15. Or put another way Capacity and demand are out of kilter
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25. Real opportunity for radical change CATALYSTS FOR CHANGE 18 weeks referral to treatment Financial pressures Aging population European working time directive Shorter waiting times Mental health Long term conditions
26. 18 Weeks RTT: High Level Themes Improve Referral Management & Access to Diagnostics (Pathways) Redesign of Pathways (ENT, Ortho, Diabetes) Corporate Enabling Activities Actively Manage Follow Ups Actively Manage Admissions and Discharges Theatres & Treat Day Surgery as the Norm Define, Measure, Monitor and Performance Manage Management of Waiting Lists / Appointments 18 Weeks RTT Service Re-Design and Transformation 2008-2011
28. Whole System Re-design Hospital Care = £££ The changing role of the GP Collaborative Working Social Care Community Nursing Patient Expectations Non health related issues Extended role of Primary Care