We are working to ensure that children on the Isle of Wight are supported to get the best start in life that will lead to good health and wellbeing. This will provide the foundation to ensure they are able to achieve the best opportunities and keep as healthy and well as possible throughout their lives.
We want to ensure that families, individuals and communities are thriving and resilient with access to good jobs, affordable housing, leisure activities, lifelong training, education and learning, health and care services are are able to enjoy the place in which they live.
We want to ensure that people on the Isle of Wight are able to live independently in their own homes with appropriate care support. We want to make sure older residents are supported to play an active role in their communities and supported to maintain and develop their social and community networks.
A proposal to improve the safety and quality of hospital based services for patients on the Island is published today, to ensure that Isle of Wight residents have health outcomes as good as any other NHS patients living in other parts of the country. The proposal will be considered by the Isle of Wight Clinical Commissioning Group and, subject to approval from its Governing Body, there will then be a period of further testing and consultation with staff, public and partners over the course of 2018-19.
The proposal would mean:
Mr Stephen Parker, Interim Medical Director for Isle of Wight NHS Trust and Clinical Lead for the Acute Service Redesign programme, said:
“Providing access to high quality and safe care for patients is our priority. Wherever possible, we should continue to give people the very best hospital based care on the Island. Where outcomes for certain complex procedures are significantly better on the mainland, more of our seriously ill patients should be able to benefit from these services. But overall this proposal will enable us to reduce the number of times people are asked to travel to the mainland, as more routine care and follow up appointments will take place on the Island.”
The Isle of Wight faces particular challenges given the ageing profile of the population, the increase in associated complex healthcare needs and long-term conditions. It also struggles to recruit specialist staff which leaves some services under-resourced and overstretched. Many acute hospitals serve a population more than twice the size of that on the Island which also means it is easier for clinical staff at other hospitals to retain and extend their skills because of the volume of procedures undertaken. The cost of providing these services on the Island, without the advantages of scale, also leads to financial challenges. The Isle of Wight NHS Trust’s deficit is forecast to grow to an unsustainable £23.6m by 2022/23 unless changes are introduced.
The recommendation means the Island can improve the quality and safety of care for patients, address the significant staffing challenges and ensure services become more efficient and resilient through joined up working.
Mr Parker continued,
“We have considered a range of alternative options during this process and I would like to thank all the clinicians, staff, patient and community representatives who have got involved and helped us reach this important milestone. Given the significant challenges we face, we do not believe that simply staying as we are and doing nothing is safe or sustainable. But neither do we want to see the wholesale transfer of multiple services off the Island, given the huge impact that would have on the quality of life for patients and their families or carers, and the significant transport costs involved. We believe our recommendation is therefore in the best interests of patients as it stands but we fully expect this outline model to continue to evolve as we undertake further discussions during this year.”
Councillor Dave Stewart, Leader of the Isle of Wight Council said: “We need to give Islanders the same opportunities and access to safe, quality health and care as anywhere else in the country and this vision and framework gives us the opportunity to do that. We need to embrace technology within our health and care services to help us overcome some of the challenges we face as an Island, not just in terms of the surrounding water but the rural spread of our population in relation to services.”
Cllr Stewart continued: “Through our Local Care Plan we will also ensure that our community services are working most effectively and efficiently to deliver more care and support closer to home so that people only have to use hospital services when they really need to.We are also working to ensure people can return home safely and with the right support where they have needed to stay in hospital and we have already made great progress in ensuring we have fewer people waiting in hospital to return home.It’s about putting in place a whole system approach to integrating care so that we can offer the best care to our residents. It’s not a quick fix to deal with the existing pressures, it’s a longer-term plan to enable us to tackle these and other challenges that we may face in the future.”
Chair of the Patients Council, Doreen Britton said: “We all need to recognise that change is important and inevitable if we are to improve the quality of care for local people.We have seen many changes in the NHS over the last 70 years and this is our opportunity to shape it further so that it can provide lasting support for Island residents for years to come.”
There will not be any immediate changes and no decisions have been made. The Governing Body of the Isle of Wight Clinical Commissioning Group, which includes clinicians and lay members, will consider the recommendation at its meeting on 1 February 2018. If the recommendation is agreed, the IWCCG and NHS will carry out further testing and work with partners, staff, community and patient groups over the course of 2018. The proposal will also be reviewed and considered by NHS England as part of an intensive process lasting several months.
Further work will also be carried out to define how staff would work together in the most effective way, especially in key specialties where change is most required, and to ensure robust, seamless arrangements for transferring and discharging patients between hospitals are in place to support any proposed changes before they are implemented.
The public will also be asked for their views during a formal public consultation later in 2018 before implementation plans are developed and finalised.
