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WAEH: Dreaming about 2030

Thursday 9 th October 2014. WAEH: Dreaming about 2030. Rob Elek Director of Strategy & Business Development. Evolution pathway – strategy and network. Where have we come from. The London Ophthalmic Infirmary, 1822. Patient Expectations. Central Site. “Outreach” model.

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WAEH: Dreaming about 2030

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  1. Thursday 9thOctober 2014 WAEH:Dreaming about 2030 Rob Elek Director of Strategy & Business Development

  2. WAEH October 2014 Evolution pathway – strategy and network

  3. WAEH October 2014 Where have we come from

  4. WAEH October 2014 The London Ophthalmic Infirmary, 1822

  5. WAEH October 2014 Patient Expectations

  6. Central Site WAEH October 2014 “Outreach” model

  7. WAEH October 2014 How our strategy and network have evolved Network: • Undifferentiated - lack of clarity about relationships between sites, perceived quality differences, communications Clinical care: • Shift to daycase / phako surgery, imaging, no effective treatment for AMD

  8. WAEH October 2014 Where are we now

  9. WAEH October 2014

  10. WAEH October 2014 Moorfields strategy To be the leading international centre in the care and treatment of eye disorders, driven by excellence in research and education

  11. WAEH October 2014 Network model District Hub E.g. Ealing Localities Central Site District Hub Localities District Hub

  12. Princess Alexandra Harlow  Central Site   Potters Bar BedfordSouth Bedford North District Hub Watford Boots Local Surgical Centre Watford Hospital Community outpatient Visioncare, Harrow Joint Working St Ann’s Tottenham Northwick Park Homerton Hospital Loxford Polyclinic Sir Ludwig Guttman Barking Hospital City Road Mile End Hospital Ealing Bridge La Battersea Queen Mary Roehampton Darent Valley Hospital Teddington Memorial St George’s Croydon Purley Memorial

  13. WAEH October 2014 Growth

  14. WAEH October 2014 Translational research

  15. WAEH October 2014 International

  16. WAEH October 2014 Where are we now? Network: • Differentiated network – consistent quality • Local networks (chains within chains) – shifts from hospital settings / partnerships with primary care • Specialised work – continuing centralisation Clinical Care: • Femto second phako trial • AMD / DMO / RVO… explosion in intravitreal injections • Translational research

  17. WAEH October 2014 Where might we be

  18. WAEH October 2014 External Environment - Regulation 2013: NHS England specialist commissioning

  19. WAEH October 2014 Technology

  20. WAEH October 2014 Technology

  21. WAEH October 2014 Gene & Stem Cell Therapy

  22. WAEH October 2014 Pathways

  23. WAEH October 2014 Integration

  24. WAEH October 2014 2030 Diagnosis – gene based predictive diagnosis validated by state of the art equipment in central locations Surgery – technology-assisted cataract surgery (deskilling) Treatment regimes – less invasive therapies, though not quite a pill to cure blindness Long term conditions – managed by patients at home, remote monitoring Research – integration to enable seamless transition from science to clinical care Pathways – standardisation Conclusion: Care will be more dispersed with home care displacing “community” facilities Hospital based care will become more centralised, hyper-specialisation Standardisation will drive replicability and scale for “non-specialist” activity, the network will still be there

  25. WAEH October 2014 Dreaming of 2030

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