Elective Recovery and Transformation

Programme lead

Janelle Holmes

Senior Responsible Officer and Chief Executive, Wirral University Teaching Hospital NHS Foundation Trust

As part of the provider collaborative, the providers will work together to address unwarranted variation and inequality in access, experience and outcomes across the population of Cheshire and Merseyside.

This will focus on populations, improving resilience in smaller trusts, and ensure that specialisation and consolidation occur where this will provide better outcomes and value.

There are three areas of focus for the elective recovery and transformation programme:

  1. Recovering activity/service levels to pre-covid levels and better
  2. Reducing the waiting lists and backlog of people waiting for OP and treatment
  3. Transforming clinical pathways and services to ensure resilience and sustainability of the improvements that we deliver

These improvements will be delivered through a combination of system-led schemes, specialty clinical networks, and trust-level performance improvement initiatives.

As we progress through our recovery journey the transformational elements of the programme will increase and become the main focus.

Priorities

The programme will focus on three key priorities over the next year:

Waiting list management
  • System-level focus on elimination of the 104+ week waiters and sustaining the position
  • Reducing 78-week waiters and 52 weeks waiters over the course of the year
  • Risk stratification and harm reviews to continue
  • Waiting well initiatives providing support for patients waiting
  • Advice and guidance (A&G), digital and patient initiated follow-up (PIFU) workstreams to support outpatient waiting lists
System resources
  • Establishing elective hubs as shared resources for system use
  • Identifying and developing more elective hub sites (e.g. Cheshire area)
  • Separating elective and emergency care to ring-fence elective surgery
  • Moving towards a system-level patient treatment list (PTL) where appropriate to support equity of care
  • Maximising independent sector opportunities
Reducing variation
  • Aiming to achieve top decile performance for all trusts
  • Theatre Right principles for surgical lists
  • Implementing Getting It Right First Time (GIRFT) and best practice pathways
  • Individual trust-level efficiency plans
  • Sharing areas of good performance and practice to raise the bar across the Cheshire and Merseyside system

 

Programme portfolio

System-level focus on waiting list management

To eliminate long waits and ensure risk stratification in place with 'waiting well' initiatives.

Shared resources

Creation of elective surgical hubs, maximising independent sector opportunities and shared system resources.

Reduce variation

To achieve top decile performance for all Trusts across all indicators including theatre productivity, clinical quality standards.

Workforce transformation

And new ways of working to improve staff morale and experience.

Links with other programmes across CMAST

Ensuring whole-pathway transformation across diagnostics, cancer pathways, workforce, finance and clinical pathways programme.