EAST LANCASHIRE HOSPITALS NHS TRUST TRUST BOARD ...

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Strategic Development Plan 2012/13 – 2016/17 Business Case Full Implementation Lead Status Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Required? (Y/N) Date Contract Team Involvement Required? (Y/N) Code of Conduct Needed? (Y/N) 9 NWSCG Bariatric Surgery Tender 10 11 Develop Emergency Surgery Service Consultant recruitment to General Surgery with an interest in emergency surgery Submit tender Recruit additional emergency surgeons x 2 to complete the surgeon of the day rota Increase the number of patients discharged from STU Reduce LOS on the Emergency Wards Reduce Emergency Care pathway by working with radiology to look at slots for investigation Recruit Advanced Practitioner roles for STU Robert Watson Advertise consultant posts Shortlist and interview Offer position Consultant starts posts Recruit trainee nurse endoscopists Undertake capacity and demand modelling Robert Watson/Victoria Bateman N N Robert Watson/Victoria Bateman Y Y Y N N N N N N N N 12 13 Continued development of Endoscopy Services Continue development of Breast Service 14 Bid for 2nd Floor UCC and recruitment of 2 ophthalmology Consultants Improve the utilisation of existing lists by implementing nurse led consent, changing bowel prep to movicol and work with scheduling to improve patient booking Implement an improved validation process in place for repeat procedures Achieve 6 week JAG target on-going With medicine review capacity required and how this will be met. ?Consultant/staff grade Endoscopist. Victoria Bateman Implement the new follow up protocol for cancer patients Julie Iddon Expand reconstruction procedures offered. Link with PCT to agree strattice and lipomodelling approval Victoria Bateman Julie Iddon/Hillary Develop Advanced Practitioner Role Wallbank Increase day case rates Julie Iddon Submit UCC bid Business case for additional posts Leigh Hudson Y Y N Y 15 Transfer of chronic ophthalmology conditions into community e.g low visual aids, stable glaucoma, ocular hypertension Go live Leigh Hudson N Y Y 16 Consultant recruitment to urology Cath Taylor 17 Development of laser prostatectomy Cath Taylor 18 Continued development of urology cancer surgery Medicine 19 Redesign of Rehabilitation and Reablement Services Implementation of Blackburn with Darwen Tender East Lancashire redesign proposals developed and agreed with commissioners Establish implementation work streams Community and pathway enablers implemented Reduction of further beds in line with community service implementation Social care beds decommissioned from current providers Social care beds recommissioned at Pendle Community Hospital Cath Taylor Cath Gregson 20 21 22 Orthogeriatrics Development of an Integrated Urgent Care Model BwD Inpatient Sub Acute Rehabilitation Phase 1 pilot Design of subsequent phases of project Decommission 10 Beds Agree new process for patient transfer Service commencement of 10 new Community based beds Complete Business Case for Orthogeriatrician identify funding Business Case approved Final approval of Job Plan by RCP Funding identified through reablement monies Approval of Business Case Beverley Eaves Cath Gregson Cath Gregson Y Y
Strategic Development Plan 2012/13 – 2016/17 23 Fracture Liaison Service 24 Botox Service at rakehead 25 Enhanced Neuropsychology Service Lead Status Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Business Case Mar-13 Required? (Y/N) Full Implementation Date Recruitment of 2 fracture liaison nurses Recruitment of 4PAs of Orthogeriatrician Revise Clinical Pathways Establish database Commence Implementation stage Service commencement Cath Gregson Y 2013/14 Business Case produced and approved Service Commencement Cath Gregson Y 2013/14 Business case approved by DMB Internal funding identified 50% external funding from Commissioners Cath Gregson Y Contract Team Involvement Required? (Y/N) Y Code of Conduct Needed? (Y/N) 26 Integration of Rheumatology, Chronic Pain and MSK services Gabrielle Heseldon/ Joint education plan Chris Payne 27 Dermatology Business Case to appoint a 6th Dermatologist Gabrielle Heseldon Y 28 Implementation of Primary PCI Service Rita Briggs 2015/16 Business case approved 29 Implementation of ICD Service 30 Implementation of rotablation Mobilisation meetings held with Clinical Transformation Board Training completed Service Commencement Working paper approved by DMB Contract arrangements agreed with Commissioners Service Commencement Rita Briggs Rita Briggs Y 31 Implementation CT Angiography Business Case produced and approved Rita Briggs Y 2013/14 32 OOH GI bleed service 33 Provide safe and effective NIV 34 Integrated COPD and LTOT Working paper approved by DMB Redesign of Consultant Job Plans Service Commencement Rita Briggs Identify safe nursing levels Identify funding Recruit nursing staff Work with ITU / MAU to plan actions Rita Briggs Implement the COPD pathway redesign RAC to be fully operational Now with Community PA to be allocated to RAC Division 35 Consultant led Sleep services Business case for a consultant to be produced and approved Rita Briggs Y 36 Implementation of Endobronchial Ultrasoundservices (EBUS) 37 Enhanced pleural services - Thoracoscopy 38 Develop Nutrition services 39 Improve Endoscopy access Family Care Identify source of £100k funding for additional equipment Rita Briggs PA allocation to pleural services Thoracoscopy to be obtained Operational guidance to be developed Rita Briggs Business case produced and approved Recruit nurse specialist Rita Briggs Recruit to