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There was submitted a report by the Head of Strategic Planning and Health Improvement providing an update on the commissioning process for unscheduled hospital care, building on the work of the Renfrewshire Development Programme, and informed by the National Clinical Strategy.
The report advised that the Scottish Government’s National Clinical Strategy had set out a framework for the development of health services across Scotland for the next 15 years. It gave a high level, evidence-based perspective of why change was needed but did not give prescriptive details of exactly what developments were required. It focused on the delivery of healthcare services to meet assessed needs, rather than on initiatives to improve health.
The Renfrewshire Development Programme (RDP) was a service improvement and development programme which involved the Royal Alexandra Hospital, 13 local Paisley GP practices, community health and Renfrewshire social care services. It has developed and assessed new service models which aimed to improve the quality of healthcare, improve the interface between hospital and community care, shorten length of stay, reduce avoidable admissions and maintain or improve rates of re-admission. The report also outlined the programme’s initiatives and summarised the key findings of the project.
The report advised that the NHS Board was responsible for the overall planning for acute services, working with Integrated Joint Boards (IJBs) on planning the delivery of unscheduled care and on the shaping of the primary care and community services which were critical to the delivery of acute care. The IJBs were responsible for strategic planning for the health and social care services and for the strategic commissioning of unscheduled care services. Renfrewshire’s first Strategic Commissioning Plan had been developed which highlighted the need to establish a real focus on changing the way our population used hospital services. Work was ongoing with Acute Planning colleagues and other Health and Social Care Partnerships to develop a set of acute commissioning intentions.
DECIDED:
(a) That the National Clinical Strategy be noted;
(b) That the evaluation of the Renfrewshire Development Programme be noted; and
(c) That the commissioning arrangements for unscheduled care be noted.