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

• Delivery of multi-disciplinary care
• Access to diagnostic and therapy services
• Access to GP, therapy, rehabilitation and diagnostic services
• Access to specialist GP services
• GP, community and social care services delivered in patients’
homes
• Patient navigation using 111
• Patient triage and response within 4 hours
• Urgent Care Centres
• Outpatients and diagnostics
• Additional services on some local hospital sites, including
specialist clinics, outpatient rehabilitation and specialist clinics
• GP consultations and long term condition management
• Health promotion and delivery of preventative services
• A&E, Urgent Care Centres and trauma care
• Emergency surgery and intensive care
• Obstetrics & midwifery unit and inpatient paediatrics
• Delivery of multi-disciplinary care
• Access to diagnostic and therapy services
• Elective surgery and medicine
• Outpatients and diagnostics
• High dependency care
• Access to GP, therapy, rehabilitation and diagnostic services
• Access to specialist GP services
• Sites delivering highly specialised care such as
cardiothoracics and cancer
• Urgent Care Centres
• Outpatients and diagnostics
• Additional services some local hospital sites, including
Three Clinical Implementation Groups (CIGs) were established in NW London to ensure that
specialist clinics, outpatient rehabilitation and specialist clinics
the proposals for acute care were sound and included appropriate input from clinicians and
patients.
• A&E, Urgent Care Centres and trauma care
• Emergency surgery and intensive care
• Obstetrics & midwifery unit and inpatient paediatrics
Out of hospital • Elective surgery improvements and medicine across NW London
• Outpatients and diagnostics
• High dependency care
Pressure on health and care services is increasing, and care closer to home is needed to
improve outcomes, with improved prevention, early intervention and increased coordination
• Sites delivering highly specialised care such as
and integration cardiothoracics across and cancer services. The eight Clinical Commission Groups (CCGs) in NW
London have agreed their plans to transform out of hospital services, setting out the vision
for how more care will be delivered at home, at GP practices, in community health centres
and at local hospitals.
The new model of care will put the GP practice at the centre, coordinating care, providing
routine services and holding accountability for overall patient health.
During the consultation we asked questions about the out-of-hospital proposals. From the
responses, quality standards for care outside of hospital were supported by 67% of people
who answered the question, whilst 12% were opposed. 43% supported, while 25% opposed
the delivery of hospital services locally. Qualitative feedback received from stakeholders also
Executive summary
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