Connect Issue 13 - University Hospital Southampton NHS ...
Connect Issue 13 - University Hospital Southampton NHS ...
Connect Issue 13 - University Hospital Southampton NHS ...
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6-7 CONNECT ISSUE <strong>13</strong><br />
IN THE HOTSEAT<br />
Lord Ara Darzi<br />
The 60th anniversary of the <strong>NHS</strong> coincides with publication of Our <strong>NHS</strong>, our<br />
future, a report by Lord Ara Darzi, which will shape the future direction of the <strong>NHS</strong>.<br />
Here, the man who has been leading the review talks exclusively to <strong>Connect</strong>.<br />
What is the purpose of the next<br />
stage review you are leading<br />
The Our <strong>NHS</strong>, our future Review is<br />
an opportunity for <strong>NHS</strong> staff, patients<br />
and the public to shape the <strong>NHS</strong> for<br />
the next decade. The aim is to help<br />
create a service that is clinicallydriven,<br />
patient-centred and locally<br />
accountable.<br />
What are the three key<br />
considerations in the review that you<br />
feel will make patient care better<br />
The single most important aspect<br />
of the Review is that the priorities<br />
are being set in every region of the<br />
country by groups of clinicians.<br />
It’s this leadership, together with<br />
a clear focus on improving the<br />
quality of care based on the best<br />
available evidence and a willingness<br />
to respond to the needs of patients<br />
that will make a major difference.<br />
In addition, the work that <strong>NHS</strong><br />
organisations, led by PCTs, do with<br />
partners – including local authorities<br />
and voluntary sector organisations<br />
– will make the greatest difference<br />
in helping people stay healthy for as<br />
long as possible.<br />
What do you see as the key lessons<br />
the <strong>NHS</strong> could learn from the health<br />
systems of other countries<br />
Health systems in developed<br />
countries around the world face<br />
similar challenges today – including<br />
ageing populations, ever increasing<br />
technological capability and higher<br />
expectations from patients<br />
The <strong>NHS</strong> starts in a good position<br />
to meet those challenges, not least<br />
because the care we all provide is<br />
available to all based on need and not<br />
ability to pay. Many parts of the <strong>NHS</strong><br />
are already excellent even compared<br />
with the best in other countries.<br />
So it’s important that, in pursuing<br />
improvements, we don’t discount the<br />
benefits we already have.<br />
However, there are some areas<br />
in which we could make further<br />
progress compared with the best<br />
that other countries have to offer.<br />
For example, we have to continue<br />
to ensure consistent improvement in<br />
survival rates from major diseases<br />
such as cancer and cardiovascular<br />
disease. We can provide more<br />
information to patients and their<br />
carers about the services they use.<br />
And we can make greater use of IT<br />
to help develop more responsive and<br />
seamless services.<br />
How do you expect clinicians to<br />
work to implement the review and<br />
what timelines are there<br />
The best thing clinicians can do is to<br />
continue the work they have done in<br />
leading the Review across the country.<br />
I want this work to go on well after the<br />
Review has concluded in June. I will<br />
use my final report then to show how<br />
we can support people to make the<br />
changes they have identified.<br />
Making these changes will<br />
require the energy, ideas and<br />
professionalism of <strong>NHS</strong> staff. It will<br />
need a clearer focus on clinical<br />
leadership in decision making from<br />
everyday issues to the configuration<br />
of services.<br />
What do you see as the big future<br />
changes a regional university<br />
hospital like ours should be<br />
anticipating from the conclusion of<br />
the review<br />
I believe that major hospitals<br />
like yours are already responding<br />
to the challenges this Review is<br />
meeting. You are already seeking to<br />
provide the highest quality care for<br />
all of your patients; you’re making<br />
use of innovative practices and<br />
technologies to support that; and<br />
you aim to provide care tailored to<br />
each patient. This is the direction<br />
I see for the <strong>NHS</strong> over the next<br />
decade and beyond.<br />
How will the new innovation body<br />
make a difference to our hospital<br />
The Health Innovation Council will<br />
provide leadership and advocacy<br />
for the benefits to patients, the <strong>NHS</strong><br />
and the country, of adopting costeffective<br />
new technologies and<br />
models of care. A good example<br />
is SUHT’s innovative telemedicine<br />
scheme, which we featured in one<br />
of our Review video case studies.<br />
You can find them on our website<br />
The final report will be published in June. For more information see<br />
www.ournhs.nhs.uk<br />
Each strategic health authority has also published a vision document<br />
for regional healthcare over the next decade, which will form the basis of<br />
Lord Darzi’s review. Visit www.southcentral.nhs.uk for more information.<br />
WIN<br />
www.ournhs.nhs.uk/2008/03/10/ournhs-our-future-review-videos<br />
Which do you prefer, medicine or<br />
politics<br />
I’ve certainly found politics very<br />
different from my work as a surgeon.<br />
I’ve had a lot more practice at being<br />
a surgeon and I couldn’t do my job<br />
as a Minister without that experience.<br />
But I have also been struck by some<br />
of the similarities. Successful clinicians<br />
and politicians share the ability to<br />
work well with a team and respond<br />
to the needs of the people they work<br />
for; lead and set a clear vision; and be<br />
accountable for what they do.<br />
Thank you to all staff who submitted<br />
questions for Lord Darzi to answer.<br />
a kite surfing lesson for two<br />
For a chance to win a day’s kitesurfing lesson for two people, just email<br />
connect@suht.swest.nhs.uk and tell us what you think of the magazine.<br />
For more information on Learn2Ride kitesurfing school, visit www.<br />
learn2ridekitesurfing.com<br />
The winner will be chosen on Friday 20th June 2008.<br />
<strong>NHS</strong> in 1948… 480,000 hospital<br />
beds in England and Wales<br />
Wessex body scanner<br />
Wessex body scanner installed at<br />
<strong>Southampton</strong> General <strong>Hospital</strong>. The<br />
cross sectional imaging scanner cost<br />
£1.5 million.<br />
timeline<br />
Breast<br />
screening is<br />
introduced<br />
Comprehensive<br />
national breastscreening<br />
programme<br />
introduced.<br />
Patient meals in the 1950s<br />
Patients would have porridge and milk for breakfast, and a typical dinner could include<br />
mutton, stewed steak or mince and onions, with stewed figs and custard for pudding.<br />
<strong>Southampton</strong><br />
<strong>University</strong><br />
<strong>Hospital</strong>s <strong>NHS</strong><br />
Trust created<br />
1984 1988 1993 1998<br />
<strong>NHS</strong> Direct launches<br />
A nurse-led advice service provides<br />
people with 24-hour health advice over<br />
the phone. This service is now one of<br />
the largest single e-health services in<br />
the world, handling more than half a<br />
million calls each month.