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玬肠潒敢瑲-ManagedClinicalNetworkManchester.ppt
Managed Clinical Network Manchester Experience Dr P Umesh Prabhu Consultant Paediatrician Medical Director, Bury NHS Trust. Where Are We Now? Greater Manchester 6 Health Authorities 10 Trusts 14 Hospitals Providing children’s services Within 20 Miles radius 700,000 Childhood Population 30,000 Annual Births in 12 Hospitals No single unit has 5000 delivery Range 1800 - 4000 Some hospitals are just 3 miles apart Children’s Services Project Lead by CE of a Health Authority Representation Professionals - All Speciality CHC Colleges Users GPs Health Authority Aim - SHAPING THE FUTURE How To Provide The Best Possible Service To Women And Children Of Manchester? Drivers For Change Working Time Directive Junior doctors New Deal Juniors training need Clinical Governance - Quality agenda Public Expectations College Recommendations Changing needs of children and family NHS Plan Human Resource Issues 4 Sub Groups Paediatric Medical Emergency Maternity and Neonatal Group Accident Emergency Paediatric Surgery Group’s Recommendations To deliver high quality service All agencies, health, social services, education and voluntary sector must work very closely Care pathways should be established Managed clinical network should be developed Emergency care should be provided locally by trained professionals Recommendations Current model of working is not sustainable and will not be able to provide the standard of care needed New Model New Model Locality Provision Medical, Emergency, Community Care Extended day basis Population 250,000 Specialist Comprehensive Medical, Surgical, Emergency services 24 hours Populations 500,000 Super-specialist Regional -full array of tertiary services New Model From 14 In-patient sites to 6 or so In-Patient Units. But vast majority service provided locally by the team - Managed Clinical Networks Manchester is ideally placed Always rains - Paediatricians work hard Within a radius of 20 miles - 14 hospitals providing care for mother and
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