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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.

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