gastro post Recruit to nurse endo post Rita Briggs Y 40 41 Increase in Market Share for Obstetric Activity Develop LWNC as a centre for laparoscopic surgery / Development of a Tertiary Laparoscopic Surgery centre Gynaecology: Hysteroscopy & 42 Cystoscopy - Out of theatres and into 43 Fertility / Develop satellite IVF services Develop Business Case for recruitment of additional midwives and support staff to incorporate impact on NICU Develop Marketing Plan, website and social media tools Recruit to additional posts Continuous evaluation of service provided both qualitative and quantitative analysis Identification of a laparoscopic lead Establishment of a Trust wide laparoscopic users group Scope options for establishing TLH Full Business Plan developed for implementation of laparoscopic service / centre Outline business case considered at DMB Full business case considered at EMB given Trust wide implications and investment necessary Implementation / action plan in place Agreement with theatres r/e funding Formulation of implementation plan Visit to Leeds and Bradford Review of standard operating procedures for Leeds and Clinical Pathways Formulate and agree standard operating procedures and new clinical pathways for ELHT Vanessa Hollings/ Simon Hill Vanessa Hollings/ Simon Hill Debbie Mawson Debbie Mawson Y Y
Page 1 and 2: EAST LANCASHIRE HOSPITALS NHS TRUST
Page 3: EAST LANCASHIRE HOSPITALS NHS TRUST
Page 6 and 7: Data Protection Implications Identi
Page 8 and 9: Members having had the opportunity
Page 10 and 11: Mrs Bertenshaw added that with rega
Page 12 and 13: The next meeting will take place at
Page 14 and 15: Legal Implications Identified: Data
Page 17 and 18: REPORT TO TRUST BOARD PART ONE Meet
Page 19 and 20: National Updates Sherwood Forest Ho
Page 21 and 22: REPORT TO TRUST BOARD PART ONE Meet
Page 23 and 24: 1. Introduction We have developed o
Page 25: Strategic Development Plan 2012/13
Page 29 and 30: Strategic Development Plan 2012/13
Page 31 and 32: Meeting Date: 31 st October 2012 Re
Page 33 and 34: Recommendation/ What Is Required Fr
Page 35 and 36: 3. The introduction of the Senior C
Page 37 and 38: CONTENTS Section Description Page 1
Page 39 and 40: 2. NHS NORTH WEST - RESILIENCE TRIG
Page 41 and 42: NHS/NHS CB to request national / in
Page 43 and 44: Escalation Level 3 - extra 15 beds
Page 45 and 46: 5. KEY FACTORS and Risks A review o
Page 47 and 48: BLACK Internal Major Incident Decla
Page 49 and 50: A breakdown of the forecast below s
Page 51 and 52: 42 18/01/2013 Friday 48 57 383 441
Page 53 and 54: ASU Acute Stroke Unit 22 22 B4 Olde
Page 55 and 56: 8. NON-ELECTIVE SURGICAL ACTIVITY F
Page 57 and 58: 42 17/01/2013 Thursday 25 29 175 17
Page 59 and 60: DCUR Day Case Surgery 0 0 END Endos
Page 61 and 62: • Medical Staff Operational plan
Page 63 and 64: Patients re-attending by ambulance
Page 65 and 66: At handover you must receive the fo
Page 67 and 68: ASU (B2) Acute Stroke Unit Not incl
Page 69 and 70: 10. SURGERY AND ANAESTHETIC SERVICE
Page 71 and 72: 11. FAMILY CARE - OPERATIONAL PLAN
Page 73 and 74: The escalation plan for Paediatrics
Page 75 and 76: • Shift of workload internally fr
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The admission avoidance staff and d
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have exacerbated, elderly frail tha
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15. REPORTING Bed Meetings take pla
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nationally. Close scrutiny and moni
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18. RISKS Potential risks compromis
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20. ADDITIONAL READING Additional s
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Related to CQC Regulation & Outcome
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Department of Health - Operating Fr
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Patient Safety and Experience Morta
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£000 £000 £000 Net Surplus / (De
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Financial Risk Rating Financial Cri
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Performance Escalation Human Resour
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Related to CQC Regulation & Outcome
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1. Background 1.1 The current Assur
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equired to reduce the risk. Impleme
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Risks currently scoring 15 - 16 on
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Key risk Risk No 1 AF062 3 AF093 Ri
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Key risk Risk No Risk Current Risk
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East Lancashire Hospitals NHS Trust
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Meeting Date: 31 st October 2012 Re
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1. Introduction The purpose of this
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7. Key Risks The feedback from the
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Meeting Date: 30 th October 2012 Re
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Sub Committee Foundation Trust Prog
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Members noted that investment retur
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Sub Committee Business Forum Date o
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EAST LANCASHIRE HOSPITALS NHS TRUST TRUST BOARD ...

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