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

Correct care setting to deliver high quality care
Use existing sites
Enough major hosp. to support population of 1.9million
Number of major hosp. must be viable in medium term
Ensure good geographical spread
Use sites currently delivering major hospital services
Minimise access impacts for residents
9.15 Stage 7 - Sensitivity Analysis
This section describes the seventh stage of the process – sensitivity analysis. Figure 9.91
highlights the relevant step.
Figure 9.91: Highlighting Stage 7 of the process described in this section
Key principles
Continue
expanding out of
hospital services
Located with, or
independent of
major hospitals
All specialist
services will
remain as they are
All 9 sites with an
A&E to provide
local hospital
services and a UCC
4
Service models
Out of hospital
1 Case for change 2 Vision
• Provides platform for
service change
1 Localising
• Defines improvements
2 Centralising
and clinical benefits
• Confirm ‘do nothing’ is 3 Integrating
not an option
3 Standards
Out of hospital:
Acute:
• Urgent and
emergency care
• Maternity
• Paediatrics
Clinical dependencies
5
Hurdle criteria
8 Borough level, out of
hospital strategies
covering:
• Case for improving
OOH services
• Steps to delivering
7better care
• List of initiatives
• Investment
• Next steps
6 Evaluation criteria
Sensitivity analysis
1 Quality of care
7 Sensitivity analysis
2 Access to care
• Tests 18 underlying
3 Value for money assumptions
for
acute reconfiguration
4 Deliverability
• Test 3 sensitivities for
out of hospital
5 Research and education
• Tests 22 underlying
Recommended
option
Criteria include sub-criteria
Number of options:
MILLIONS
Number of options:
< 20
Number of options:
~ 3
Number of options:
~ 3
Number of options:
1
Sensitivity analysis has been used to test the options to establish whether the ranking
changes under testing. 22 sensitivities have been run as summarised in Figure 9.92.
9d. Decision making analysis stage 6 and stage 7 407