Issue - meetings

Louise Barnett, Chief Executive and Dominic Blaydon, Associate Director of Transformation, TRFT to present (paper attached)

Louise Barnett, Chief Executive of the TRFT, and Dominic Blaydon, Associate Director of Transformation, gave the following powerpoint presentation:-

Overview of the Trust’s vision for the next five years

-          We will continue as a stand-alone district general hospital

-          We will build a reputation for innovation and quality care

-          We will achieve a CQC rating of “good” or better

-          We will deliver financial sustainability

-          We will have a strong emergency and urgent care function

-          We will develop sub-regional specialist care centres

-          We will provide a strong community health service offer

-          We will integrate with health and social care partners

Community Transformation Programme

-          Integrated Health and Social Care Teams

-          The development of a Reablement Village

-          A multi-disciplinary Integrated Rapid Response Service

-          A joint approach to care home support

-          An enhanced Care Co-ordination Centre

Acute Care Collaborations

-          Hyper-Acute Stroke Services

-          Breathing Space

Children’s Transformation

-          Integrated Locality Teams

-          Review of Children’s Assessment Unit

-          Rapid access to a Community Paediatrician

-          Reconfiguration of Inpatient Bed Base

-          A joint approach to Workforce Development

Discussion ensued on the presentation with the following issues raised/clarified:-

·           Currently if a Rotherham resident had a suspected stroke they would be taken by ambulance direct to the Stroke Unit at the District General Hospital and assessed for thrombolysis (an immediate treatment to enable to reduce the possibility of having a secondary stroke). If, due to the capacity of the Stroke Unit, a patient would be taken to A&E and receive the medical intervention or wait in A&E for a bed in the Stroke Unit.  They would then spend the first seventy-two hours on a local Stroke Unit and then moved to stroke rehabilitation either at the Stroke Unit, intermediate care or rehabilitation.

·           Under the new model, dependent upon where the patient lived, they would either go to the Hallamshire or Doncaster Hospitals for the first seventy-two hours.  After that time they would be repatriated to Rotherham Hospital. 

·           Currently Rotherham residents would be taken to Rotherham Hospital to receive care unless their needs were particularly specialist/had very severe needs when they would then go to Sheffield.

·           There was concern with regard to the response times, changes to the journey and what affect that would have on a patient if there was a delay in getting the right treatment.  The CCG would be making the decision about what happened to Stroke Services in Rotherham and one of the key principles to making the decision was whether the quality of care to Rotherham patients was going to be better.  The Governing Body would be looking very closely at if outcomes for patients would be better or worse.  Travel factors would be taken into account.

·           The commissioners collectively across South Yorkshire looked into whether the new care pathway would improve the quality of care.  They also looked at the evidence base available which showed that where you potentially centralised the care you could provide high  ...  view the full minutes text for item 69