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

The final standards are more demanding in workforce terms, making the case for
reconfiguration even more compelling
The Finance and Business Planning workstream lead has reviewed these standards
against the modelling assumptions and concluded this does not have an impact on
our modelling.
7.4 Service models to deliver the vision and clinical standards
The vision and standards have been developed to address an urgent Case for Change
across community and hospital care. Delivery of the vision and standards will support the
reduction in health inequalities, reduce unnecessarily high mortality and ensure patients are
treated safely. Though services are sufficient at the moment, they will not be in the future
and it will be patients, and the clinicians who treat them, who will be the first to feel the
consequences. It is important that the changes needed to implement the vision and
standards are carried out in a systematic, organised way.
A fundamental part of achieving this vision is to establish a seamless sequence of delivery
models that cater for all conditions and all degrees of severity. Clinicians in NW London have
proposed eight settings of care, from the patient‟s home to specialist hospitals. These
settings span primary, secondary and tertiary care with a local hospital for each borough
providing the bridge between primary and acute care. A summary of the delivery models is
shown in Figure 7.25 with more detail on the current and future services that will be
delivered in each of the eight settings shown in Figure 7.26.
7a. Clinical vision, standards and service models 123