the decision making phase our
three CIGs worked with local clinicians and our CCGs to refine and finalise the standards.
These standards include the latest evidence from Royal Colleges, LHP‟s London Quality
Standards, NCAT feedback, NICE guidelines, evidence from the literature, relevant feedback
received during consultation, and input from reviews by the NHS in London. NCAT re-visited
the programme in November 2012 and supported the proposals for a second time. Figure
7.8 sets out the process followed by clinicians in developing the standards.
7a. Clinical vision, standards and service models 102