220 likes | 311 Vues
Learn about the challenges we face, our current services, and plans to transform end-of-life care in Surrey. Explore the strategic choices we're making to meet the growing demand for care services. Follow our journey to provide better care for patients and their families.
E N D
Our team today • David Perry Chairman • Nigel Harding Chief Executive • Dr Fiona Bailey Medical Director and Consultant in Palliative Medicine • Pam Walmsley Deputy Director of Clinical Services
Agenda • Setting the scene • Our care services • The challenges we face • Planning for the future • Conclusion
Setting the scene • Our services are working at full capacity, serving over 5,500 patients and their families every year • Our current structure and facilities will not allow us to meet the increase in demand we expect from an ageing population with complex end of life needs • The NHS challenge is keeping people out of hospital and beyond 2015 we have no certainty that we will have the ability to retain our site in Weybridge • We have conducted a strategic review which has led to plans we believe will transform Hospice provision
Setting the scene • The review produced a challenging Strategic Plan for the Hospices. With two key recommendations: • to reshape the organisation, moving to a single in-patient unit • to grow capacity in day care and community care services • The loan from Woking Borough Council has enabled the Hospices to act quickly on these recommendations • One in-patient facility with two community hubs
Our care services • Hospice support in the home • Community Clinical Nurse Specialists • In-patient care • Day care units – over 2,600 attendances • Counselling for adults, young people and families • Complementary therapists • Occupational therapy • Physiotherapy • Spiritual care
Growing need for Hospice care • 39% increase in the number of patients admitted since 2011 • 20% increase in patients referred to our Community Teams since 2011 • 7% increase in attendances to Day Care • 20% increase in non-cancer referrals in the last two years
Pressure on care services expected to increase • Annual mortality rate is set to rise by 2016 • People are living longer and more likely to have chronic disease • The number of people living with Cancer will increase • By 2021 over 1 million people will be living with dementia • Projected 135% increase in population aged >85 by 2033
The need for our services has grown extensively and now we must plan for the future
Options • Do nothing – would result in longer waiting lists and an increase in hospital admissions • Develop Woking Hospice site – cost approximately £4.5m – access to land denied, option not feasible • Search for a green-field site and build a new hospice approximate cost £12m – timescale 6 -10 years • Re-design an existing building – costs approximately £6.3m – timescale 3 years
Strategic choice • Preferred option is to re-design an existing building to house a new hospice facility including a 20 bed in-patient unit • Appropriate building identified in Goldsworth Park, Woking • Loan of up to £6m to acquire and re-design building granted by Woking Borough Council to be repaid over 50 years • Loan unlocks Hospice plans and allows speedy implementation of Hospice strategy in all key care services areas
Transforming end of life care • In-patient beds • Community services • Day care services • Enhanced service efficiencies
In-patient beds • We need to keep 20 beds open • 20 beds on one site will improve delivery of service: • Ensure consistency • Enable prioritising patients with greatest need • Serve patients with complex needs better • Improve delivery of patient care • Ensure high quality care • Cost savings – reinvesting in services
Community services • We will be able to support an increasing number of people in their communities and in their homes • Continue to develop a responsive service that meet the needs of the community to enable them to stay at home • Improved facilities from which the teams delivering this service can be housed • Improved capacity to deliver education
Enhanced service efficiency • Repatriate our Counselling services • Space for equipment storage • Inadequate parking facilities for our visitors which has caused distress to patients and their families at times • Administration and Fundraising departments back under one roof with the rest of the services
Conclusion • We will implement our plans and will provide regular progress updates • We will continue to work to improve our services • The re-location of beds from both Hospices will not happen until 2016 • Through our care provision we are aware of the close bonds between people and communities to both in-patient facilities • We will work hard to ensure the transition is managed as sensitively as possible