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

Delivering this workforce shift will require a comprehensive vision and strategy comprising of
key workforce-related initiatives, and other non-workforce enablers. In the short-term,
targeted training will be needed, depending on their current role and existing skill base. And
the primary care workforce will need to collaborate more across practices and with NHS
workforces in other settings, as well as social care.
The full findings of this work, having been developed with CCGs, are also being
disseminated to the Community Steering Group and wider stakeholders in order to inform
local service design and commissioning. Joint discussions with the NWL LETB are also
continuing to ensure that the findings help to inform education commissioning across NW
London.
The details of the workforce implications of out of hospital can be found in Chapter 16.
8.5.4. Delivering the estate we need for out of hospital services
Alongside the local hospitals, hubs/health centres and GP practices will offer a vital location
for the delivery of out of hospital services.
The consultation highlighted ways in which we might provide more detail on each site in
order to offer more information about how the hospitals will operate.
To provide further details on each site – including the potential service mix and use of estate
– we conducted a detailed programme of reviewing each site and developing, with a range
of stakeholders, service models for each hospital. This considered both the estate and
service ramifications of changes to the sites.
As a result of this work, we can provide more information about the services that could move
to each site, the changes to the estate needed to create the right amount of space, and the
capital implications of changes.
These details can be found in Chapter 8c.
8.5.5. Urgent care centres
As all the hospitals in NW London will include an urgent care centre, to enable them to
respond to urgent needs, it is vital that we are clear about what an urgent care centre
includes and ensure consistency across NW London.
To this end, one of our clinical implementation groups has further developed the
requirements for urgent care centres. This has led to the development of a new, consistent
specification for urgent care centres, which will be implemented across all major and local
hospital sites.
Details of the updated urgent care centre specification can be found in Chapter 8d.
8.5.6. Standards of out of hospital care
As we implement our out of hospital standards (described in Chapter 7), it will be important
for CCGs to be able to measure:
The extent to which the standards have been successfully implemented. This
includes measures such as the percentage of eligible patients who have received a
care plan
8a. Development of out of hospital plans in NW London 229