Creating a system fit for purpose

In order to deliver better health outcomes for local people by delivering the goals of Better Care Together  – which include keeping people well and out of hospital, moving care closer to home, improving care in a crisis, and delivering high quality specialist care – we will transform how we deliver health and care in LLR.

NHS organisations – in LLR NHS organisations and local authorities will work more closely together, including coordination at the most senior level to control spending against the total available budget for local health and social care, bringing together ‘back office’ operations to save money and training and integrating staff to work in joint teams, reducing duplication between providers.

Workforce –the total number of staff in the local NHS will remain the same, but roles will change and develop as the emphasis shifts from providing healthcare in hospitals to the community and in people’s homes.

Technology – we will establish an Electronic Patient Record to create seamless journeys as patients move through the system. Not only will this integration be safer and more efficient in terms of time and money spent by the NHS, it will also make a huge difference to patient experience. In addition, we will develop new applications to allow face-to-face consultations and greater self-care with the promise of direct access to services should the patient require it, as opposed to booked follow up appointments and clinics.

Patient experience - we are making and proposing changes to how we deliver healthcare in LLR.  Experience shows that listening to patients and understanding what matters most to them leads to more efficient and effective services.  So when designing services we are committed to co-designing services with people who are experiencing care.  Where a formal consultation is required we will involve the public to understand the impact of proposals to ensure that we provide the best possible care for local people.   

Efficiency – we will tackle the duplication of services, improving the flow of work through operating theatres and generating savings by better management of outpatient appointments, including reducing face-to-face appointments and conducting some in the community and making best use of medicines.

Sites and buildings – We propose to make changes to how we use some sites to improve the quality of health services and ensure they run more efficiently. We will seek significant capital investment to:

  • reconfigure acute hospital services and maternity services in order to deliver the specialist care we need
  • enhance community facilities to ensure we can look after people when they leave hospital
  • deliver integrated, planned and urgent care as well as diagnostic procedures closer to home
  • improve GP surgeries and health centres

Where there is significant reconfiguration of services or closure of existing buildings we will undertake formal consultation.