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Transforming acute (hospital based) services

The challenges of an ageing population with complex health issues, coupled with a workforce soon to retire and difficulties recruiting, have made it imperative we focus on doing things differently to ensure we have sustainable and workable health and care services for the Island.

We have therefore been taking a phased approach to redesigning services, involving our local community to help shape how these will look in the future. Phase one: involved a wider look at our whole healthcare system and gathering the community's views about services and the sorts of improvements they would like to see in place. Phase two: focuses on our acute (hospital based) services and how these services can offer the best quality of care and health outcomes for people whilst being accessible, affordable and sustainable in the longer term.

You can read more about these two phases below and how this work is progressing.

Phase 1 of our redesign; Looking at our overall healthcare system

In Phase 1 we began a conversation with the community looking at the whole health and care system – Caring for our Island: Time to Act. During this piece of work, the community was asked to help redefine how wider health and care services could be provided in future by highlighting what worked well and what needed to change. There were focused discussion groups that helped to identify the critical areas which residents felt could benefit most from changes such as mental health; children, young people and families; urgent and emergency care; planned care; frailty; and long term conditions.

Key themes from the public feedback included confirmation that people were willing to accept more responsibility for their own health, provided they had improved access to appropriate information and advice to enable them to better manage their illness or condition. It was also felt services needed to be more joined-up so people only had to tell their ‘story’ once. People also wanted to see more care provided closer to where they live rather than in hospital and easier to access the right service at the right time.

Some of the improvements coming out of this phase are already underway including:

  • launch of a mental health community safe haven
  • a new approach to ‘triaging’ people who come into the Emergency Department (A&E) at St. Mary’s helping prevent unnecessary admissions and providing instead appropriate care and support in the community

See also the section on our homepage You said, We Did.

We are now in Phase 2: The Acute (hospital based) Services Redesign

Health experts are now in the second phase of work focusing on how acute (hospital-based) specialty services can best be provided to better meet the current and future needs of local people. Most importantly, how these services can offer the best quality of care and health outcomes for patients whilst being accessible, affordable and sustainable.

The process so far has involved a review of best practice and a series of key meetings with clinical staff including consultants, GPs, nurses, midwives and allied health professionals and other staff from the core specialty areas such as ENT, Urology, Paediatrics, Haematology, Cancer, Ophthalmology, Orthopaedics, Obstetrics & Gynaecology, Specialty Medicine, Radiology, Anaesthetics and Acute Medicine. These meetings have involved in-depth reviews of key clinical data as well as information regarding, for example, patient feedback, workforce capacity, demand and budgets to develop a potential framework for service delivery in the future for each of the specialty areas.

The process has also included patient representation to ensure the voice of service users is kept at the heart of the process. It has also benefited from the input of Solent Acute Alliance partners (University Hospital Southampton and Portsmouth Hospitals) with whom the Island’s NHS is already working closely across the Solent area.

As part of this process, a series of options will be created identifying possible service changes before a final ‘blueprint’ and implementation plan is created. Following a formal assurance process with key national bodies including NHS England and NHS Improvement, there will then be further opportunity for community involvement and discussion around the options so that we can hear your views.

News and Updates

23rd May 2018

Islanders invited to have their say at health events

A ‘Question Time’ style event at which members of the public, local politicians, and interest groups will be invited to quiz a panel of local experts will kick-start a programme of events to discuss how acute (hospital based) services could be provided in the future on the Island.

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